Psycho-Babble Medication Thread 127642

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What are GPs anti-psychotropic?

Posted by utopizen on November 14, 2002, at 14:11:36

No, I'm not referring to how they don't giving out psychotropics, I'm referring to how they act more vigilantly than some Scientologists I know in trying to convince me to stop taking what my p-doc put me on.

My last GP said I should stop taking "so many meds" with just a vague notion that I have anxiety and no idea to what extent I have of it (not that he asked).

And after something else happened, he goes, "look, I'm not concerned about your social problems, only your physical problems." W!?!? I never even mentioned I had social anxiety, just anxiety... and I am fine socially. Geez. I think it's obvious -some- doctors end up getting an inferiority complex towards psychs because of a psych's specialized training and how their specialty is increasingly more relevant as more people address their mental health.

And after you read of what I'm taking, I'm sure a lot of you will laugh after comparing my puny list to yours:

Adderall 20mg, 2x/day
Effexor 225mg/day
Evoxac 30mg 3x/day (dry mouth pill)
Klonopin .5mg/day PRN (15 pills every year
basically)

Then I go, "but I don't do drugs." Then he goes "well, no illegal drugs, but you're still doing drugs." I think a Scientologist would hold back on saying that one, lol

 

Re: What are GPs anti-psychotropic?

Posted by oracle on November 14, 2002, at 14:45:55

In reply to What are GPs anti-psychotropic?, posted by utopizen on November 14, 2002, at 14:11:36

Every GP I have had never seems to want to discuss
my psyco meds. Even when I am willing to. However, in a pinch they will perscribe for me.

 

Re: What are GPs anti-psychotropic?

Posted by utopizen on November 14, 2002, at 19:05:37

In reply to Re: What are GPs anti-psychotropic?, posted by oracle on November 14, 2002, at 14:45:55

> Every GP I have had never seems to want to discuss
> my psyco meds. Even when I am willing to. However, in a pinch they will perscribe for me.
>

this new doc is like 95, his schooling probably pre-dated Thorazine.... to him psychotropics must seem strange for anyone who's not in hospitalization.

 

Re: What are GPs anti-psychotropic? » utopizen

Posted by dr. justin on November 14, 2002, at 21:24:10

In reply to Re: What are GPs anti-psychotropic?, posted by utopizen on November 14, 2002, at 19:05:37

> this new doc is like 95, his schooling probably pre-dated Thorazine.... to him psychotropics must seem strange for anyone who's not in hospitalization.

Yeah, sounds like his education pre-dated anesthesia...
I hate GP's who don't treat psyche like the serious condition it is. My last two GP have been really cool. They prescribe if I ask, routinely ask how I'm doing, and even take into account my p-meds when prescribing medication for illness, injuries, etc.
My advice: find a new GP. There some good ones out there-- find one. It makes a lot of things easier.

 

Re: What are GPs anti-psychotropic?

Posted by utopizen on November 14, 2002, at 21:55:26

In reply to Re: What are GPs anti-psychotropic? » utopizen, posted by dr. justin on November 14, 2002, at 21:24:10

> > this new doc is like 95, his schooling probably pre-dated Thorazine.... to him psychotropics must seem strange for anyone who's not in hospitalization.
>
> Yeah, sounds like his education pre-dated anesthesia...


I just found out he got his med degree in '45. Psychiatry at that time involved ECT and cold water baths.

He's also got 2 maplractice payments he's mad over the last 10 years... no wonder why he kept saying "well these days I have to check for hemroids or I can be liable." Well these days you have to also ask before undressing a fully grown 19 year old, too, or you're liable to lose your license, perv. I am this close to filing a complaint with the board.

 

Re: What are GPs anti-psychotropic? » utopizen

Posted by dr. justin on November 14, 2002, at 22:06:33

In reply to Re: What are GPs anti-psychotropic?, posted by utopizen on November 14, 2002, at 21:55:26

> He's also got 2 maplractice payments he's mad over the last 10 years... no wonder why he kept saying "well these days I have to check for hemroids or I can be liable." Well these days you have to also ask before undressing a fully grown 19 year old, too, or you're liable to lose your license, perv. I am this close to filing a complaint with the board.

