Posted by jay on March 9, 2003, at 19:28:31
In reply to Rate this pdoc, posted by Tabitha on March 9, 2003, at 18:54:30
Yeah, like Ace say's, sometimes we have better luck with GP's. My GP is 1000000000 times smarter, more open than the cranky narrow minded control-freak shrinks I had. I guess it all depends on the luck of the draw. Like Andrew Sololoman(sp?) say's in "Noonday Demon" that "..if you think you are smarter than your pdoc, you likely are!". I can't believe he would put you on Doxepin..ewwwww! Yes my Dad has been on it for years and it helps him, but there are far, far better meds than this. Also, when you do this 'new patient interview', ask HIM/HER about many treatments! It is your chance to interview as well. (Which you did do a bit.)A couple of suggestions:
-With the Celexa, could you not ask for a start with one mood stabalizer? (Just tell him...I WANT to try this!)Some of the latest research even suggests two m.s's may help...such as Lamictal and an older m.s. like Lithium or Depakote.(Don't forget to ask pharmacist about interactions just to be safe.)
-Second, an a.d. add-on for sleep could likely be a small dose of Remeron (would possibly help with aggitation, and any other SRI side effects.) As a second line, maybe Trazadone or Serzone.
-On top of it, if you can until the other meds kick in, a benzo would likely help.
If this guy doesn't seem to have a clue of the above (as you see many of these meds being used as good treatment for others on the board), then dump him and don't settle until you get *the best*. Your goal is as close to 100 Percent symptom reduction as possible, because life is far too short, it is your body, and you are paying for these things. (I.E. through insurance or whatever.)
Let us know how you make out..
Best wishes,
Jay
poster:jay
thread:207549
URL: http://www.dr-bob.org/babble/20030306/msgs/207563.html