Posted by bleauberry on December 21, 2010, at 16:52:43
In reply to Bad Doctor-what to do...http://www.roberthlevinemd, posted by pragmatic-attack on December 21, 2010, at 1:36:18
I don't see that you have any choice except to get another doctor. It's not an option. At least, if it were me, that's how it would be. I couldn't even imagine putting my brain in the hands of someone like that.
He violated basic medical skills taught during training. That is, respecting the patient, gaining their trust, not talking down to them, making them comfortable to open up about anything. Trust. It's all about trust. He doesn't trust you, he doesn't believe you, there is nothing you can do to convince someone like that. And you don't trust him.
And if it were me, I would refuse to pay for that final visit.
In addition, treatment resistant in psychiatry in my way of thinking is not complicated. It simply means the drugs you were given are not hitting the appropriate biology that is impacting your brain.
I think the greatest gift any treatment resistant patient can receive is the gift of wisdom. Wisdom to know the array of identifiable biological causes of depression. This is especially critical when drugs that manipulate brain chemicals have not helped. The clues are there....it's something else somewhere else. You and the pdoc are probably both frustrated because you've both been looking in the wrong place....the brain. The depression is from somewhere else in the body. What you are feeling is only the impact of that on the brain. Extra serotonin or whatever aint gonna turn that around. It already would have if that was on target.
But that's just the way I approach any kind of chronic illness. My curiosity wants to know....what is going on. Because without knowing that, I can't embark on a journey of improving any better than randomly aiming a flashlight in the dark.
poster:bleauberry
thread:974187
URL: http://www.dr-bob.org/babble/20101218/msgs/974222.html