My old pdoc moved to the inpatient wing of the VA and I had my first appointment last Friday with the new one. I thought it went well until I read her notes. She seemed to understand that I have serious side-effects with so many psych meds and am feeling much better off them. Of course she offered her pet med, Cymbalta, which I refused.

In her notes she made it sound like it is unreasonable for me to be off meds and it points to a low level of insight into the 'chronicity of my depression' and a lack of desire to get better.

That really infuriates me especially since she obviously did her homework on me, she knew so much that I hadn't told her or my previous five pdocs. She brought up things from 1998! She also had my complete psych med history. I like attention to detail. It gave me a high level of trust in her as I was walking out of the appointment. She knows all about my health issues and sensitivity to meds but seems to think my stance is unreasonable and overly paranoid.

Since I am off psych meds, I don't really need her for anything since all she is there for is progress report and meds. I am thinking to just sever ties and go it alone but I don't want to burn bridges either. I have a really hard time trusting mental health people and when I find one I don't want to lose them, which is what caused so much anxiety when I got reassigned. I know I am going to crash sooner or later and will need her, but right now I am doing okay handling my list of issues.

What is a good way to handle this?