[blueoceaneyes]

I don't post on the forums a lot - I rather just observe. I don't know if this is really a trigger, but hey, rather safe than sorry.

I saw my psychiatrist on Monday for a 30 min appointment. I started Trileptal (Oxcarbazepine) 900mg about 3 weeks ago, to replace Tegretol. I also take several other meds.

I told him I was very irritated, he brushed it of and said he thinks it is just part of my normal mood cycle as the Trileptal is supposed to help with that.

The irritation has escalated, I am so irritated that I almost seem aggressive towards others and then I feel so guilty afterwards. I also get so angry on the road that I almost caused two accidents. My spouse is very concerned.

I also have this thing about the number 23 and 5. I won't go into detail about that, but I see it everywhere.

I was there Monday and I don't want to bother him and feel like this high maintenance patient. Don't know what to do.

[luvyrself]

Yes, contact your pdoc. Hugs!

[bpcyclist]

I agree, you need to contact him and tell him what is going on. Don't worry about being a high-maintenance patient. This is his job.

[amandalouise]

Originally Posted by blueoceaneyes

I don't post on the forums a lot - I rather just observe. I don't know if this is really a trigger, but hey, rather safe than sorry.

I saw my psychiatrist on Monday for a 30 min appointment. I started Trileptal (Oxcarbazepine) 900mg about 3 weeks ago, to replace Tegretol. I also take several other meds.

I told him I was very irritated, he brushed it of and said he thinks it is just part of my normal mood cycle as the Trileptal is supposed to help with that.

The irritation has escalated, I am so irritated that I almost seem aggressive towards others and then I feel so guilty afterwards. I also get so angry on the road that I almost caused two accidents. My spouse is very concerned.

I also have this thing about the number 23 and 5. I won't go into detail about that, but I see it everywhere.

I was there Monday and I don't want to bother him and feel like this high maintenance patient. Don't know what to do.

Im sorry we cant tell you what you should and should not do (responding to your title question)

only you can decide whether to call or email your psychiatrist.

for me and my own treatment providers we go on the understanding of if something bothers me then yes contact them and they will get back to me as soon as they possibly can.

my suggestion is talk with your treatment providers about things like boundaries, and what situations they think you need to call them for., Here in the USA these things are usually discussed in the first intake appointment and are also laid out in the rights and responsibilities and treatment paperwork. this way you will know when you need to call them and when not to.

[*Beth*]

I understand...I don't want to be "that" patient, either. I have discussed the subject at length with my psychiatrist, in fact. She has told me time and again that a pdoc would much rather know what's going on early on, rather than waiting until assessments and changes are more difficult to make. I hope you've contacted your pdoc by now.

[~Christina]

Better to catch things like this sooner rather than later. Being proactive is the best thing Pdocs like to see in their patients.

[LiteraryLark]

I'd change your psych entirely. They should never brush off anything that is important or unusual to you.

[MickeyCheeky]

Definitely contact him! Better safe than sorry. You need to report everything that you're experiencing in my opinion. Contact him as soon as you possibly can so that he will be able to change your Meds and your Treatment, @blueoceaneyes!

I would also recommend calling your psychiatrist, especially since you've only just made a significant change in medications. And yes, I see shifting to Trileptal from Tegretol as a significant change. Also, I know very well what can happen when people with mental illness stop seeking help. It can be bad!

The boundaries issue is a good topic to discuss one day, if you believe that your doctor is the type that "gets annoyed". Frankly, I think it is sad if/when doctors "get annoyed". Such doctors should be upfront about their feelings, too. But though I can't be sure, it seems like you are just assuming your doctor is such a doctor. Or do you have evidence he has strict boundaries? My doctor always wants me to contact him when I'm concerned about myself. I'll admit that I don't call him often, especially nowadays, but there were times I called frequently. Those times were severe times.