Jump to content
compsports

Which doctor got you started on psych meds?

Recommended Posts

compsports   
compsports

I am curious as to how many people on this forum were started on psych meds by psychiatrists vs. primary care or other doctors.   The reason I am asking is so many people think that psychiatry is evil which I don't blame them for.   But it just seems like many doctors besides psychiatrists are guilty of excessive prescribing and I fear it is only going to get worse.

 

Just so you know, I got started on psych meds thanks to psychiatry. 

 

CS

Share this post


Link to post
Share on other sites
InvisibleUnless   
InvisibleUnless

if GPs werent doling out SSRIs, at the very least, theyd lose a lot of their business.  some still refuse outright, for reasons of experience/knowledge or liability, and just refer you to people who will prescribe them more exclusively, but given the numbers on psychotropic prescriptions, a lot of doctors would take a significant hit to ignore the psych drug market (especially since they are off-label for pretty much every condition ever, be it pain or weight loss or weight gain or neurological issues, etc).

 

i got started on psych meds by a psychiatrist that shared the workspace with a team of non-MD counselors.

Share this post


Link to post
Share on other sites
compsports   
compsports

if GPs werent doling out SSRIs, at the very least, theyd lose a lot of their business.  some still refuse outright, for reasons of experience/knowledge or liability, and just refer you to people who will prescribe them more exclusively, but given the numbers on psychotropic prescriptions, a lot of doctors would take a significant hit to ignore the psych drug market (especially since they are off-label for pretty much every condition ever, be it pain or weight loss or weight gain or neurological issues, etc).

 

i got started on psych meds by a psychiatrist that shared the workspace with a team of non-MD counselors.

Good point, I hadn't thought of the financial angle.   Pretty sad.

Share this post


Link to post
Share on other sites
freespirit   
freespirit

I got started on Remeron from my family doctor. He believed this was a good drug for people who had been unable to tolerate other AD..which was the case for me. My current doc wanted me to see a psych at one point, because I had chronic pain and he believed it was depression. I refused the referral, when I read her reviews. Glad I did, or I might well have ended up on other meds.

Share this post


Link to post
Share on other sites
westcoast   
westcoast

House psychiatrist at a massive self-promoting cancer center I call City of Dopes.

 

I was not depressed. I had made it through the first 6 months of treatment elsewhere, 130 miles away, and had started off with the worst emotions I can imagine, because my case was pretty much hopeless. I can't even describe how I felt. I don't know how others deal with it. I didn't consider drugs, though. My doc found a small study of regular chemo for a different cancer that seemed to work better than  the FDA-approved one, in cases like mine, and the results were rapid and dramatic. (Too bad my chemo drugs are off patent; research  on them is therefore rare. That's another rant, though.)

 

For a geographic reason and my job (which I kept through the whole 17 months) I shifted my care to the big place for daily radiation on a stubborn original/local tumor remnant. They refused to continue the chemo I'd been on, which by then (6 months into it) appeared to have got rid of 90% of my metastatic liver tumors -- a jaw-dropper to any expert who heard about it.

 

Instead of finding a better hospital I tried to convince the doctors, but they said they had never heard of my chemo protocol and would only do the standard one. They suggested I see their psychiatrist and I started on Effexor.

 

On their chemo that last original/local tumor remnant GREW, and they now admit that I am alive because the first chemo I'd had had wiped my liver clean before I got to their pit. They didn't believe that, though, and did a long unnecessary liver exploration which proved I was disease-free (my liver anyway).

 

They were telling me the "remnant" still showing on my scans was a scar, but they finally tested it and it was cancer. I had to have a second horrendous and disabling surgery to get rid of that. It's a dreaded thing that people assume would ruin their lives but I had no choice.

