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Re: How often should my child see her p-doc?

Posted by Moors on April 8, 2001, at 13:59:37

In reply to How often should my child see her p-doc?, posted by Diane J. on April 7, 2001, at 21:52:24

> My 10-year-old daughter takes Paxil, and it has helped her a great deal. She has a psychiatrist whom she sees every two months for "medication management." This doctor was not the one who originally prescribed the Paxil, but when my daughter's first psychiatrist relocated to another area of the state we began seeing this doctor.
>
> What I was wondering is how often should my daughter see the psychiatrist? I have an uneasy feeling that Dr. R isn't really paying that much attention to her even when we do go in to see him. I realize Dr. R can only go on what we tell him. but still, he doesn't offer much support.
>
> Dr. R sees children, adolescents, and adults in his practice. Is it different when you go to a pediatric psychiatrist? My daughter recently had her well check-up at her pediatrician's office and I asked if he could prescribe the Paxil, but he said no, because the pediatric group does not prescribe that drug.
>
> I know that Paxil has not been approved by the FDA for children, even though it is often prescribed. It has helped my child immensely. But knowing this, I would like her psychiatrist to be giving her attention. Can someone tell me what is the appropriate amount of involvement between a psychiatrist and a young patient? Should my daughter have more than a 15-minute appointment every two months? Thank you in advance.

Hi,
My son is on medication prescribed by a psychiatrist. We see him every 6-7 weeks and I have the same questions you do. My son plays with the toys in the office (He is almost 11) and I explain to the doctor how things are going, how he is doing at home and school. Sometimes I leave wondering why we have to go so often as long as things are on an even keel. Psychiatrists seem to be mostly about medication and don't seem to deal a lot with methods to help your child, etc., which I find frustrating. But how much insight can a doctor have about a child in 15 minutes? In speaking to other friends whose children see psychiatrists, I found several answers - from 2-3 times a year, to once a month. One family works with their pediatrician who consults with the psychiatrist. So, this really explains nothing to you, except that there seems to be no hard and fast rule.


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