>>I wish that her psychiatrist saw her more often. I thought that at least once a week was standard when they are trying to get the right level of meds and then they taper off to maybe onece every three to four week, but he's been seeing her much less often.. more like once a month.

Scheduling probably varies with the office and the practitioner. Although I am still in pretty bad shape depression-wise, I am stable on my meds and see the pdoc about once a month. I see a therapist once a week, that is my primary treatment. At the beginning I was in intensive group therapy every day, seeing the pdoc about once a week or however necessary... when I moved to private therapy the pdoc had me in once every three weeks to evaluate the changes he was making.

Of course this assumes the meds are behaving as expected. He makes small adjustments now during my visits, still trying to find the right combination for me. But if I have any adverse effects or are worried about something medicine related, I would contact him between appts or at least talk to my therapist about it, he and the pdoc work together somewhat.

Is your daughter in therapy? As things seem so acute with her now I would expect that would be much help. It will also give her a place to discuss whether it is time for a change off of Lexipro although that is a decision for the pdoc. If you feel you need for her to see the pdoc more often I would definitely discuss it with him, he may accomodate you or set your mind at ease that the scheduling is appropriate. Worst case he may be insensitive to your daughter's needs and maybe time to shop for a new one. That does happen sometimes.

good luck.

-- The world is what we make of it --
-- Dave
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