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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by Sky Brite Line on May 25, 2008, at 23:43:45
Well, like i've said before. I dont like this psychistrist, and he wants to litterly change my medications. Off benzodiapines. He belives in antipsychotics.
I dont, i hate antipsychotics. They cause me to not be myself. Do i change? or if i change to quick, he may think i didnt like him. I'm giving him a chance, but i dont know if thinks what to treat me with (abilify and antipsyhotics).
I mean he belives in alot of "pedicatric" treatment....thats is what his practice is about. And he doenst belive in any antianxiety medications which is going be bad.
So what do it do? he's going to do a big yank off me. And i dont think this is fair. He refuses to write two scripts to any antianxiety agents.
I hate this time......
stay with me, and thank you for responding.
Posted by Phillipa on May 26, 2008, at 0:08:22
In reply to My psychitatrist......., posted by Sky Brite Line on May 25, 2008, at 23:43:45
Did he say he was a pediatric psychicatrist are you under l8? Love Phillipa
Posted by Quintal on May 26, 2008, at 8:57:19
In reply to My psychitatrist......., posted by Sky Brite Line on May 25, 2008, at 23:43:45
Is he giving you a taper for the benzos? Nobody should be withdrawn abruptly from benzos, and antipsychotics are not recommended from treating benzo withdrawal syndrome (at least where I live). I sympathise because exactly the same thing happened to me yeras ago. A young pdoc that took over the practice wanted me to go off Klonopin and switch to Zyprexa. He'd been taught in his training that benzos were the devil and Zyprexa was king. I said no, but in the end he just cut off my scrpits and I went to hell. Luckily I'm now seeing a pdoc who is quite a bit older and more experienced, and he thinks benzos are prefereable to antipsychotics, which is exactly what I think too.
If I could offer you one peice of advice, it would be to find a pdoc who has a more balanced view of the relative risks and benefits of antipsychotics and benzos.
Q
Posted by NewHampshireGuy on May 26, 2008, at 9:05:04
In reply to Re: My psychitatrist......., posted by Quintal on May 26, 2008, at 8:57:19
I am facing the same dilema
can you take benzos/sleeping pills the rest of your life? that is my problem. I feel fine except can shut off my brain and sleep, that's it
I am now a week into Seroquel and it has completely killed any emotions I have. I got into a fight with my girlfriend and I just felt completely indifferent and could care less at the time. if she would have told me she was cheating, I would have just been like oh well. where when I am not on mood flatteners, I would obviously be upset like any normal person
I think it is important to have emotions and the ups and downs in life, that's what builds character and strength
right now I feel like if I were on a plane that were crashing that I would completely not care. and THAT scares the hell out of me
if my problem is just sleep, can I be on benzos and ambien/lunesta for the rest of my life? that is my preference
Posted by Racer on May 26, 2008, at 9:28:41
In reply to Re: My psychitatrist......., posted by Quintal on May 26, 2008, at 8:57:19
> ... and he thinks benzos are prefereable to antipsychotics, which is exactly what I think too.
>
> If I could offer you one peice of advice, it would be to find a pdoc who has a more balanced view of the relative risks and benefits of antipsychotics and benzos.
>
> QI wonder if perhaps this psychiatrist might know something about this poster which we don't which might make the anti-psychotics a more appropriate choice? There could be more going on here than we're getting, and this doctor might be doing the best thing for this poster. Let's not discount that possibility.
Benzos might be perfectly safe and effective for most people -- again, not all -- and many people might be able to take them safely for years, or even decades, without tolerance and increasing doses. And some people are at high risk for abusing them -- how do we know that this poster doesn't have a history of abusing prescription medications? This poster is apparently bipolar, how do we know that the Abilify is not being prescribed as a mood stabilizer -- or even for actual psychosis?
I agree -- benzos can be a very safe choice for many people. I am not one of those people, but that's my problem.
I am saying, though, let's not lose sight of what we don't see on this board, and let's not generalize to situations we may not completely understand...
Respectfully yours,
Racer
Posted by Quintal on May 26, 2008, at 10:31:44
In reply to Just an idea here... » Quintal, posted by Racer on May 26, 2008, at 9:28:41
I sympathize with this poster because I've been in the same position myself, and my pdoc at that time did not have any kind of special insight into my condition that I didn't, indeed he discharged me without medication because he thought I was simply a drug-seeking malingerer. After two years without any treatment due to his negligence I was literally was dragged into the secure unit of my local psychiatric hospital. This would very likely to have happened if I had been under medical supervision. As a result I don't trust his judgement, and am hopefully transferring to another pdoc who is wiser and more experienced.
