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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Sebastian Flyte on August 30, 2013, at 1:21:13
And know it's the end for his patient.
Posted by Phillipa on August 30, 2013, at 10:06:55
In reply to When does a psychiatrist give up?, posted by Sebastian Flyte on August 30, 2013, at 1:21:13
End of what? The choices of meds or other? Phillipa
Posted by damnthislife on August 30, 2013, at 14:41:46
In reply to When does a psychiatrist give up?, posted by Sebastian Flyte on August 30, 2013, at 1:21:13
One of my Pdocs gave up on me, after I wasn't responding to Different combos of SSRI/SNRI's. I asked for MAOI's and he told me he didn't think I was that depressed. I laughed, then asked how could he possibly know how I feel. He tried giving me some stupid lecture on how in his 40 years of being a shrink, he's seen them all. I laughed again, said our session was over and never went back.
When a doctor gives up on a patient, the patient needs to find another doctor. You go research the next doctor you seek (as I did) and I finally found a great one.
There is no one size fits all with mental issues. You're throwing 1 med at the patient, maybe a combo of 2 or 3, and waiting to see how they respond. If you had access to the meds you could do that yourself. My new Pdoc hasn't told me anything that I didn't already know about the meds I have taken or look to take.
I'm just ranting, now... lol
If they give up on you, give up on them and find another doctor.
Posted by b2chica on September 5, 2013, at 13:17:28
In reply to Re: When does a psychiatrist give up?, posted by damnthislife on August 30, 2013, at 14:41:46
Totally agree....
i've been with my same pdoc for 9 years...been on over 30meds. Bless his heart he hasnt given up yet!
and its been tricky for him as at first i was dealing heavily with complex PTSD. which intertwined with lots of my biological symptoms.this last bout of trouble getting my CorePharma brand generic adder all had me scared. i tried three other meds, and all sent me spiralling down.
i finally asked him (very solemn) if i can't access this med, what's left for me...what do i do?He sat forward in his chair and said very matter of fact "then we make it, i'll call in a pharmacologist or whatever we need to do..."
it just relieved much of my stress to know that i have one person on my side...one person that is wiling to help me with this illness. Especially when most dont even believe i have "anything wrong with me other than normal stress, or laziness"....ahem, that's another story.
But sometimes just knowing you have someone who's 'got your back' in this fight, is enough to keep you going. sometimes stops you from giving up...or allows you TO give up and let someone you trust take the wheel.
good topic.
b2c.
Posted by Dinah on September 7, 2013, at 11:08:53
In reply to When does a psychiatrist give up?, posted by Sebastian Flyte on August 30, 2013, at 1:21:13
A psychiatrist gives up when he has nothing more to offer.
It's about the limitations of the psychiatrist, not the lack of hope for the patient.
The patient then finds another psychiatrist with more faith in his ability to offer more, or more initiative to explore more.
Posted by Phillipa on September 7, 2013, at 20:07:18
In reply to Re: When does a psychiatrist give up? » Sebastian Flyte, posted by Dinah on September 7, 2013, at 11:08:53
What does this mean? Where does one turn to if there are limited pdocs? That accept your insurance. And even those that do have good insurance the supply of pdocs is low. Some only accept cash now here. And this doesn't make them better. Just avoiding the low payments from insurance which most probably will get worse? Phillipa
Posted by b2chica on September 9, 2013, at 13:40:37
In reply to Re: When does a psychiatrist give up? » Dinah, posted by Phillipa on September 7, 2013, at 20:07:18
Many times it has to do with personal boundries created for whatever reason, many will not work with certain medications (i.e. Benzos or TCA's etc), also many are just limited in their practice and can't seem to think beyond the box...
-remember you dont Need to see psychiatrist. sometimes GP, nurse practitioner, are just as good. Also, at one time i was seeing a crappy pdoc who would write a rx for whatever i requested, AND i had a very talented T that new odd, or off-label meds. we'd discuss them and then i'd go request from pdoc...
about the ins...this is a growing issue. but you cant' let bureaucracy win... you must do whatever it takes to get the help you need. and quite frankly this site has been a Great help regarding meds and advice on pdocs.
> What does this mean? Where does one turn to if there are limited pdocs? That accept your insurance. And even those that do have good insurance the supply of pdocs is low. Some only accept cash now here. And this doesn't make them better. Just avoiding the low payments from insurance which most probably will get worse? Phillipa
This is the end of the thread.
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