Posted by jimmygold70 on December 30, 2002, at 17:56:17
In reply to Re: to jimmygold70- characterizing psychiatrists, posted by rotem on December 30, 2002, at 3:23:40
> offffffff, I called Dr Schrieber and he doesn't accept patients- not privately and not publicly. He deals only with hospitalized people.
> what to do ?
>
> Also coping my previeus question:
>
>
> Thank you very much jimmy
> I want to make clear what kind of pdoc I'm looking for in the
> hope you know about someone like that, or maybe even Dr. Schreiber fits this
> expanded description.
> 1. Knowledgeable in psychopharmacology as much as Weizman, with a biological orientations, not a psychotherapy orientation. I don't want him to try psychotherapy on me, but to concentrate on the biology, because I'm seeing a psychologist for the psychotherapy.Unfortunately there aren't many, and I can't think of one. I used to give some advice to one major psychopharmacologist. He had little knowledge of it, unfortunately. A good person, though.
> 2.Have intuition and can diagnose, so he can fit the medicine to my psych (be a good "interface" between me and the medicines). Someone who knows the fine fine distinctions of depression, and not generalize: "depression, anxiety, a little obsessive, so take SSRI". and that's it because the leading theory today links this to Serotonin. I want someone who can, for example, diagnose if my condition is appropriate for dopaminergics (such as mirapex, Amineptine bromocriptine amantadine minaprine Permax pramipexole Cabergoline ,Ropinirole amisulpride etc') or not, and save me a painful experience if not.
You should take this more easily. Nobody knows exactly the exact mechanisms of drugs. They are only hypothetised. There is a lot of intuition going there. Weizman is not bad at it. He IS costy and, to say, somewhat greedy.
> 3. Someone with A LOT of patience, who will sit with me for an hour (not 20 minutes..), and I can ask questions in psychopharmacology and get answers, not patronizing "you don't need to understand pharmacology" or "your need to understand pharmacology shows you have OCD" (which is partly true, but still i think legitimate).
You have a lot to learn. Read the new Kaplan & Zadock's Synopsis of Psychiatry - 2003 edition. It is now available on amazon.com. Costy, but worth the wealthy knowledge. Costs less than one PDoc session, even if you order it via express mail (you are in pressure, are'nt you). From the moment I found out that NO physician, no matter how knowledgable, can make better guesses than me - I started reading. A lot.
> 4. With an open mind. Someone who is prepared to commit himself to help me find a solution, even if the medicines are not available in Israel (for example mirapex). Unlike Weizman, who is "small head"- if the medicine isn't available in Israel, ignores it.Most will.
> Of course, the psychiatrist needs to know about the medicines, even if he hasn't experience in using them in Israel. I also want him to be able to help me import them, for example sign form 29c.
> 5. I'm sensitive to medicines and reacts very strongly even at low dosages. So I need the pdoc to take me seriously and to consider if my reactions justify stopping, or the medicine is still the most suitable.
> (for example he would also explain to me why this happens from a pharmacological view and not say I'm histrionic).
> Unlike one psychiatrist who told me that if I don't take a reasonable dosage for a long time he doesn't want to work with me. I understand the logic rational for this attitude, but there is a limit to my ability to suffer, and the pdoc should differentiate between reasonable reaction and unreasonably harsh response.
> Unfortunately I've been to 2 psychiatrist privately who behaved like in "Kupat Holim", with stock answers and "small head".
> Hope you didnt lost in my long description...
> Thanks for your help
> eager to hear your response
> Neta
Neta, I guess you need someone with great patience above all. Dr. Raul Lipnik (03-7512316) is for you. He is hard to get. Maybe he is not 100% into psychopharmacology, but he knows how to ask others. I know others who have time and will sign anything you give them and whatever, but they are a waste of your time.I think we can talk on the phone I'm tired of writing. Give me you phone number and I'll call you.
Jimmy
>
poster:jimmygold70
thread:133136
URL: http://www.dr-bob.org/babble/20021230/msgs/133838.html