 

They forgot to give me Effexor during recovery, and when I got home from ten days on Dilaudid, I was manic as a result of WD and probably an interaction with Vicodin I took for a few days. Absolutely off the charts. I didn't even remember Effexor and with a nice helping of anosognosia, I didn't know I was a 100% different person. Quit my EXCELLENT job and was so weird on FB that I won't show my face. It's part of why I found the auto-Tweeting of threads like one this so traumatic once I found out about it. (And what's with the share buttons down there? Cripes.)

 

And then the eventual BP DX and the whole drugging mess. I never once had a competent doctor and nothing in the media gave me a clue.

So...psychiatrist...Arse-clown oncologists. A miraculous recovery from hopeless stage 4 cancer not celebrated, but slammed into years of madness and financial destruction by ... [oops, triggered]

 

A psychiatrist.

Share this post


Link to post
Share on other sites
westcoast   
westcoast

BTW the horrible "I'm going to die. NCI says so" terror was very different from the eventual early morning/terror/dread a lot of withdrawers know well. Felt different, and it's hard to say which is worse. The cancer terror was based in reality, though, and could be assuaged by glimmers of hope. It was rich in a way; it was grief, too. The post WD terror/dread is brittle and meaningless, and unresponsive to any theoretically comforting information, as if it infused all my cells.

Share this post


Link to post
Share on other sites
Cyrosp   
Cyrosp

A family practice physician, maybe 20 years ago. And all family practice or internal medicine docs since then. they all seem quite happy to write these prescriptions and send us on our way, don't they?

Share this post


Link to post
Share on other sites
btdt   
btdt

I can't let that pass West Coast there needs to be a celebration for that miraculous recovery!  Postponed not forgotten! If I win the lottery maybe I will come for it :)

 

Orthopedic surgeon... it was a consult for an insurance company post car accident.  He sent no report to any of my doctors so they did not know I was on prozac that was btw not the name on the bottle... it was early in 89/90 I can't quite recall with my fuzzy brain.  He thought I was taking too much tylenol #3 for leg pain. I was functional and employed with T#3 without it I would not have been working.  He told me he was giving me a drug to treat inflammation like an NSAI but a newer version that worked very well.  Within 2 wks I was in emerg suicidal and I fought it like a hell hound as a crazy person had no chance in a child custody suit... and I knew my kid would be gone fast.  So I did not go for help till I knew I was beat... I kept taking the pills as I had no clue... I took them till I went to emerg by then I had much bigger problems than leg pain... emerg doc asked about drugs I told them an anti inflammatory was all and the T3 if I had any still not sure about that... 

That was the end of working I could not sleep was in pain all over was dx with fibromyalgia which I did not have post car accident and I did not have before prozac. 

 

I learned I had taken prozac all those years before when I was on a withdrawal site after cold turkeying off effexor... I seen the other name for prozac... I kept pills locked up in a tin box I still had the bottle sure enough that was it ... prozac made me crazy... 

 

I had 18 years of hell on and off antidepressants... wd back on quit back on.. side effect adverse reactions pain insanity mania you name it... Glad to have found out but I sure grieve those years... I also grieve insurance doctors handing out drugs without sending a note to the family doctor. 

 

I was told I may have dry mouth.. almost funny looking back... after a couple of years in wd post severe adverse reactions the next ad was a pain specialist it was after that I graduated to a shrink... after I was on a few ads. 

Share this post


Link to post
Share on other sites
GordonWarren   
GordonWarren

I am curious as to how many people on this forum were started on psych meds by psychiatrists vs. primary care or other doctors.   The reason I am asking is so many people think that psychiatry is evil which I don't blame them for.   But it just seems like many doctors besides psychiatrists are guilty of excessive prescribing and I fear it is only going to get worse.

 

Just so you know, I got started on psych meds thanks to psychiatry. 

 

CS

 

That's a loaded question.  While many doctors may be "drug pushers," not all of them are, especially when it comes to ADs (due to their bad reputation).  Generally speaking, doctors only prescribe ADs to treat chronic or major depression. 

