Psycho-Babble Medication | about biological treatments | Framed
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question for SLS

Posted by g_g_g_unit on March 28, 2012, at 9:50:27

Hi Scott,

I posted this in an earlier thread and thought you may have missed it. I was seeing my psychiatrist tomorrow (12 hours from now), so was wondering if you might be able to offer any advice:

Scott, my psychiatrist wasn't comfortable prescribing Prazosin because he'd never used it before (ditto with Memantine), which is why he went with Clonidine.

He has never been outright vindictive or cruelly withholding, but he certainly has a strong will and well-defined boundaries regarding what he does/doesn't like prescribing, i.e. at this point I've heard him express hesitancy in using a) high-dose SSRIs (due to withdrawal issues), b) Effexor (ditto), c) Ativan (tolerance issues and the subsequent need for dose escalations), and d) Klonopin (no reason given).

He is certainly no dunce; he comes recommended as one of the best specialists in my city. I wonder if his training as a psychotherapist contributes to his lack of yielding to demand (which I have found in certain psychiatrists).

As someone who (I imagine?) has worked with strong-willed, highly capable professionals, do you have any advice for negotiating with psychiatrists? Due to social anxiety, this is something I find somewhat difficult.




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