Yes I am in Canada, I was under the care of a psychiatrist who had a private practice, but he retired and I was referred to a psychiatrist who works in our health unit. ALL the other psychiatrist in out town work in the health unit. It's not a big place so not many pdocs. I was very upset and had some long conversations about how to switch pdocs with my t who also works in the health unit, she inquired with her boss for details. So apparently I can put in a request, but because they are all so backed up it could take a long long time. We even thought of using that he was male and I'd be more comfortable with a female as a reason. Which is true to an extent. The only female pdoc here tho my t told me is quite gruff and stressed and that it wouldn't be a good fit for me. So my t and her "boss" thought the best solution was to give this guy more time.

OK, so I had only seen him twice, when I became very manic, some of you may remember when I was having psychosis, seeing little people, and had when through 5 antipsychotics and numerous other drugs in a few month period. when I called him while I was very manic, he did not get back to me for three days, even after my t had also called him to tell him he needed to call me. When he finally called he was very rude, " what do you want me to do about it!" " what do you want more drugs!" and basically talked to me for two minutes and hung up. So I called my t and explained, she called him right away, apparently he had the wrong client, he thought I was another client of his. So he sent a letter of apology to my t, and the Community response team at the hospital who I was also in contact with. Tho he did not explain or mention it to me.

During this manic episode that lasted 5 months he never returned my calls sooner than a few days later, did not call in xr's when he said he would without my t hounding him. He switched my antipsychotics constantly before giving them enough time to really work, and he kept starting me out at the highest dose. At one point I was on 3 antipsychotics at one time, I was on 35 mg's of Zyprexa, which is higher than the maximum 30mg dose, fine, ,but I was such a freakin zombie, I am a tiny person, who cannot handle these kind of doses. Seriously, 25 mg of Seroquel and I am down. Now, I am not claiming the meds and doses were terrible on his part, I don't know what to do with me either when I am acutely manic with psychosis. His attitude and not calling me back ever and not calling in xr's is a problem. In one phone call he also told me that I could figure out my own dose Seroquel, just feel it out between 25 mg's and I could go up to 200 mg's. I don't want to decide my own doses, I am not a dr. and if I ran into problems I would not be able to count on getting a hold of him.

Even if he thought I was a different patient on the phone, why would he talk to any patients that way.

Anyways, I do not know what happened between my t and him, but once I started raising a stink over getting a new pdoc, he became nice and more attentive. So I am confused there. Is he going to try harder to be professional, did he get himself in trouble, I don't know.

I can't just see my gp for meds, or rely on the er. I have bipolar 1 with much dysphoric mania and psychosis. My pdocs I have had have had a very hard time with my meds, I don't think my gp would know what to do, he hasn't known in the past. I wish that I could just go to him because we have a good relationship and he is a lot more professional.

Ok end rant, that is my frustration with this pdoc. I did look him up on rate your md.com and he did get the worst score and reviews of all the ones where I live. I thought "Awesome"

Tsunami, They seem to overlook that coming off antipsychotics can have a rebound psychosis effect, I get that, and uggh right back on them you go.