 

In Canada, most people know that the "magic words" to getting an AD prescription & a psychiatric referral from GPs are "suicidal and/or homicidal thoughts" (a cruel irony, given the amount of murder-suicides over SN/SSRI's 30 year history).

 

After suffering from depression, but not fully realiziing it for 38 years, I finally saw a GP & said the magic words:  "suicidal thoughts." He prescribed an AD & referred me to a shrink (you can't just call one on the phone & make an appointment in Canada due to queues & protocols to see specialists in our public healthcare system).

 

Prior to this, I "self-medicated" until stressed-induced burnout on the job forced me to see a GP for my depression.  Given its ineffectiveness at the prescribed dosage, I then sought the services of a psychiatrist--someone who has the experience and the skill (you hope) to adjust medications & dosages in order to receive a positive result.

 

For me, ADs & benzos put me on ice for 9 years, unable to work, & sleeping 14-16 hours a day.  I was also too wasted to care.

Share this post


Link to post
Share on other sites
freespirit   
freespirit

 

 Generally speaking, doctors only prescribe ADs to treat chronic or major depression. 

 

 

Perhaps this is true for doctors you've seen...but then you haven't met all the people on this site who have been prescribed AD for everything from chronic pain to normal grief. And I'm certain this is true throughout general populations. Some people aren't even told that what they are being given is an AD...they are told it's "pain medication" or "for sleep".

 

I've seen numerous doctors who never asked me a question about my mood, sleep, appetite, thought patterns, concentration, decision-making or self-harm thoughts. Instead, they instantly determined because I was having pain or fatigue that I must be depressed and out came the prescription pad. And only once in the 10 years I was on the meds was a referral to a psych ever suggested. And yes, all of this has happened in Canada.

 

In my profession, I used to work with people who were grieving or had trauma. Nearly every one of them was suggested or prescribed antidepressants by their GP, with no referral or follow-up. Thankfully, not every client filled a prescription, but many did. The vast majority of these people were having normal responses to loss or trauma..and would in all likelihood have come through their situations with adequate support. I very often wonder about many of those people now and where they find themselves. I wonder how many are suffering through WD or have become ill from the side effects of the drugs, and how many became polydrugged. I worked in both the US and Canada...

Share this post


Link to post
Share on other sites
btdt   
btdt

It was a gp who changed my drug from zoloft and amitriptyline to paxil... that was a bad idea for me. She was filling in for my regular gp... who was on mat leave... my lipase was high she added progesterone.. which did not work out for me... goes a bit blurry after that... so ya I have had a gp mess with my ADs I stopped the paxil ct on my own went to an inpatient program after that given different drug by the shrink running the program.. out patient hosp .. every woman in that program was given one drug... 

 

we figured that out over lunch.. I wonder now if they were doing a drug study they forgot to mention.. sorry running on.

Share this post


Link to post
Share on other sites
compsports   
compsports

Free Spirit - Did your doctor try to solve the chronic pain issue or did he just throw up his hands and label you as having depression?   Stories like your make me so mad.

 

WC- Words fail me.  My god, psychiatry is everywhere.   HFS.

 

Gardenia - Welcome to the diagnosed by a psychiatrist club.

 

Cyrosop - Yup, that is what family physicians like to do.   Quick and easy psych med prescribing.

 

 

Share this post


Link to post
Share on other sites
freespirit   
freespirit

Free Spirit - Did your doctor try to solve the chronic pain issue or did he just throw up his hands and label you as having depression?   Stories like your make me so mad.

 

 

Nope, I had been suffering from pain since my car accident..but it suddenly got a lot worse. And consequently, my energy was also lower. In spite of those things and a lot of other stuff going on, my mood was actually quite good. There were things I really wanted to be doing, but couldn't physically.

 

I was already on remeron at that point, so he only saw me as a depressed person. That's when he wanted to send me to the psych and I refused. That's the place where I stopped having any trust in him and soon after, starting working with a naturopath. He has never asked me any of the depression-screening type of questions. He looks at me and tells me I'm depressed.

