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#1
May 16, 2016, 11:40 PM
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What kind of symptoms/ severity of symptoms make you reschedule your appointment with your pdoc to be sooner than originally planned?
I do it all the time (rescheduling sooner) because when my symptoms worsen, I want to see my pdoc ASAP (some might say I'm a little high-maintenance, but really I often get very anxious and it becomes more urgent to see him). Just curious as to what you guys would say about that. Especially when would you see your pdoc sooner about depression? My depression, obsession, and anxiety are bad enough right now for me to feel like I need to be seen sooner. 
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#2
May 17, 2016, 01:39 AM
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For me it is when red flags go up. Things like lasting hypomania, deepening depression and especially suicidal ideation. Mostly I try to manage with the meds I have and talk it through with my T, who thankfully is trained in meds, and see if the episode passes on its own. I feel terrible making emergency psychiatrist appointments for some reason. If anything I hold on too long. Usually my emergency appointments land me IP as I have waited too long. Guess there must be a happy medium between seeing your pdoc too soon and waiting too long.
__________________
Bipolar 1 with psychotic features PTSD  "Phew! For a minute there I lost myself." 'Karma Police' by Radiohead |
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#3
May 17, 2016, 04:34 AM
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I normally don't call my pdoc when I become depressed, but I do call him when my depression worsens. That's when he tells me to come in for an earlier appointment.
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#4
May 17, 2016, 04:53 AM
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I have a hard time going in to see my pdoc sooner than scheduled. Mostly this happens when I'm depressed... I just don't want to go out of the house then.
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#5
May 17, 2016, 08:22 AM
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When it gets to crisis mode and I can't figure out how to help myself change the situation, or if I need a med change. I don't do it often because I don't want to get too dependent on him. I always keep in mind that he won't always be there, so I have to save myself.
__________________
"If you have built castles in the air, your work need not be lost; that is where they should be. Now put the foundations under them." Henry David Thoreau https://lejustemilieublog.wordpress.com/ |
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#6
May 17, 2016, 09:28 AM
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I always started with a phone call if I found my depression increasing, sleep decreasing, etc. Often he was quite willing to make adjustments via phone and call in what I needed to the pharmacy which saved a long drive. Very rarely would he actually ask me to come in early; I had to be in pretty bad shape for him to make that request. He was very helpful and accommodating that way.
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#7
May 17, 2016, 09:47 AM
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When I think my only other option is IP. usually I get sent IP anyway.
__________________
Dx: Me- SzA Husband- Bipolar 1 Daughter- mood disorder+ Comfortable broken and happy "So I don't know why I'm tongue tied At the wrong time when I need this."- P!nk My blog |
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#8
May 17, 2016, 11:40 AM
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I've never had any luck getting in sooner, never any appt available I usually end up ip because I spend 2-3 days playing phone tag with the nurse and finally go to er, usually end up with med adjustments while ip
Sent from my SAMSUNG-SM-G930A using Tapatalk
__________________
Current Meds Lamictal 200 mg x2 Seroquel 100 mg |
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#9
May 17, 2016, 11:59 AM
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Yeah, probably when I'm getting close to inpatient level.
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#10
May 17, 2016, 02:32 PM
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Quote:
If I'm feeling like I just cannot wait, I would change my appointment to get in sooner. I do it a lot when I just can't take it and I'm frustrated that nothing is happening. Luckily my current pdoc seems to prefer electronic communication and she approves adjustments that way. Which is perfect because it saves a time and money. I'm usually patient with giving meds a chance to work, but this last time, I just couldn't. I would bother her every other week like "WHY ISN'T THIS WORKING?!" I think I'm finally good.. |
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#11
May 17, 2016, 02:43 PM
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I use to have app. Every two weeks for a long time but I'm upgraded to monthly now and so far don't need to see him sooner. Pretty stable
__________________
I used to rule the world Seas would rise when I gave the word Now in the morning, I sleep alone Sweep the streets I used to own I used to roll the dice Feel the fear in my enemy's eyes Listen as the crowd would sing Now the old king is dead! Long live the king! One minute I held the key Next the walls were closed on me And I discovered that my castles stand Upon pillars of salt and pillars of sand |
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#12
May 17, 2016, 04:59 PM
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I can't get in earlier; my pdoc doesn't see a lot of patients and is consistently booked 100%. So if I am having problems I email and if it is really bad call as well. We talk on the phone if needed. I see her every month anyway so it's never terribly long before I see her anyway. I know that if she thought it necessary she'd find an appointment but we avoid it most of the time.
__________________
Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily |
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