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Originally Posted by SparkySmart
I appreciate what Northchild has to say (as well as all the other posters). I DO think our doctors are doing the best they can under the circumstances, and I feel certain that their motivations are benevolent. I mean, why would they have chosen to practice medicine otherwise?
This may be a little off-topic, but I have another concern regarding following doctors' orders in a specialty that's so subjective. It seems to me that everyone works closely with their pdocs to carefully tweak their cocktails (hate that word -- makes me think of bourbon). Maybe it's just MY pdoc, but he probably sees 200 patients a week. I seriously question whether he even remembers me from appointment to appointment -- not that I don't try to be as witty and personable as possible, but for the 10 minutes I see him every month he's mostly typing anyway so it's not like we're engaged in any kind of "therapeutic alliance." I think it's this relationship (or lack thereof) that causes me to question the whole system as well as the medicalization of common human emotions.
Some months ago, I left a message for him asking that he call me. "I'm not treating you on the phone," he stated; "my recommendation is that, if you feel your meds need to be adjusted, you should present to the ER immediately." "I appreciate your recommendation but don't feel that my symptoms warrant that kind of action," I said. "Well, I've made my recommendation and you've decided to ignore it, so I can't be responsible for the outcome," he replied.
Just kind of frustrated these days and feeling chemically challenged.
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Just anecdotal --
This summer my psychiatrist who I hadn't seen in about a year called me and he just asked how I was doing and that if I ever needed anything to feel free to call him anytime.
I started becoming manic about a month ago and it wasn't until about a week ago I recognized that was what was happening as I've only ever experienced "hypomanias." I called him, he called back with an appt a few days later.
I get there - an old victorian house converted to offices, the opposite of a doctors office - and he pulls out a poorly folded piece of yellow steno pad paper with coffee stains on it.
"is that my medical record?!" I asked.. Yep, it was.
He is the third psych doctor I've seen in my 10 years of dealing with my brain. I have a huge tendency to ere to the side of anti-psychiatry due to poor circumstances with doctors in the past, but this guy is a game-changer for me. I know I can ask to come off meds, change meds, ask "why,".. And he understands a rational amount of paranoia and skepticism to his profession, without telling me I'm being psychotic and delusional and putting it on some permanent computer medical record.
I think everyone needs to find their version of this psych doctor and the process becomes one of comfortable discovery and easier challenges.