I don't know. I think it takes a specialist to manage psych issues but that's me (and mine are complicated by my poor response to meds). My family dr learned a great deal about psych by having me as a patient; I started seeing him just a few months after he finished his residency and he definitely learned a lot in our first few years together. He was always willing to call my pdoc and to learn more about my meds and that made a lot of difference in how he managed my physical needs. He got me through my first lithium toxicity (I think it was his first one too), my thyroid being burned out by lithium, lamictal rash, my first month on an MAOI when my pdoc was out to have surgery, etc. He's awesome. And so is my pdoc who already knew everything before I walked into her office .