[amd95]

So my therapist recommended that I talk to someone about an antidepressant.
Has anyone had good experiences with their regular doctor? I think it might be best at this point to see a psychiatrist, but it would be a lot faster to just see a regular doctor since the psychiatrist can take over a month for an appointment. Any experiences with this?

[~Christina]

I think some PCP can handle treating depression or at least start someone on an antidepressant, If in 4-6 weeks things are not getting better or worse then I feel a Pdoc needs to take over as they know so much more about brain chemistry and how Psych meds work.

My PCP started me on antidepressants and I just got worse and worse and worse. I did move on to see a Pdoc , I have Bipolar not depression and the lexapro was actually making me worse.

AD's take 4-6 weeks to really get into your system and start make a difference on average.

I think most PCP's can handle a run of the mill depression, but if there is no improvement then a Pdoc needs to take over.

Therapy is also very helpful in finding ways to build coping skills to help get a better handle on emotions. I highly reccommend seeing one.

Good luck , hope you are feeling better soon . Welcome to PC

[BlessedRhiannon]

Personally, I'd never go to my PCP for psych meds ever again. All she would prescribe were different SSRI's, which I don't tolerate well. She also didn't pick up on the fact that I'm bipolar, and SSRI's send me in to hypomania. My p-doc diagnosed me with bipolar and we've been working to find the right meds. However, even before the bipolar diagnosis, he was much more willing to explore other meds to help with anxiety. He took my word that SSRI's and I don't mix, and went down a different road for treatment.

I think pdocs are generally just more knowledgeable about psych meds and more willing to explore all options with a patient.

[*Laurie*]

In almost all cases I would never recommend that someone see their GP for psychiatric issues. That said, I have had HELL with psychiatrists for the past couple of years...nothing they prescribe helps me. My GP, much to my great surprise, prescribed the first medication that has helped me in years.

Sooo...it all depends upon the doctor and how gifted s/he is.

I think it depends on the qualifications of the MD and also a persons experience to some extent. I began with psychiatrists but my doctor prescribes my meds now. In your situation I'd give a slight nod to a psychiatrist if you can find a good one. Prescribing meds seems to be their main function now so theoretically they should be very good at it. Theoretically.

[kiwi33]

My preference would be to see a psychiatrist rather than a GP.

By definition, GPs are generalists - many of them have limited experience and training in working with clients who have mental health issues.

In Australia there is a not-for-profit Web site which is searchable for GPs who do have documented relevant experience and training.

I don't know if that applies to you but it is an option that is worth checking out.