I'm asking because I recently decided to give psychiatry another shot. I had some pretty disappointing experiences a few years ago with various reuptake inhibitors not working and with psychiatrists trying to prescribe antipsychotics without telling me about the side effects, but things weren't going so well, so I decided I was out of options.
I'm pretty sure by now I'm bipolar, however when I tried to bring up the topic of hypomania and mood stabilizers on my second appointment, my pdoc got offended and accused me of trying to use him as a rx dispenser, then told me that he would most definitely not prescribe a mood stabilizer now.
Then he tried to explain that since I wasn't bipolar, mood stabilizers weren't indicated. However, he has no basis for this statement that I'm not bipolar. In fact, he has very little basis for any diagnosis apart from the things that I've told him, and he has been asking hardly any questions himself.
Then, when I tried discussing this further, he cut me short and wouldn't let me talk anymore. He told me that if I want to discuss my treatment or medication, I should go somewhere else.
I don't really understand how he can just ignore me when I start talking about hypomania - in fact, I think this should be a huge flag to him because treating bipolar with antidepressants only is very risky, but apparently he doesn't think so. He told me I'd have to wait a few months before we could make any changes to my medication (I've been on an AD for about 5 weeks, and it's having a positive effect, but I'm still having pretty violent mood swings).
I've had this experience before (pdocs not being happy when I bring up diagnoses or certain meds), but I'm just wondering if this is normal or if there are psychiatrists that don't simply shut you down when you want to talk about treatment options.
I'll probably have to go somewhere else in any case, since by now he thinks I'm a trouble maker, and I just don't feel like I can trust him if he isn't willing to listen to what I have to say.
Of course, this means having to wait a few more months for a new appointment, and then there's the chance the same thing will happen again. I'll probably put everything in writing next time because I'm bad at expressing myself in these situations.
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What goes on inside is just too fast and huge and all interconnected for words to do more than barely sketch the outlines of at most one tiny little part of it at any given instant. - D.F.W.