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MuddyBoots
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Default Oct 23, 2024 at 10:40 AM
  #1
Why do people become docs that specialize in psych if they can't treat relatively common psych disorders?

I was just thinking on my walk about when maybe 10 years ago I started seeing this doctor who after a couple appointment said she refused to see me anymore because she didn't know how to treat bipolar disorder.

The very first time I sought treatment I was a teen, and I talked to the therapist for a bit and she said "I can't help you; you need to go to the hospital." (She didn't say anything correct about the hospitalization process. She said to go down to the hospital and ask for admission when they only do transfers from the ER. Also my mom was scared shytless I'd go and never come out because no one explained it'd be like a week.)

Little different but when my ED got really bad at the end of last year I had a psych involuntary admission where the unit wanted to send me to a specific eating disorder treatment. Two PHPs turned me down because I was too sick I guess, and then I had intake for inpatient and I wasn't sick enough, and of course my insurance doesn't cover residential...not like I didn't end up in the ER several times over the next few months for stuff like throwing up blood and having really low potassium...

I like my current pdoc. She's not afraid of anything!

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Default Oct 23, 2024 at 11:31 AM
  #2
I have so many therapists turn me down because of my illness. Pdocs not so much. I'm always scared to be honest with my therapists. I've had some that couldn't fire me because they were the supervisors of the community health center. There's only one that I felt really helped. This one may. Pdocs while they don't fire me a lot of them don't know what they're doing that's why I'm trying to get into a psychosis clinic

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Default Oct 23, 2024 at 02:53 PM
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I've been turned down for T's a lot in this area. Many are fine with bipolar, anxiety, PTSD but not EDs. As soon as I mention a history with an ED, BOOM! sorry, no can do even when I tell them the ED stuff is not active and hasn't been for a long time, they still are like, nope, sorry.

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Default Oct 23, 2024 at 05:25 PM
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Originally Posted by Blueberrybook View Post
I've been turned down for T's a lot in this area. Many are fine with bipolar, anxiety, PTSD but not EDs. As soon as I mention a history with an ED, BOOM! sorry, no can do even when I tell them the ED stuff is not active and hasn't been for a long time, they still are like, nope, sorry.
That's good to know. My current team is the first that I actually discussed eating disorder stuff as eating disorder stuff and got diagnosed under.

There's this series of sorts on youtube called "Binge" about this girl with bulimia (and lot of BPD/HPD traits), and for YEARS I felt like the beginning scene when her head is literally in a toilet when her to-be psychiatrist calls and she says she doesn't have an eating disorder. Good show.

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Default Oct 23, 2024 at 09:30 PM
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It's so much better if they are honest. These days, in my experience, idiots with no bipolar experience are so desperate, the screeners wont even tell you what their experience is..
In Arizona, nurse practitioners can prescribe meds without a doctors supervision. Ive been trying to get my roomie to move for years. Ive seen so much blatant malpractice that I adopt this bad cop persona just to keep us both alive.
Well. you folks know we cant even handle an election right LOL LOL Have to keep laughing (not hypomanic LOL)

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Default Oct 24, 2024 at 06:12 AM
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It's so much better if they are honest. These days, in my experience, idiots with no bipolar experience are so desperate, the screeners wont even tell you what their experience is..
In Arizona, nurse practitioners can prescribe meds without a doctors supervision. Ive been trying to get my roomie to move for years. Ive seen so much blatant malpractice that I adopt this bad cop persona just to keep us both alive.
Well. you folks know we cant even handle an election right LOL LOL Have to keep laughing (not hypomanic LOL)
NPs prescribing without supervision is allowed here too, but I actually haven't had an issue with that. Any irresponsible/dangerous prescribing has happened from docs (I'm thinking of two in particular: one would do stuff like put me on 1.1g of Seroquel and if that didn't work in two weeks (which it didn't) cold turkey me off that and say to take Geodon 80mg 2x/day at once, and another switch if that didn't work immediately. I got a bad taste of a lot of meds that I had to retry later on properly. The other was benzo obsessed: I was on a high dose of haldol decanoate and for EPS he just had me take 30mg of valium a day every day the entire time I was on it, AND if I got manic he wanted me to take like 2mg of Ativan "every time it wore off" (even though I'm a super rapid benzo metabolizer so I never really "feel" effects of short-acting benzos like Ativan and Xanax).

"We can't even handle an election right now" ha, ain't that the truth (for everyone everywhere...)

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Default Oct 24, 2024 at 12:03 PM
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I’ve had bad pdocs yell at me. One was over drugging me and I quit half of what he gave me . He threatened to hospitalize me. I said he couldn’t do that I wasn’t suicidal or a threat and he said he could. I walked out and never went back. Cold turkeyed off the rest of the meds and was a real mess. I stayed couch hopping for awhile afraid he would send the police. Once I had a pdoc who was getting full of himself he was getting rid of all his Medicaid patients. He wasn’t looking for other pdocs was just cutting them off. But I’ve never been turned down out right.

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Default Oct 24, 2024 at 02:07 PM
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I had one bad psychiatrist get really mad at me once. The one who took me off 4mg clonazepam scheduled per day, that I'd been on for years, in two months, and replaced it with hydroxyzine. Then she got pissed I didn't want to switch to depakote from Lamictal, claiming that Lamictal was like taking a "tylenol" (like the taking a hydroxyzine in place of clonazepam wasn't like taking a Tylenol in comparison?). Then I weaned myself off seroquel, and she got really, REALLY pissed and actually started yelling at me! Never saw her again after that appointment. Fcking bytch.

So I guess, technically, I fired HER.
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Default Oct 27, 2024 at 12:50 PM
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I had a therapist say "sorry I don't deal with autism." After awhile the autism therapist said the eating stuff was too much. Then when I moved a therapist said my gender identity was too much for her.

Then I finally found a place that doesn't believe the client is their diagnosis.

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Default Oct 27, 2024 at 01:01 PM
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Originally Posted by raspberrytorte View Post
I had one bad psychiatrist get really mad at me once. The one who took me off 4mg clonazepam scheduled per day, that I'd been on for years, in two months, and replaced it with hydroxyzine. Then she got pissed I didn't want to switch to depakote from Lamictal, claiming that Lamictal was like taking a "tylenol" (like the taking a hydroxyzine in place of clonazepam wasn't like taking a Tylenol in comparison?). Then I weaned myself off seroquel, and she got really, REALLY pissed and actually started yelling at me! Never saw her again after that appointment. Fcking bytch.

So I guess, technically, I fired HER.
Is there something wrong with Tylenol anyways? Yeah, if you shatter your femur maybe you want an opioid, but Tylenol is good for like headaches, fevers, minor breaks (like just cracked metacarpals or something), sprains, sore muscles.... if Tylenol works, would she prescribe Percocet (and can no one give me her number when I want it?)?

I hate when they prescribe hydroxyzine too. Does nothing to me. Maybe increases my anxiety/paranoia because what if it's not actually hydroxyzine but they don't want to tell me what it is?
---

I've never really gotten screamed at, but I've had a doc repeatedly very loudly reprimand me for having a bouncy leg. Sorry I have undiagnosed/untreated ADHD-combined type, am hypomanic and have psychomotor agitation, and your meds make me restless as hell??
---

There was this program I was in and out of for a bit, and after my initial BPD dx I told the med provider and she basically said I can't have BPD because she likes me, and then at some point I guess that changed because as she discharged me the last time she put it on my paper. They still let people call them in crisis situations for a certain amount of time after discharge, so I called once and she helped me, yeah, but told me I can't call again because she's not going to continue to enable attention-seeking behavior. Not really kicked out, but not welcome back.

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