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I have to do something about my psychiatrist.
Yes, I have treatment resistant bipolar disorder. I sort of, kind of, accept that. (Karen, my therapist, calls it radical acceptance…I can accept it, but still hate it) I understand that bipolar disorder is a hit and miss game of chance with medications. Some work, most don’t, dosages need to be adjusted, the possible combinations are endless and we can be up against a deadline of suicidal ideation or potentially seriously risky mania behaviors.
So, what’s a bipolar gal to do? I go to therapy twice a week, I see my psychiatrist as often as I can, I write and I take my meds. Now, there are nights where I will sit and look at my pill caddy for 45 minutes just trying to talk myself into taking them. But I always do. Always.

Pills pills pills pills pills
I’ve stuck with my psychiatrist for a long time. She’s very well respected in the area in which I live. Karen, thinks Dr. M is great. The hospital I was in a year and a half ago loves her. The psychologist I saw for testing knows of her.
But, I feel like she’s kind of checking out during our session. Two weeks ago she asked if I was still taking Lamictal. Seriously? Don’t you know that? SHOULDN’T you know that? The computer right in front of her presumably has my chart on it. Maybe she’s playing solitaire.
Fast forward to today. I was going back for a med check for a new med she put me on called Deplin. It’s activated folic acid. According to their website, 70% of depressed people can’t activate folic acid so the body can use it properly. So this medicine is supposed to help with that. Today was my check in day to make sure it’s working properly (it’s not, what else is new). At the end of the appointment, she was filling out my refills and asked me if I was still taking Lamictal.
Um….
Still, no. Still thinking that you should know that.
So, I left and went to the grocery store. When I got there I called CVS to tell them not to fill the Deplin. I have found anecdotal evidence on how to control my side effects, but if it doesn’t work, I’m not paying for a prescription I won’t be taking. The amount of samples I have left are enough to tell the tale. The pharmacist says no problem, do I still want the Neurontin and Lamictal filled?
Um…..
What the hell?
In two weeks I go on vacation and in three I go back to see her. And between now and then I have to decide what to do.
I’ve been through all three of the shrinks in my local practice. I don’t have an option to switch because at this point, I look to be the problem.
The current one does the same thing to me, are you still taking this, do you need refills on that…LOOK at the bloody chart! I am also holding him in ill regard for not raising my anti depressant. I’ve gotten worse instead of better and I told him it was gonna happen but he’s busy being conservative and not upsetting the “balance”. WHAT BALANCE? It’s bipolar, the definition of imbalanced.
I hope you figure you situation out. I’ve sort of resigned myself to this guy. He’s conservative but the lesser evil of the others. Joy, joy. Like accepting the only primary care physician is Kevorkian.
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I talk about you to my hubby. Trying to convince him that I’m getting excellent care. Except that I no longer feel that way. Part of what worries me is disability. If I’m running around trying different doctors (hence running away from Miss “highly respected”) am I hurting myself?
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If she is willing to back your disability, I say stick with her until it goes through. Not optimal but having one stable professional who keeps good records of when you’re not doing well for long periods of time, that can sway the disability decision. If you win, then you can find another doctor. 😉 That’s how I did it anyway, and my doctor damn near killed me with Nardil but he backed the disability claim which made it worthwhile.
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It is so sad that we are at a point where someone almost letting us die is worth it because at least they backed the disability. It’s just so so wrong. Where are all the good psychologists or are we just seriously misunderstanding the situation?
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Well, we’re not alone. Social Security will purposely use different psychologists for a review if the prior one sided with the patient. It’s a sad world and process but I don’t see any other way short of the Volatile Femme island idea 😉
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I’d like to win the Powerball and make a large large compound for bipolar sufferers. Everyone gets their own house, there is some forest, some water, some open space. Privacy when you need it, company when you need/want it. Art space, writing space, library space. It’ll be my “Tribal Land” 🙂
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My wife decided to get a second opinion after seeing the same psychiatrist for so many years. It has been like a breath of fresh air for her, so perhaps it is time for you too?
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Yeah I think so. I can’t do her job for her, but as I said to Morgue, I can’t let this decision adversely affect my disability. *sigh*
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I have to say that I enjoy hearing your perspective.
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Thank you very much. I love being here on WordPress because I hear so many different perspectives, and ideas.
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I work in mental health. I appreciate your perspective as a patient and the struggle to cope with symptoms that you do not chose and cannot control.
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Oh wow. Glad to help! If you ever have questions, feel free to email me! normalisoutthere@gmail.com
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Thank you!
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Trust your gut. Nothing worse than feeling overlooked or like someone isn’t paying adequate attention. Just because the doc is highly recommended doesn’t mean he/she is right for YOU. I’d get a second opinion. If for peace of mind only. Horrible situation to be in ❤
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Thanks Pieces. I go back and forth on the whole thing. I can’t make up my mind.
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I understand. For your own peace of mind, there’s nothing wrong with making one appointment with someone else just to get a comparison and see how you feel
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Yeah, I could do that.
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