another bad pdoc?
Question:
I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
I had the same problems with Wellbutrin that you did…within days I was full of rage and extreme agitation….any and everything set me off…..I was diagnosed with major depression back in 95, but I have been searching wanted you to know that you aren’t going crazy, some people have no problem with Wellbutrin, but in my case I was mean and just a different person, basically a real bitch to be around lol…
– Hide quoted text — Show quoted text – I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
– Hide quoted text — Show quoted text – Right arm(suppose to be a funny form of "right on"), Diane. Bipolars have a hard time going to Dr when they have been diagnosed ’cause we’re having to much fun. The tricyclic and SSRI anti depressants are the one used in testing because of the way they interfere with the bipolar neural mechanism. My daughter response to Wellbutrin by getting migraine headaches which is a recommended treatments for migraines. She takes after her dad (the exception is wellbutrin which works). The Dr. which I have just returned from, considers me a his worst patient because I react the opposite to most drugs. The best thing you can do is to talk to your Dr. as a person and if they don’t like that, leave and find one that will (good luck; they are out there) RM in CA
Bob, On the other hand, if you are a southpaw…. Are you in southern CA? Perhaps 10 to 15% of bipolars have a thyroid hormone problem. This lab site says 10-15% of those who are depressed have comorbid hypothyroid. http://www.gsdl.com/assessments/finddisease/depression/thyroid.html I went to UCLA for a thyroid diagnosis. (I am not bipolar, but I know a couple of people who are, so I’ve been doing some research) At the Gonda Clinic, I asked the young little Ms. Endo about bipolar and T3. She literally gasped… then mentioned Dr. Whybrow. Here is a NG post speaking of Dr. Whybrow: http://groups.google.com/groups?q=cytomel+depression&hl=en&lr=&ie=UTF… Bipolar treatment http://groups.google.com/groups?q=cytomel+depression&hl=en&lr=&ie=UTF… If you are interested in learning about the relationship between thyroid and bipolar, get to a computer that can access medical and scientific journals – such as a college or university. This is available from PubMed "Psychoendocrinological aspects of affective disorders" Journal of General Psychology October 1991, Vol. 118, Issue 4, Pg. 395, 27 pgs. AN: 9607102462 ISSN: 0022-1309 Best Regards, Craig
Response:
I have to agree with Diane — I was on 600 of Wellbutrin and Lexapro for awhile — and I was getting more Manic each day. I to made plans for ending everything. Getting off of Wellbutrin and Lexapro was the greatest thing… what I am now on is not what I would have wanted — but my agitation is down and I can work more. People around me tell me that I don’t bark at them as much now that I am off of those drugs. I would get a second pdoc to look at your drugs. These are just my thoughts.
– Hide quoted text — Show quoted text – I totally freaked out when I went on wellbutrin. Full blown mania, suicidal plans (not thoughts, plans), intense mood swings. Wellbutrin is supposed to not incite problems in bipolars, but standard operating procedure for bipolar’s is to stabilize the moods and THEN provide anti-depressants as necessary. Mood swings in response to anti-depressants is a classic diagnositic tool for bipolarity. I think it’s weird that she is just upping your dosage when you don’t seem to be responding positively to the medication. I would consider getting yet another opinion. But don’t write off the doctors who diagnosed you as depressed. It’s very common for bipolarity to be misdiagnosed as depression, since patients tend to go to doctors for help only during the depressive phase so the doctors don’t see the mania. If you liked one of those doctors, you might speak with him/her again and ask about how they would treat bipolarity as opposed to depression. Good luck. There are good doctors out there. Diane I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
I totally freaked out when I went on wellbutrin. Full blown mania, suicidal plans (not thoughts, plans), intense mood swings. Wellbutrin is supposed to not incite problems in bipolars, but standard operating procedure for bipolar’s is to stabilize the moods and THEN provide anti-depressants as necessary. Mood swings in response to anti-depressants is a classic diagnositic tool for bipolarity. I think it’s weird that she is just upping your dosage when you don’t seem to be responding positively to the medication. I would consider getting yet another opinion. But don’t write off the doctors who diagnosed you as depressed. It’s very common for bipolarity to be misdiagnosed as depression, since patients tend to go to doctors for help only during the depressive phase so the doctors don’t see the mania. If you liked one of those doctors, you might speak with him/her again and ask about how they would treat bipolarity as opposed to depression. Good luck. There are good doctors out there. Diane
– Hide quoted text — Show quoted text – I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
Thanks to you and everyone else for your answers. Since I spent so much money for the medication, I am going to use the 150s until they run out. Maybe I will take one 150 mg and one 200 mg every day, instead of two 200 mgs, and just not tell her, because I am sick of this. And in two weeks, she’s just going to change the medication again. Also, she said she would have me tested for hyperthyroidism and never did. Am I wrong in thinking that $80 is a bit much for a 10-minute follow-up? Any other doctor I’ve seen for that sort of thing has charged half as much. – Hide quoted text — Show quoted text -Yes it was a bad doc. Unless the symptoms get worst the meds should not be changed quickly. It takes at least 8 to 12 weeks for psych drug to become effective enough to determine if it will work. If the dose is changed within that period the clock starts over. This is why it takes an average of two years to find the right treatment for you. As far a finding a good psychiatrist in CA, I have found only three and one of them is in Phoenix. I wish you the best of luck on locating a Dr. I pray that ALL of us can find a good, helpful, and knowledgeable Dr. RM In Cal I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
Yes it was a bad doc. Unless the symptoms get worst the meds should not be changed quickly. It takes at least 8 to 12 weeks for psych drug to become effective enough to determine if it will work. If the dose is changed within that period the clock starts over. This is why it takes an average of two years to find the right treatment for you. As far a finding a good psychiatrist in CA, I have found only three and one of them is in Phoenix. I wish you the best of luck on locating a Dr. I pray that ALL of us can find a good, helpful, and knowledgeable Dr. RM In Cal – Hide quoted text — Show quoted text – I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
