OP, if that were my pdoc they would be on a very short path to getting fired and me finding another one. If they do not at least listen to you and explain why they see things differently and allow you to respond ...... it is not good.

I'm very lucky to have a near-ideal pdoc now who collaborates with me and does not push things I don't want other than to explain her opinion on it. We're working together on a very long, slow, and arduous evaluation of one med after another because after 20 years of flailing around, it is time to stop and really try to be systematic about it.

I've seen god-awful pdocs do similar things, I knew a girl once who was on paxil and started getting side effects consistent with the very beginning appearance of serotonin syndrome. She complained. They raised her dose. Within a couple days she was constantly agitated. A couple days after that she smoked some weed to try to calm down and had a psychotic break.

Pdocs are like any other profession. Half of them are gonna be less competent than the other half, and a few of them are going to be absolutely terrible.

I've had to dump a couple crappy pdocs who wouldn't listen to me. There was one who was convinced I was full of crap because most of my meds are at such low doses, and I still have side effects or rough withdrawal when changing. Well, guess what. I asked my current excellent pdoc to give me the genetic test for metabolic function, and just as I've known for years, I'm a CYP2D6 poor metabolizer. The result of that? Many medications will affect me at much lower doses, and have greater incidences of side effects.

Imipramine is metabolized in part by CYP2D6, BTW.... you might want to check that out.