I was lucky in that my internist recognized that he was out of his league in trying to treat my illness, and sent me to a psychiatrist. I'm also lucky because my pdoc is also my therapist---one stop shopping as it were. I love my internist, he's a great guy but I wouldn't want him to try to manage my psych meds. Getting my bipolar under control has been hard enough even for my pdoc. I wouldn't ask that of a GP.