Right arm(suppose to be a funny form of "right on"), Diane. Bipolars have a hard time going to Dr when they have been diagnosed ’cause we’re having to much fun. The tricyclic and SSRI anti depressants are the one used in testing because of the way they interfere with the bipolar neural mechanism. My daughter response to Wellbutrin by getting migraine headaches which is a recommended treatments for migraines. She takes after her dad (the exception is wellbutrin which works). The Dr. which I have just returned from, considers me a his worst patient because I react the opposite to most drugs. The best thing you can do is to talk to your Dr. as a person and if they don’t like that, leave and find one that will (good luck; they are out there) RM in CA – Hide quoted text — Show quoted text – I totally freaked out when I went on wellbutrin. Full blown mania, suicidal plans (not thoughts, plans), intense mood swings. Wellbutrin is supposed to not incite problems in bipolars, but standard operating procedure for bipolar’s is to stabilize the moods and THEN provide anti-depressants as necessary. Mood swings in response to anti-depressants is a classic diagnositic tool for bipolarity. I think it’s weird that she is just upping your dosage when you don’t seem to be responding positively to the medication. I would consider getting yet another opinion. But don’t write off the doctors who diagnosed you as depressed. It’s very common for bipolarity to be misdiagnosed as depression, since patients tend to go to doctors for help only during the depressive phase so the doctors don’t see the mania. If you liked one of those doctors, you might speak with him/her again and ask about how they would treat bipolarity as opposed to depression. Good luck. There are good doctors out there. Diane I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
Kind of depends on how good they are for you. The one that was the best for me and the most helpful was$120 for 10 minutes (although they usually lasted 45 minutes because we get off track talking about new treatment methods and new and upcoming drugs). The one I see now is $80 and is not worth 10 but you do what you can when the nearest Pdr is 78 miles one way. RM in CA – Hide quoted text — Show quoted text – Thanks to you and everyone else for your answers. Since I spent so much money for the medication, I am going to use the 150s until they run out. Maybe I will take one 150 mg and one 200 mg every day, instead of two 200 mgs, and just not tell her, because I am sick of this. And in two weeks, she’s just going to change the medication again. Also, she said she would have me tested for hyperthyroidism and never did. Am I wrong in thinking that $80 is a bit much for a 10-minute follow-up? Any other doctor I’ve seen for that sort of thing has charged half as much. Yes it was a bad doc. Unless the symptoms get worst the meds should not be changed quickly. It takes at least 8 to 12 weeks for psych drug to become effective enough to determine if it will work. If the dose is changed within that period the clock starts over. This is why it takes an average of two years to find the right treatment for you. As far a finding a good psychiatrist in CA, I have found only three and one of them is in Phoenix. I wish you the best of luck on locating a Dr. I pray that ALL of us can find a good, helpful, and knowledgeable Dr. RM In Cal I finally found a psychiatrist whom I thought would work. This is, like my fourth one. She listened to me more than the previous ones. I finally got an official diagnosis of bipolar, whereas the other ones just said I was probably depressed and wrote out a prescription. I thought I would finally get good treatment and things would get better. I’ve been on Wellbutrin for 6 weeks. I have to go for follow-up every two weeks. Each session takes 10 minutes, for which I pay 80 bucks. Then I get a brand-new prescription, because she raises the dosage every two weeks. This means that every two weeks, I buy medication that I am not supposed to stop taking when she ups the dosage again. She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments. Then she said that in two weeks, she may switch me to another medication altogether, since I complained to her of -increasing- moodiness. I couldn’t make out the name, because she has a horribly thick accent. I’m beginning to feel that this is another rip-off. The last one just hospitalized me for one whole week without trying to diagnose me with anything. That one gave me Risperdal, apparently because he thought I was schizophrenic. Also, she asks leading questions, and I feel pressured to tailor my answers to what she wants to hear. She apparently doesn’t want to hear that I’ve been terribly moody since I’ve started the medication – with crying spells and fits of rage that I didn’t have before I started it. Do any of these people really listen? Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Response:
She just raised me from 300 mg to 400 mg. I just bought a full bottle of 150 mg. pills. Now I had to buy a new bottle of 200 mg. pills, and they cost $100 more. I have insurance, but I still have to make co-payments.
I can definitely empathize with you. I changed insurance and my new pdoc wanted to see me every three weeks. Dunno why ($$$). I’ve been stable on lithium since my original diagnosis many years ago. He didn’t show any concern. He never ran any blood tests. He was always overbooked. He left me sitting in the waiting room burning up my lunch hour. And he spent 10 minutes with me appearing very bored then ushering me out – oh my gosh, I was the filler appointment. <g He was a jackass. I gave him the benefit of the doubt for three months tho. It takes time for the doc-patient relationship to build and trust to form. You have to give it a chance. Gut instinct can be way off. My previous pdoc gave me Ativan the first day I met him, which spooked me. He insisted on it. But he turned out to be a great p-doc, very personable, calling me at home after I left to check up on me and see if there was anything he could do. Do any of these people really listen?
This same bonehead doc took notes on a laptop. The funny thing was, he only used the mouse. That’s pretty funny to me. I’m on the sofa. I’m explaining my whole life story, telling him about my kids, about my wife, how we’re coping and getting through all of it. And I hear a little mouse tap. That’s it. Also, my first session with her was interrupted by a call from her lawyer. Why the hell would she have a lawyer if someone hadn’t tried to sue her? That’s not a good sign.
Maybe she’s married to my bonehead pdoc and filing for a divorce.
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