Posted by sowhysosad on May 23, 2009, at 8:24:20
In reply to Re: Severe fatigue on TCA + ECT, posted by Meltingpot on May 22, 2009, at 13:18:53
Cool. Do you have any experience of NHS psychiatrists?
My (junior) pdoc is a weird one. He often seems very inexperienced and lacking in knowledge about the brain, but at least he's compassionate and dedicated I suppose.
But the thing that really surprised me is that the junior and the supervising psychiatrist seem very med-adverse. Initially they wouldn't switch my meds despite increasing depression and now, as I mentioned elsewhere, they declined to start me on a new med after quitting the previous one.
What a huge contrast with the US, where some pdocs have people on 4-5 meds for depressive disorders.
Perhaps a prudent approach in some ways, especially since my brain's a bit fried after many months on a series of failed meds. It appears they acknowledge that switching meds frequently or starting a new one can often make anxiety and depression worse.
I'm also glad they don't just shove me onto the latest trendy med after the drug company rep bought them a nice dinner, which seems to be the case abroad and even with some UK GP's.
> Hi,
>
> That's ok, yes it was a UK psychiatrist who prescribed the Zyprexa for me. This was a private psychiatrist though (one of the best I've ever seen as far as having passion and giving me encouragement goes). This was back in 2001 when I had a good job and private health insurance so didn't have to rely on NHS psychiatrists (not that they are all bad).
>
> He prescribed the 10mg Zyprexa for when things got really bad and it always helped (thank God).
>
> Denise
poster:sowhysosad
thread:896286
URL: http://www.dr-bob.org/babble/20090515/msgs/897221.html