[rainbow8]

I've never taken meds before and am seeing a pdoc next week. How is he going to know what to give me in 30 mins. to an hour of talking with me? Shouldn't he talk to my T first? I never wanted to take meds but my DBT T thinks I have OCD. I know I have anxiety and have been diagnosed with BPD but never with OCD. I don't want to take anything that will cause me to gain weight or have other bad side effects.

My main problem other than anxiety is my obsession/addiction to therapy. For those who don't know me, I know it sounds weird, or like normal transference, but it's not. I want something to stop my obsessing about my T. I don't know if that qualifies me for a diagnosis of OCD. I just wondered how it works when you see a pdoc for the first time, and if you trust what he gives you?

Rainbow, this is what pdoc's do for a living. He'll ask you some pretty pointed questions about your symptoms: obsessive thinking, depression, anxiety, etc. and make his decisions based on your symptoms. He'll probably start with something pretty standard and at a low dose, wanting to see you again in a few weeks after the med has a chance to kick in (which can take some time). Pdoc's know what meds to use for what symptoms and will start with what they've found most effective in similar cases in the past; then they'll work from there. Remember, you aren't his first rodeo.

[adel34]

HThis is kinda what I'm worried about too. I mean my first experience with a pdoc, I ended up seeing her for both meds and therapy. She was and hopefully still is very thorough in her evaluation and trying to really get to know me in that first session. She took in all the information, thought about it and said what she thought in the end. At that first appointment she suggested antidepressants along with therapy, but at that point I was feeling very fragile and so afraid of meds. After a couple more visits of things not improving, she wanted to have an in depth talk about meds with me. We talked about what I was afraid of. She chose zoloft because she said that it's one of the most researched meds and has little to no side-effects. So we took it from there.
So like Farmergirl said, that's kind of how it is supposed to work.
But I realize not al pdocs are as thorough and interested in getting to really know the issue before handing out meds. There's a news story in the area about a pdoc who used to be on medicade who now is facing charges for prescribing dangerous amounts of antipsychotics to elderly patients. My friend said he used to work where we're both living, and he said it would be like you'd say hi to him and then get three prescriptions! Not really, but you know.
So it can be scary to trust someone with giving you a drug that could really affect your body and mind, hopefully in a positive way, but there's a chance in a negative way as well, after only knowing you an hour!
Sorry for going on and on. I'm just really nervous myself about my upcoming appointment with a new pdoc friday.
I hope I didn't scare you with my own anxiety!

[rainbow8]

Hi, Adel. I survived my visit with the pdoc but now I have to see if I can survive taking the meds! That's a joke.....I think!

His nurse talked to me more than he did. When he came in, she summarized what I told her! Interesting variation, though I have no idea if any other pdoc handles it that way. He asked a few questions and asked why I decided NOW, to get meds. I don't know if I answered it the way I feel; I was too nervous. Anyway, I got my expected RX for zoloft, but an added one for valium. Both low dosage. I have to go back every week for a month, to see how I tolerate the meds.

So, I will have to try them tonight though I'm scared, but not too scared. I realize that they may help me to feel better. If not, I don't think I've lost much. I know it will take time for the zoloft to work, if it does.

Try not to worry, Adel.

Yes, I think farmergirl was right. They start with something pretty standard and safe like zoloft. Plus they start with a low dose. You're already taking it, though. So maybe they will want to try something else, or reevaluate because of your fatigue?