Share this post


Link to post
Share on other sites
compsports   
compsports

 

Free Spirit - Did your doctor try to solve the chronic pain issue or did he just throw up his hands and label you as having depression?   Stories like your make me so mad.

 

 

Nope, I had been suffering from pain since my car accident..but it suddenly got a lot worse. And consequently, my energy was also lower. In spite of those things and a lot of other stuff going on, my mood was actually quite good. There were things I really wanted to be doing, but couldn't physically.

 

I was already on remeron at that point, so he only saw me as a depressed person. That's when he wanted to send me to the psych and I refused. That's the place where I stopped having any trust in him and soon after, starting working with a naturopath. He has never asked me any of the depression-screening type of questions. He looks at me and tells me I'm depressed.

 

I am so sorry to hear that.   Sadly, your experience is why h-ll will freeze over before I ever disclose my past psych med history since everything is seen through the eyes of psychiatry if you have anything in your post records that is connected to that.

Share this post


Link to post
Share on other sites
btdt   
btdt

Good thinking is all I have to say... 

Share this post


Link to post
Share on other sites
freespirit   
freespirit

 

I am so sorry to hear that.   Sadly, your experience is why h-ll will freeze over before I ever disclose my past psych med history since everything is seen through the eyes of psychiatry if you have anything in your post records that is connected to that.

 

 

 

Very wise...isn't any of that in your medical records? Here, if you are referred to a psych, I think meds are placed in your general medical history, though I don't know that for sure. I wish I could have a few things expunged from my medical records.

Share this post


Link to post
Share on other sites
btdt   
btdt

I gave up on medical records long ago.  When I tried to control them or at least get a look at them I found one report that simply was not about me tho it had all my ID on the pages hosp number ect.  

The person the report was about lived in a city I have only been to once for a football game years ago.. had 4 kids a husband and was in a great deal of distress taking a boatload of drugs and have been in care more then out for several years. With that hosp that was the only identifying information in my file... and it wasn't me. 

I got an apology ... I asked for a letter to explain to the doctors who had this information already .. that there had been a mistake made so I could if need be show I was not the person who needed all those med or that had been and may need to be in care again.  I have never been in care... I don't want to be either.  

Her dx was completely different than mine.. yet there it was in my file.  I went thru several people trying to get that letter over several years... the report had been taken from my file or so I was told... one of the directors in the revolving door of directors actually called me in distress the day before she was leaving and told me the letter was in the mail... it never came. 

So to date I can't say for sure the file is ok... I can say that before a letter admitting any mistake is ever made some body will be fired... or that is how it looks to me.  

 

Once I decided to avoid doctors ... as much as possible and the system I let it go.. kind of I could not get thru the wall anyway.. tried the gov't agencies supposedly in control of such matters they were assured the matter was being handled by one of the several people I have been thru... that was it. I caved. 

 

I got wind of the letter originally from a clinic I went to who mentioned something in the file.. I asked where did you get that information.. from my file of course... so I got a copy.. that is how it started.  

 

lol nope don't have a lot of faith in any of it at this point. 

It just occurred to me that some people here likely think I am making this all up along with the rest of my life cause nobody could have all this in one life time I assure you every word is true. 

It is possible for one person to have this much crap. Some days I still can't believe it myself. shakes head....

Share this post


Link to post
Share on other sites
Laura1981   
Laura1981

For me it was the GP after a 10 minute consultation. He gave me no indication about treatment alternatives, didn't tell me anything about the medication, didn't say for how long I have to take it, what side effects it can have.

 

I was too stressed to ask. Sad, sad world.

Share this post


Link to post
Share on other sites
compsports   
compsports

 

 

I am so sorry to hear that.   Sadly, your experience is why h-ll will freeze over before I ever disclose my past psych med history since everything is seen through the eyes of psychiatry if you have anything in your post records that is connected to that.

