I ended up having a total meltdown at work when my GP took me off both HRT & Paxil cold turkey. I could not reach GP or T at the time so ended up in the ER. From ER I was transported to Psych hosp. On of the conditions of my release was to have a pdoc manage my MH meds. It was the best thing that came out of the whole thing. What I learned is that pdoc's are more aware of what works together and how to work with the MH issues much better than a GP. I strongly suggest that anyone having problems with MH meds work with a pdoc.