ive had doctors (usually psychiatrists) who treat according to APA recommendations, not -my- symptoms...frustrating. sometimes, the best thing is to try to get the to rework the diagnosis, since...you know....some doctors are gung ho about getting the exact correct diagnosis, blah blah blah. an easier approach, honestly, might just be to check your insurance (or your own fund$, if cash docs are an option) and see someone else. personally...im getting good treatment from a psych nurse practitioner. she knows her stuff, but she's not big in the ego dept., so she'll look things up if she feels the need, etc. i think she's reworked my diagnosis (all.my.shrinks do that), but...whatever....im on 2 daily meds, 1 as needed, good results, life is better. :-)
the cash only psych doctors semi-local to me usually have a good bit of experience. the cash only is really because insurance companies are making some psych docs crazy, plus it helps protect patient confidentiality. also, some of them are big on doing talk therapy, or at least...taking time to actually apply the bio-psycho-social model, to whatever extent possible.
hope this helps. have you had manic reactions to antidepressants in the past? if so, that might explain why prozac seemed like a bad idea...but, really, each -person- is different, is the thing. people can go manic, even psychotic, on wellbutrin...right now, it just happens to be the 'it' antidepressant for some doctors treating bipolar.
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