 

 

 

Very wise...isn't any of that in your medical records? Here, if you are referred to a psych, I think meds are placed in your general medical history, though I don't know that for sure. I wish I could have a few things expunged from my medical records.

 

I got off of psych meds in 2010 before I started seeing other doctors and prior to electronic medical records becoming a big influence in my area.  I did stupidly disclose to one doctor at a specific hospital system so I have to avoid seeing any doctors connected there.   But I think I am safe going to any other doctor as long as I keep that information hidden.

Share this post


Link to post
Share on other sites
compsports   
compsports

For me it was the GP after a 10 minute consultation. He gave me no indication about treatment alternatives, didn't tell me anything about the medication, didn't say for how long I have to take it, what side effects it can have.

 

I was too stressed to ask. Sad, sad world.

If you don't mind my asking, was this for another medical condition or depression?   Understand if you don't want to respond.

 

Not surprised you received very little information on the med as that practice is quite common.

Share this post


Link to post
Share on other sites
Laura1981   
Laura1981

 

For me it was the GP after a 10 minute consultation. He gave me no indication about treatment alternatives, didn't tell me anything about the medication, didn't say for how long I have to take it, what side effects it can have.

 

I was too stressed to ask. Sad, sad world.

If you don't mind my asking, was this for another medical condition or depression?   Understand if you don't want to respond.

 

Not surprised you received very little information on the med as that practice is quite common.

 

It was for a burn out, which technically is a depression. I had several massive stressors in my life accumulated into a couple of months. Each of those would have been enough to cause a depression, but I had them all accumulated and jammed together in a couple of months. I noticed more and more Cortisol being released. At some stage I was just operating on Cortisol. It was almost a high. Then I crashed. 

Share this post


Link to post
Share on other sites
compsports   
compsports

 

 

For me it was the GP after a 10 minute consultation. He gave me no indication about treatment alternatives, didn't tell me anything about the medication, didn't say for how long I have to take it, what side effects it can have.

 

I was too stressed to ask. Sad, sad world.

If you don't mind my asking, was this for another medical condition or depression?   Understand if you don't want to respond.

 

Not surprised you received very little information on the med as that practice is quite common.

 

It was for a burn out, which technically is a depression. I had several massive stressors in my life accumulated into a couple of months. Each of those would have been enough to cause a depression, but I had them all accumulated and jammed together in a couple of months. I noticed more and more Cortisol being released. At some stage I was just operating on Cortisol. It was almost a high. Then I crashed. 

 

So sorry to hear that.  Sadly, when you present to a PCP for depression, chances are a med is going to be offered because the discussion of alternatives would take way too much time.

Share this post


Link to post
Share on other sites
Laura1981   
Laura1981

Yeah, that's true. I learned a lot from this experience though:

 

  1. Doctors can't be trusted
  2. I'm not immortal. I better take care of my body
  3. Work is not everything
  4. Doctors can't be trusted
  5. Every medication you put in your body will have undesired side effects. The question is just how bad they are
  6. Doctors can't be trusted

Ah yes, and also: Doctors can't be trusted. 

Share this post


Link to post
Share on other sites
compsports   
compsports

Yeah, that's true. I learned a lot from this experience though:

 

  1. Doctors can't be trusted
  2. I'm not immortal. I better take care of my body
  3. Work is not everything
  4. Doctors can't be trusted
  5. Every medication you put in your body will have undesired side effects. The question is just how bad they are
  6. Doctors can't be trusted

Ah yes, and also: Doctors can't be trusted. 

I have experienced a few good ones but what is sad is that my negative experiences with the bad doctors impact the ones with the good ones which isn't fair to them but unfortunately, it is very hard for me to be objective because I have been burned so badly.   You are so right about medication side effects which also applies to other meds besides psych ones.

