Well, it sounds confusing, all right.
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Originally Posted by phoenix7
she told me I was a challenge (didnt know what to make of that - what do you say when someone says you're a challenge?)
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With a pdoc, I might think a challenge would mean a patient who presented with a combination of symptoms that they are not used to prescribing for. I think an appropriate response would be, "so, do you think that my presenting symptoms fall outside of your scope of practice?"
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i emailed her - she said it was ok - and told her that I had been distressed when I left her office and that a couple of things had triggered me
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I wonder if she just wants a stream of patients with simple diagnoses that she can apply a tried and true medication formula to, not someone who is going to be distressed and contact her outside of the monthly visit. I think some of these docs are not comfortable with things like that and just want to focus on symptoms and medications.
phoenix, why is it you are visiting the pdoc? What do you hope to get from her? It sounds like you already have a doc who is prescribing meds to you. Do you think that doc is unsatisfactory and want more of an expert? Did someone refer you to the pdoc? It sounds like you want to stop taking anti-Ds, so what do you want from the pdoc? A different kind of medication? A medical diagnosis that your doc and T can't give? A tapering plan?
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she said that she had read my history (strange cos she took 10 mins out of my previous session to read my history)and had decided that seeing a pdoc wouldnt help
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Where did she get your history? Did your doctor send it to her? Unless the case is super complicated (and maybe yours is), I think it is best to start with a new practitioner without them having notes about you in hand. I think it is important that they take a history themselves and not be biased by another's report.
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that I needed a T for talk therapy
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Doesn't she know you are in talk therapy?
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she said I should stay on my anti-d's for another YEAR!  even after my dr and I had both said they werent helping me much
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Sounds like she is treating you. Or at least offering medical advice.... If she thinks that what you need is talk therapy and that seeing a pdoc won't help, why does she think you should take anti-Ds?
Phoenix, I'm sorry you had this bewildering experience. I think it is probably better if you don't see her again. At the very least, it sounds like the two of you don't communicate well, as you left her office with so much confusion about what she was saying and doing.
Phoenix, your experience of going to see a pdoc is really different from mine. With mine, we don't talk about the past, about past SI or SA or any of that. We talk about current symptomology and not the origins of the symptoms. The T tries to help with the other stuff. Is it important that you share personal details like those with the pdoc?
Phoenix, can you check back with whoever recommended you see a pdoc and get their input? It sounds like it was your doc if that is who the pdoc was sending her letter to. Can you ask you doc why you should be seeing a pdoc? Is it because you need a good taper plan for the ADs? Need a second opinion on the meds your doc is prescribing you?
I'm sorry you had such a puzzler of an experience with this pdoc. I hope you won't let this deter you from getting the care you need. It just sounds like this was not the right practitioner for you. Maybe your T can help you process what happened.
Good luck.
