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Which psychiatrist should i try?

  • Post starter Post starter Deleted member 37474
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Deleted member 37474

My T suggested two psychiatrists that she likes. Looking into anxiety/depression

1. Pro's: good at selecting/knowing medications.
Con's: uses higher doses than my therapist thinks are necessary.

2. Pro's: thourough at checking for vitamin deficiencies and other potential issues causing symptoms.
Con's: his go to med choice is lithium. (I have hashimotos-thyroid, so this might not be best)

Ideas?
 
Hmm, pick the pros from each and combine them? :p

Honestly I would go with number two. If they are good at figuring out underlying conditions, then they are going to know that lithium would be a bad choice for you.
 
Hmm, pick the pros from each and combine them? :p

Honestly I would go with number two. If they are g...
Only thing is, she may have been saying that he gives lithium to people with thyroid issues.

She said the high med guy will listen if you tell him you don't want that. Hmmm. And he may also run the other issues panel if i request it.
 
I guess more so, my questions may include

1. What do other psychiatrists do?

What is standard meds for anxiety? I don't think I even have depression except when I am symptomatic and having really high anxiety.
 
I know in UK lithium would usually be used more as a mood stabiliser. So for anxiety I've seen (excuse the different names being used- might need to google for you're county). Propranolol, Pregabalin, Venlefaxine, Escitalopram, and then the usual benzodiazepines (but these usually are only for short term use). But I think it's good that you find a psychiatrist that is willing to look into different medications for you to try and listens to your concerns. There are many more that they might suggest but these are just a few I've heard off, good luck.
 
Rather than just their use of meds, I'd also be looking at their respective levels of experience, and whether they have patients with cptsd. It would be good to have someone that had an understanding of how anxiety and depression are both linked to your cptsd, rather than end up with someone who doesn't have a good working knowledge of complex trauma. If they don't have other patients with complex trauma, you may end up with them assuming that you have GAD and MDD as well as your cptsd, rather than understanding that they're actually a feature of your cptsd.... if that makes sense!
 
I don't think you can make a choice based on so little info.

Lithium is good for bipolar peeps. If you're not bipolar, not a good place to start. But does he REALLY put everyone on lithium?

Any doctor who doesn't let each individual case determine the medication level......well, not good.

I'm SUPER sensitive to medication and require half a capsule of the smallest size. I'm fortunate my doc is willing to write a compound Rx so that I can get the correct dose. Bipolar and schizophrenic peeps take 10 to 20 times my dose.
 
It's really hard to say anything that can be certain until you meet them both and get to draw your own conclusions, unfortunately. I highly agree with the suggestion of finding out about their experience with c-ptsd. That can be the biggest game changer in the quality of care you receive and it's sustainable effectiveness.

I was advised of two psychiatrists who gladly accepted my insurance at the time in my local area who were both highly recommended and sought after by others, yet neither one helped me. They further complicated my issues and helped me learn more of my inability to function healthily and feel at peace under the influence of most of their medications being prescribed. I wasn't a very strong self-advocate at that point in my life, still strongly believed in the power of meds and the mental health arena as I was also employed in the same scene, so I didn't speak out much when things didn't feel right, I just chose to move along when I was made to feel worse than when I arrived.

One spent a total of 15-20 minutes with me, making eye contact only once as I entered his office, declaring me severely depressed after only a few questions and glancing over the hard copy I gave him of definite issues I wished to address, ignored all of the trauma incidents and direct questions I asked, prescribed effexor, and said call him if I had any complications or if I felt I need another appt. Like he expected it to be a one-stop shop. I chose not to take it after already having some bad experiences with several other types of anti-depressants my doctor had prescribed. Knowing how long it takes to try it and then the time it takes to slowly come off of them, feeling the shittiest I had felt up until that point, thanks to my body's reactions to previously being a guinea pig was all I needed to decide to kick him to the curb.

The other one spent over 3 hours with me, which initially made me feel better about his attention to detail, asking tons of multiple choice questions he was entering into his computer, but he also blatantly ignored and never again mentioned the list of multiple traumatic incidents I supplied him with in writing (childhood sexual and physical abuse, teen rape, multiple domestic violence incidents with life-threats, workplace bullying), diagnosed me with severe adhd, severe depression, severe anxiety, and some kind of personality disorder that he just couldn't quite put his finger on (I was thinking, damn, does that mean I'll soon have one named after me??!!)...sent me home with an anti-depressant, some xanax, a stimulant at the highest dose, and 4 or 5 vitamin and mineral supplements. I thought I was gonna have to scrape my ass off the ceiling after taking all he recommended. His solution was for me to open the stimulant capsules in the future and dose out smaller portions of the powder. I gave him a few more chances, especially after hearing so many good things from others about his level of care, but he was strictly all about the meds and less about the roots of the issues. Needless to say, I never returned to either one, nor did I find a medication that soothed anything long-term in my highly sensitive being.

Not trying to plant fear, just trying to show a couple examples of how even the most highly recommended and sought after professionals can be as equally problematic as they can be perceived as being helpful. One person's life jacket can easily be another person's sinking ship, I guess is what I'm trying to say. It's pretty much a crap shoot no matter which direction you go. May you be able to research and find one who can genuinely recognize and address the roots of the trauma issues while actually helping and bringing you some long sought after relief and peace of mind.
 
It's really hard to say anything that can be certain until you meet them both and get to draw...
I have an excellent therapist doing that part. We are in emdr on trauma stuff. I don't have cptsd, just ptsd, I think. I just need something to help unsimmer my anxiety and something to especially help during the panic attacks.
 
I have never tried anything, so this is all new
In that case, I'm gonna put it out there: ask questions! That's totally okay:)

Explore the options with your T - does your T have a preference for who they think would be better for you? For me, I had to change my pdoc a few times, and each time I was already working with a T. So it was important to me that they were prepared to work as a team (shich not all pdocs do very well!). I wanted them to be proactive about communicating with each other about how my treatment was going, issies that we were dealing with, issues that needed to be addressed, etc.

I also had a preference for a female pdoc after my first one. Just made it easier for me.

For each change, though, I relied heavily on my T's advice about which pdocs would be a good fit for me. So if you trust your T, maybe chat to them about whether they have any insights that might be relevant to your decision.
 
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