I'm posting this in a couple of forums, because I don't really know where to put it, so forgive me if its been read already:
This is my second post about this thing, it's gotten completely out of control since my first. To be brief, my wife has a pretty bad prescription drug problem, which has brought her into full blown amphetimene-related psychosis.
I've known for years that she'd been snorting her Adderall, called her out on it a few times & always met with excuses & denial.
She used to manifest with extreme mood swings, violence, paranoia, etc., especially when questioned about her drug use.
About a year ago, she started seeing bugs that when presented to me & others only seem to be pieces of lint, fiber, plant material, sometimes even plastic.
Of course when she's called out on that, she gets very scared & defensive (who wouldn't), so it's usually best to try & help keep things clean, etc., so as not to be open to any type of 'infestation'.
She went to her doc and he put her on a starter dose of Seroquel - meaning that he's acknowledged that there's a problem - and it helped for awhile. Then it came back & got worse. She went back to the doctor & he upped her Seroquel - meaning that he ONCE AGAIN acknowledged that there's a problem.
But MY problem is this, and it's pretty heavy:
He's prescribing her a REALLY high dose of instant-release Adderall - 20mg, three times per day, which is for fatigue symptoms. Not narcolepsy, and not ADD. This dose is the highest recommended for either of these disorders, both of which she's not affected by.
Now: my wife is a long term drug user, and she's traded sex for drugs in the past, so let's just leave it at that it's not outside of her morals to do so.
I'm suspecting that's what's going on with this psych doctor. I certainly don't want to falsely accuse someone of something this heavy, and believe me I really want to be wrong about it. I mentioned it to my therapist, who knows the doc professionally, and he looked taken aback, but took it very seriously as if he weren't surprised by the allegation.
What I'd like to do is to have the guy investigated, but I don't want it to destroy his career if it turns out to be false. Also, I want to file the report anonymously because I certainly don't want it coming back to me.
At very least the guy's prescribed my wife a drug that's destroying her brain and making her life a living hell, and I can't see how he's failing to "connect the dots" between the delusions and the excessive amount of amphetemines she's taking. At first I thought she was lapsing into full blown schizoaffective disorder, and I'm kinda not sure that she isn't -- she's pretty far gone.
Everyone around me is telling me to tell her doc about her behavior and how she's snorting her meds & hiding it, et al., but my only response is that I don't trust the guy & I leave it at that. Because I think he knows what's what with her abuse. There's really no way he couldn't. All you have to do is talk to her for a few minutes & you can pick it out by the incessant sniffing, nose-blowing, and elevated speech patterns. And her pupils are typically very large & "crazy" looking. When I've called her out in the past, she's turned tables on me & has had me hospitalized, as I have a personality disorder & she's really good at making it look like I'm the problem. So none of this will likely bode well for me if I decide to take action -- it'll look like I'm the one who's delusional, and I'll just kick up a big ****-storm that I really don't need.

I really need advice.
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