Share this post


Link to post
Share on other sites
ang   
ang

Hello Gordon Warren, can you start a  thread about yourself?    You sound very knowledgeable , but without your signature timeline, what drugs you are on and when, it makes it difficult for anyone to relate, ie what drugs you were on, etc, as you havent listed any,,  You can be very, very specific.   so many on this site can sympathise , as they have been on same drugs.... please, feel free to list your drug history.  We are here to help.

Share this post


Link to post
Share on other sites
provize   
provize

Now I prob know why it is called a drug, doctors can't be trusted, I feel like a robot durning the withdrawal from remeron,

Share this post


Link to post
Share on other sites
Jemima   
Jemima

The first doctor who prescribed psych meds for me was still wet behind the ears, possibly a resident, definitely a GP and not a very good one.  I was having headaches and severe spells of irritability which he promptly diagnosed as a neurosis. When I questioned this, he got upset to the point of nearly hyperventilating and said, " Why won't you accept my diagnosis?  There's nothing wrong with having a neurosis! *I* have one!", at which point I told him that if he liked his neurosis so much, he could have mine too. He sent me off with a prescription for Valium.  I think it was 10 mg. four times a day, enough to get addicted fairly quickly, but I don't remember since this was back in the late seventies. I only took the Valium as needed and only half to one-quarter of a tab, but I believe, now that I know the symptoms of benzo withdrawal, that I had it--which aggravated the irritability and depression--and that it was instrumental in wrecking my second marriage.

 

Some months after this episode, I was shopping at a big Sears store when I came upon Sears Optical and it occurred to me that I hadn't had an eye exam for several years. The optometrist on duty was a much older man, highly experienced and quite sharp, who diagnosed a rare visual condition that causes--you guessed it--headaches and extreme irritability.  I followed his instructions for an eye exercise, which helped a lot, and experienced vast relief when I got the new prescription lenses a few weeks later.

 

So much for my "neurosis".  I had already been a psychotherapist at the time for roughly a decade and was very leery of psychiatrists, so my more recent experience, outside of a brief hospitalization, has been with my PCP, a family practice physician. When I told her I was depressed she recommended Lexapro, which she said would "take the edge off" and gave me a bunch of samples. The only thing I can say to her credit is that she didn't object when I told her I wanted to get off of it and that the psychiatrist who treated me in the hospital was even less knowledgable.

 

I'm with Laura.  I don't trust doctors or any kind of pills any more.

Share this post


Link to post
Share on other sites
dalsaan   
dalsaan

I'm resisting the urge to rename this thread 'witch doctor got you started on psych meds'

Share this post


Link to post
Share on other sites
freespirit   
freespirit

The thing is...I believe I'd prefer seeing a witch doctor (some are shamans) to the jerk who calls himself a doctor. I think one day people will look on this time in medicine and consider in the dark ages. A lot of western medicine is really barbaric.

Share this post


Link to post
Share on other sites
InvisibleUnless   
InvisibleUnless

quite; ancient tribal healing is generally less damaging and more effective.

 

theres gotta be other people that remember this:

Share this post


Link to post
Share on other sites
freespirit   
freespirit

OMG...my neighbor was just telling me about this scene yesterday. Dark ages indeed.

 

And yes, I would choose ancient healing practices over western medicine for a lot of things.

Share this post


Link to post
Share on other sites
adrien   
adrien

Well the first doctor that percribed me psych meds was a psychiatrist when i was 12. I was diagnosed with ADD. I cant remember much about it because i cant remember much about my childhood. I told her the ADD med prevented me from having fun, so she took me off it.

 

Then i was hospitalized in a psych ward about a year later. diagnosed with psychosis(NOS) i think the med i was on was risperdal. And well i dont remember much i remember it felt like bug juice it nullified all my thoughts and gave things a very dull colour. and i felt it blunted my emotions.

Share this post


Link to post
Share on other sites
Wildflower0214   
Wildflower0214

A psychiatrist who didn't even spend 10 minutes with me during my first visit. I left with a script and the rest is history.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

×

Important Information

By using this site, you agree to our Terms of Use.