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Old Jan 10, 2015, 06:41 PM
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Rose76 Rose76 is offline
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Member Since: Mar 2011
Location: USA
Posts: 12,826
Quote:
Originally Posted by Hound View Post

Maybe anxious me is always going to find something wrong, but this just didn't seem right.

Thoughts?
This is not a case of you just being over-anxious and hyper-critical. I think your take on this is dead on accurate. I've had lots of visits to different psychiatrists over the years. When you mentioned the assistant asking you a bunch of questions - like a survey - I knew exactly what you were talking about. I've been to a pdoc like that. I'ld say you were in an office that is run like a mill, as I have been. That is not the standard procedure for all pdocs, but it certainly is for some.

Although, pdocs are mainly only doing med management these days, it is not usual for a first time appointment to be the way you describe. Normally, the first appointment with a pdoc is at least 30 minutes, and more like 45, and the pdoc gives you ample time to talk about what's going on. Subsequent visits are shorter, often just 15 minutes.

By all means, find another psychiatrist.

Also, I would like to commend you on your intelligent approach to medication. When you get started on 2 new meds at the same time, it then becomes harder to distinguish which med is doing what. When you find a new pdoc, tell him outright at the get-go that you prefer to introduce one med at a time. This may necessitate you having a few more appointments to get a med regimen that is optimal for you, but it is an sensible way to proceed. You don't even know what side effects are coming from which med when you start 2 or more at once.

I'm glad the Klonopin is helping you. The indication for that other med, the antidepressant, is kind of hazy, so I would see nothing wrong with you going a week just taking the Klonopin. Then you might try taking both together and compare. The doctor just made an assumption that your anxiety was connected to depression, which is quite common. Also, he is possibly trying to limit your exposure to a benzodiazepine, by prescribing an anti-depressant that may have some anti-anxiety properties, as a number of anti-depressants do. He is seeking a synergistic effect from the two drugs. That's fine in theory, but I can see it from your perspective as well.

Definitely find another pdoc whose office is less like an assembly line.
Hugs from:
Hound
Thanks for this!
Hound