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Originally Posted by Gabyunbound
Yes and no. I've moved around so have had different pdocs. The one I had in Boston was wonderful. He would spend a good half hour with me, listen very attentively, and noticed I was in episodes when I didn't. He also taught me a great deal about BP and that education helped me a lot.
Then in CA, I also got a great pdoc who specialized in BP. She also took a half hour with me. We did a questionnaire, I think used to compare how I was feeling month to month. She listened well, and was quick to tweak meds when needed.
Now, in DE, I have an NP who only spends 5 minutes with me. She's nice and jovial, and luckily I haven't really needed her because I've been stable. But I worry about being unstable. How can a 5-minute visit help when one is unstable? How could she have time to hear me out? To assess my mood? My episode? I worry...
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Hunh. I was in a situation - maybe 5 ½ years ago? - in which I was seeing a PhD therapist and an NP only - no pdoc involved. I wasn’t happy with the arrangement but this was a very large practice with a limited number of MD/shrinks, so...
I did not get on well with the NP during our first session. I thought here abrupt and rude with an assembly-line approach to writing scripts. I blew a gasket during our second meeting when she lied to me and I called her out - she told me that patients should not “get on the internet” to “find out” about prescribed medications. My findings were from the FDA monograph that approved a particular drug for use in psychiatric treatment. She began yelling while I remained cool and logical and a superior had to guide her out of her office.
I was teamed with a pdoc afterwards. Her specialty is geriatric psychiatry. That makes me feel old. “Elderly” doesn’t really soften the blow. I’m just hanging around until the inevitable dementia strikes.
Of course you’re going to receive the finest mental health care in California (um, okay, I’m prejudiced!). And Boston is well-known for superior mental health professionals (my hypergraphia shrink has a chair at Harvard and practices at MassGeneral - arguably the best hospital in the U.S.).
But Delaware? Delaware is known best as the ‘incorporation state.’ $250 and you can begin issuing your own stock!
My advice: move back to CA or MA!