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Re: Mis-Diagnosis

Posted by Mis-Diagnosis on February 22, 2000, at 19:50:34

In reply to Mis-Diagnosis, posted by JTR on February 22, 2000, at 9:55:38

> If one suspected a mis-diagnosis of bi-polar how would one go about convincing a patient to seek re-evaluation given the bond between patient and therapist is strong?
>
> If the drugs used to treat/manage bi-polar disease can in and of themselves cause behavior usually associated with the disease, how does a professional distinguish the disease from the drug as affecting the patient's behavior?

JTR - Thanks for your insight. Very succinct. Thing is
I didn't have a bond with the Dr. It was a first-time
visit. I requested the psych consult from my gp for a
medication check. I had been on Prozac for depression.
It wasn't doing much for me when my situation changed at home and
I developed panic symptoms. After two more visits with that
Dr. and one antiseizure med and four anti-depressants (Wellbutrin,
Paxil, Effexor and Zoloft) later I switched to a different shrink
who thought I should take Lithium and maybe a little Zyprexa.
I said NO to both. But am continuing with the Zoloft. Doing okay by the way.
See the shrink in a couple weeks with the news that I dropped
the Topamax and want the diagnosis changed.
Maybe all I needed was a little VALIUM. I'm 40 yrs. old,
my husband's in law school full time, our income has dropped
by 3/4, I work at home - have my own business, can't keep up,
usual family problems,4 dogs, 2 cats, $70,000 in school loans
- I had some anxiety! Thanks for listening.


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