Finding a doctor who actually tries to help
If I could literally have smoke billowing out my ears...
Long story short; I've been trapped in a rather poor network of doctors since 2006 (actually there have been individual crappy doctors from 1999 to then)
The doctor I'd been seeing there the longest just left. He had me on Adderall which helped for a while then I burned out and my family (complained) about what ADHD meds are made of. Other than filling out the scrips he didn't seem too deeply concerned with anything else. When I mentioned feeling agitation toward a family member while on Strattera (which I resumed because my household made such a to-do) he made it sound as if I was about to pull a Columbine and said "here try this Latuda" , which I brought home and was warned not to take since it is for schizophrenia.
First thing out of the new doctor's mouth was "How is the Latuda helping?"(Oh yeah and he wouldn't let me drink my can of Mountain Dew even though he had a full cup of coffee on the desk). I explained that I've never been DXed with schizophrenia and that someone pointed out what it was for, so I saw no reason to take it, and that my family had advised against it as well.
"They can't tell you what to take and what not to take"...Then he asked about voices and paranoia to which I replied "no" - I'm not schizophrenic and nobody has ever diagnosed me as such.
Then he said "what if you came in once a month, got an injection and didn't tell anyone?' - I'm thinking "Lithium" - I said "Of what?" - "Risperidone"...
This guy's not hearing a single word I say to him. I got up and walked out, got home and found that basically this so-called professional network is my only option with me having Medi/Medi insurance. Someone at a CHADD meeting said I could get plugged back into a local teaching hospital department, but how?
_________________
Let's go on out and take a moped ride, and all your friends will thing your brain is fried, but you can't live your life too dirty, 'cause in the the end you're born to go 30
I don't know much about your health insurance or personal situation but I am going to pass on some advice I got from my therapist. I am having similar problems with my primary care/internist. She suggested seeing a D.O. rather than an M.D. I know you are looking for someone for your psych meds but perhaps a good primary care doc could find you a better psych doc. Like begets like and all.
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Learn the rules so you know how to break them properly.
- The Dalai Lama
Long story short; I've been trapped in a rather poor network of doctors since 2006 (actually there have been individual crappy doctors from 1999 to then)
The doctor I'd been seeing there the longest just left. He had me on Adderall which helped for a while then I burned out and my family (complained) about what ADHD meds are made of. Other than filling out the scrips he didn't seem too deeply concerned with anything else. When I mentioned feeling agitation toward a family member while on Strattera (which I resumed because my household made such a to-do) he made it sound as if I was about to pull a Columbine and said "here try this Latuda" , which I brought home and was warned not to take since it is for schizophrenia.
First thing out of the new doctor's mouth was "How is the Latuda helping?"(Oh yeah and he wouldn't let me drink my can of Mountain Dew even though he had a full cup of coffee on the desk). I explained that I've never been DXed with schizophrenia and that someone pointed out what it was for, so I saw no reason to take it, and that my family had advised against it as well.
"They can't tell you what to take and what not to take"...Then he asked about voices and paranoia to which I replied "no" - I'm not schizophrenic and nobody has ever diagnosed me as such.
Then he said "what if you came in once a month, got an injection and didn't tell anyone?' - I'm thinking "Lithium" - I said "Of what?" - "Risperidone"...
This guy's not hearing a single word I say to him. I got up and walked out, got home and found that basically this so-called professional network is my only option with me having Medi/Medi insurance. Someone at a CHADD meeting said I could get plugged back into a local teaching hospital department, but how?
This is what psychiatrists have been like for many many decades. They give drugs... and get paid for it. That's their job. They ask you "How are you feeling?" And the patients presents their problems. The doc then says, "Let's try X-Drug, three times a day with meals, and come back in two weeks."
_________________
Everything is falling.
AardvarkGoodSwimmer
Veteran
Joined: 26 Apr 2009
Age: 61
Gender: Male
Posts: 7,665
Location: Houston, Texas
Wow, that one doctor sounds just terrible. He's a guesser and a jumper to conclusions big time.
For the time being, it sounds like anything this professional network suggests, you probably should also look up on your own.
The local teaching hospital sounds like a better possibility, but may take a while.
Thanks everyone for your replies, I succeeded at getting an appointment with a previous doc I'd seen briefly about 10 years ago. When I'd last seen him he was willing to refer me for ADHD diagnostic testing, I'm hoping he is still in a position to get me sent somewhere that will eventually tell me exactly what my condition is. Meanwhile on the suggestion of a friend I started writing a little 'speech' to present at future appointments
Whoever said "Tips on how to get care providers to listen" - AMEN to that
_________________
Let's go on out and take a moped ride, and all your friends will thing your brain is fried, but you can't live your life too dirty, 'cause in the the end you're born to go 30
Long story short; I've been trapped in a rather poor network of doctors since 2006 (actually there have been individual crappy doctors from 1999 to then)
The doctor I'd been seeing there the longest just left. He had me on Adderall which helped for a while then I burned out and my family (complained) about what ADHD meds are made of. Other than filling out the scrips he didn't seem too deeply concerned with anything else. When I mentioned feeling agitation toward a family member while on Strattera (which I resumed because my household made such a to-do) he made it sound as if I was about to pull a Columbine and said "here try this Latuda" , which I brought home and was warned not to take since it is for schizophrenia.
