[bobcat21]

First of Let me say when I first met My pdoc I had some reservations she seemed kinda arrogant but eventually as things progressed I thought maybe just maybe she was finally caring. My pdoc eventually referred me to a cognitive therapist which helped for a little while but then I had to stop going because of school. My pdoc prescribed me different medications everything from prozac to lexapro but for some reason they never clicked until she suggested Paxil and I thought maybe I'm getting somewhere. I started heading down the downward spiral again where my mood was one minute I was this happy person the next I was this sad person. I told my pdoc repeatedly the medication isn't working but her answer was increase. My sister would sit in on sessions and she always seemed so cordial towards her but when it's one on one with me it's like a different person. I keep losing weight and my hair is falling out and she says oh it's stress dear or your topamax funny my topamax never did that before. I tell her how anafranil helped me in the past and she just scoffed and said no changing your meds is not the answer ( does a pdoc say that?) we just need to increase not change!! Why won't she listen to me?? I feel so torn I feel like she cares about my feelings but when it comes to medication she could care less.

[kecanoe]

That's frustrating. Any chance you can switch pdocs? Around here, that is not really an option, so I have had to make do with a NP for a while.

[bobcat21]

Unfortunately no ( which stinks) I can still see my cbt but of course no medications and it makes me nervous they when I used to go of course my cbt told her everything and I literally want to trash my pdoc to my cbt if I ever went back. I even tried ( I admit this is a bad idea) skipping a dose trying to get off Paxil but naturally that failed miserably. She keeps asking are you lying? The only lie was me skipping a dose Funny part she asked are you taking the 80 mg?? I was taking the 100 mg but it made me nauseous and she said I never did ( lie) I have the bottle!! It Is so annoying she contradicts herself!!

[fille_folle]

She won't listen to your med recommendations because she is the doctor. A pdoc will absolutely say if they think changing meds won't help you, or if you need to engage in therapy as well as medication management. I know that with meds alone, I can't make it, and my pdocs have certainly advocated continuing engagement in therapy. Is there a chance she feels like you haven't been willing to give the meds she's prescribed currently and in the past enough of a chance to work? I'm not saying that's what's happening, as you haven't mentioned how long you've been on any of them. As for hair falling out - I do actually go through periods of losing a lot of hair - I don't know why, might be stress, might be something else. It's possible you do need an increase of the Paxil, if you're on a low dose to begin with.

I admit, I have limited experience of pdocs. I'm only on my third in 12 years - and was with one for 11 of those. So I don't really have a wide experience of them, but I do think it's possible for them to be arrogant and care at the same time, just like most doctors.

[bobcat21]

I totally understand where you are coming from she wants to save herself in a way and I'm sure in a way I'm kinda mouthing off at her saying well you know this worked better! I guess in a certain way I'm that bratty kid in class that is saying I know all the answers you don't! The pdoc is saying to me listen you little brat I'm tired of hearing your voice in the doctor you are my patient I prescribed you dozens of meds and I get tired of it. I ( meaning me) just remember when I was a teenager my old pdoc would give me prescriptions without a care in the world but again that was a few years ago so new rules etc. I guess I have to play nice with my pdoc and stop acting like a brat she's the doctor.

[vmjoseph]

Those symptoms in reaction to your medication seem serious. Did you tell your doctor about them?