Go for it. And this doc has too much baggage and problems; you shouldn't have to deal with that. If your insurance allows it, I'd jump ship...

justin

 

Re: What are GPs anti-psychotropic? » utopizen

Posted by Ritch on November 14, 2002, at 22:11:14

In reply to What are GPs anti-psychotropic?, posted by utopizen on November 14, 2002, at 14:11:36

> No, I'm not referring to how they don't giving out psychotropics, I'm referring to how they act more vigilantly than some Scientologists I know in trying to convince me to stop taking what my p-doc put me on.
>
> My last GP said I should stop taking "so many meds" with just a vague notion that I have anxiety and no idea to what extent I have of it (not that he asked).
>
> And after something else happened, he goes, "look, I'm not concerned about your social problems, only your physical problems." W!?!? I never even mentioned I had social anxiety, just anxiety... and I am fine socially. Geez. I think it's obvious -some- doctors end up getting an inferiority complex towards psychs because of a psych's specialized training and how their specialty is increasingly more relevant as more people address their mental health.
>
> And after you read of what I'm taking, I'm sure a lot of you will laugh after comparing my puny list to yours:
>
> Adderall 20mg, 2x/day
> Effexor 225mg/day
> Evoxac 30mg 3x/day (dry mouth pill)
> Klonopin .5mg/day PRN (15 pills every year
> basically)
>
> Then I go, "but I don't do drugs." Then he goes "well, no illegal drugs, but you're still doing drugs." I think a Scientologist would hold back on saying that one, lol


I get similar responses from my GP. He doesn't *say* it, but I can sense it big time. If you look at it from their perspective, and a patient shows up on polypharmacy from *other* doctors, they have a tough time trying to figure out if your current symptoms are a problem with 1) The psychiatric disorder you are already being treated for (i.e. panic symptoms), 2) The meds you are being prescribed are causing physical ailments, 3) Something ELSE. They don't want to stir the pot up any more by adding any more medications or reaching for anything more than an obvious dx. It is like you have *touched* by other doctors (with meds, etc.) before you got here, so they are going to be minimalistic in their mindset and possibly try to "coach" you into getting away from the polypharmacy if possible (so it will make *their* job easier!). :)

 

Re: What are GPs anti-psychotropic?

Posted by Jumpy on November 15, 2002, at 22:51:50

In reply to What are GPs anti-psychotropic?, posted by utopizen on November 14, 2002, at 14:11:36

Well, all doctors ... even pdocs ... are trained that disease X is treated with medication Y. That is each disease has a specific medication to treat it ... almost "lock and key" fashion. For example, docs are taught that for elderly women with high blood pressure the treatment of choice is hydrochlorothiazide. But in the real world, this patient will receive two to three medications for adequate control of blood pressure.

Same in psychiatry ... docs are taught first line treatment for depression is an SSRI. But in the real world, many patients need a combination of meds to control symptoms. So it actually may take an antidepressant, benzodiazapine and a mood stablizer to help the patient.

The big problem is that when in comes down to it, the general practicer is held liable for the over all health care of patient. Even if another doctor prescribes a combo of meds that may interact and cause you harm ... the generalist can be held responsible to have identified the other doctors mistake and correct the medication. This is almost impossible with the speed at which new medication come out and new warning on older medication are announced.

So really it is just a few "bad apple" lawyers that have put fear into the eyes of all GP's. GP's do lose there licenses or practices for medication errors and interaction, even if they did not prescribe them. (Actually, what a malpractice lawyer does is first sue the primary doctor .... then latter looks at the medical record and adds on every doctor and the hospital to the lawsuit .... some doctor's insurance companies will simply settle and pay the lawyer in order to avoid a long trial)

Paul


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