First thing out of the new doctor's mouth was "How is the Latuda helping?"(Oh yeah and he wouldn't let me drink my can of Mountain Dew even though he had a full cup of coffee on the desk). I explained that I've never been DXed with schizophrenia and that someone pointed out what it was for, so I saw no reason to take it, and that my family had advised against it as well.
"They can't tell you what to take and what not to take"...Then he asked about voices and paranoia to which I replied "no" - I'm not schizophrenic and nobody has ever diagnosed me as such.
Then he said "what if you came in once a month, got an injection and didn't tell anyone?' - I'm thinking "Lithium" - I said "Of what?" - "Risperidone"...
This guy's not hearing a single word I say to him. I got up and walked out, got home and found that basically this so-called professional network is my only option with me having Medi/Medi insurance. Someone at a CHADD meeting said I could get plugged back into a local teaching hospital department, but how?
Doctors (psychiatrists, GPs, neurologists and pediatricians) can't reliably predict if antidepressants, anti-anxiety or amphetamines will resolve/relieve behavioral or motor-neuron symptoms from underlying psychological conditions any more than a parent with google. What they can tell you is i) if your medication will intefere with any other medication you are on and/or ii) detecting any early signs that the medication is causing side effects that could be dangerous in the long term.
It sure seems like antipsychotic drugs are used as generic "anti-crazy pills" these days; and it sounds like you've been dumped into the "crazy" bin (hence their not listening to you -- they believe that crazy people always lack insight). Antipsychotics are regularly used to "calm down" people in prison, nursing homes, groups homes, or any other situation where it's legal to drug someone for being a pain in a** or an insurance liability (if you kill people (not that actually would, but if your doctor thinks you might) it could be bad for the doctor's malpractice insurance premiums).
About those shots -- one of them lasts about a month. Their normal usage is for forcing people who don't like taking anti psychotics to take them anyway.
If you want to mess with the doctor ask him to explain what "tardive dyskinesia" is (a permanent long-term side effect of antipsychotic drugs), or explain the elevated risk of diabetes with Risperdal.
Back last century I owned a small wholesale bakery that did a great business for almost 20 years. I made desserts for restaurants, and employed half a dozen employees. I had a big chevy van that I kept busy at least 30 hours a week. And over the years I had several drivers. I once hired a young man who lived in housing provided for people with psych problems who were trying to make it on their own... He was a good guy, trying really hard, but after a year or so I noticed that he kept making this same awkward move first with his legs, and then a crossing move with his arms. I went to the library, and discovered tardive dyskinesia. I requested a meeting with his care givers. When I told them that Keith was beginning to show signs of it, they were shocked at me for getting involved.
_________________
Everything is falling.
Tyri0n
Veteran
Joined: 24 Nov 2012
Age: 38
Gender: Male
Posts: 2,879
Location: Douchebag Capital of the World (aka Washington D.C.)
If ADHD meds help you focus, and you do not show any signs of bipolar, do not let anyone give you any meds, likely antipsychotics, that take Dopamine out of the equation. It'll likely have the opposite effect to ADHD meds, with the added joy of heavy side effects as others have pointed out.
AardvarkGoodSwimmer
Veteran
Joined: 26 Apr 2009
Age: 61
Gender: Male
Posts: 7,665
Location: Houston, Texas
I think care givers don't generally engage in possibility thinking and look for opportunities to help and make a difference. Instead, I think they usually damage-control and look at things as problems, case load, and extra work.
Thank you for matter-of-factly speaking up on behalf of this young man. Hopefully, once they got over their shock, they came round.
And it sounds like you tried to be a decent boss. Thank you for that. (And the bar's so low, even that puts you ahead of the curve . . way, way ahead of the curve. )
And it sounds like you tried to be a decent boss. Thank you for that. (And the bar's so low, even that puts you ahead of the curve . . way, way ahead of the curve. )
As an old hippy having a lucrative small business that we just created out of thin air was just so cool. Having good happy employees was a crucial part of doing well.
_________________
Everything is falling.
AardvarkGoodSwimmer
Veteran
Joined: 26 Apr 2009
Age: 61
Gender: Male
Posts: 7,665
Location: Houston, Texas
Since 80% of new businesses fail typically because the start-up attempt is undercapitalized, you beat the odds on this one, too.
*I am in favor of entrepreneurism. I just want people to go into such endeavors with their eyes open.
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