I don't think it's a good idea to put doctors on pedestals and have unrealistic expectations of their abilities. Many of us only spend 10-20 minutes giving a brief outline of our symptoms, and as a result our pdocs know little or nothing about who we are and how we function. My pdoc doesn't have a clue even though I've been with him for five years now (not just my perception, but one of my social worker too). I think it's up to each person to be honest about the situation they're in and the treatment they're getting. As you say, we don't know the exact circumstances of each poster, but what I'm hearing here is an all too familiar story of a pdoc who has been trained (or brainwashed) to think that antipsychotics are the best thing since sliced bread. In the long run I think it's a view that will show itself to be as foolish as prescribing Valium indefinitely to anyone who walks through the door with minor worries or temporary insomnia.
>This poster is apparently bipolar, how do we know that the Abilify is not being prescribed as a mood stabilizer -- or even for actual psychosis?
I thought it was being prescribed as a mood stabilizer. Really it's up to the poster to make their own decisions. If s/he went to another pdoc they too would carry out an assessment before prescribing any sort of drug. If two or three pdocs agreed that benzos were a poor choice I'd agree there might be something to it, but often all I'm seeing is faddy prescribing habits. The trouble is I know what it feels like to be stuck with one who just gives out whatever the drug companies happen to be flogging at the moment, and it's horrible. I'm just lending support to someone who seems to be stuck in the same situation I was.
Q
Posted by bulldog2 on May 26, 2008, at 11:05:43
In reply to My psychitatrist......., posted by Sky Brite Line on May 25, 2008, at 23:43:45
> Well, like i've said before. I dont like this psychistrist, and he wants to litterly change my medications. Off benzodiapines. He belives in antipsychotics.
>
> I dont, i hate antipsychotics. They cause me to not be myself. Do i change? or if i change to quick, he may think i didnt like him. I'm giving him a chance, but i dont know if thinks what to treat me with (abilify and antipsyhotics).
>
> I mean he belives in alot of "pedicatric" treatment....thats is what his practice is about. And he doenst belive in any antianxiety medications which is going be bad.
>
> So what do it do? he's going to do a big yank off me. And i dont think this is fair. He refuses to write two scripts to any antianxiety agents.
>
> I hate this time......
>
> stay with me, and thank you for responding.
>
>
>
>Really don't have a high opinion of docs in general but p-docs are the worst. Some of them carry a lot of their own mental baggage and are quite arrogant and quick to judgement. (usally wrong).
Interviewed with a female p-doc a few years ago. Decided that truth was the best policy (how stupid of me!) and told her I had self medicated with darvon in the past. Well after knowing me a whole 10 minutes she concluded that taking darvon was a life style choice and she could not help me and showed me the door. I should asked for my fee back. Real ****hole.
Posted by Sigismund on May 26, 2008, at 14:24:56
In reply to Re: My psychitatrist......., posted by bulldog2 on May 26, 2008, at 11:05:43
Darvon? Oh wow.
I'd take it as a weird kind of backhanded comment that she knows that you knew where the action was.
Posted by bleauberry on May 26, 2008, at 16:37:51
In reply to My psychitatrist......., posted by Sky Brite Line on May 25, 2008, at 23:43:45
Ummm, how about a different doctor? Is there any particular reason you have to be glued to this one? I don't get it when someone complains about their doctor but then continues to see them and actually pay them. Wow. Happens a lot though. I've done it too.
Bottom line, healing comes from a partnership with the doctor. When either the doctor alone, or the patient alone, runs the show single handedly, healing is not likely. In my opinion.
Posted by Racer on May 26, 2008, at 21:27:03
In reply to Re: My psychitatrist......., posted by bleauberry on May 26, 2008, at 16:37:51
> Ummm, how about a different doctor? Is there any particular reason you have to be glued to this one?
I think the original poster has only seen this doctor once so far. At most twice...
Maybe it's a sign that I'm stupid -- but I'm thinking it might take more than one visit to tell if a doctor will work out or not, in most cases...
Posted by Sky Brite Line on May 26, 2008, at 22:23:21
In reply to Re: My psychitatrist....... » bleauberry, posted by Racer on May 26, 2008, at 21:27:03
First things first, i cannot respond as much as i could in the past. That is fact.
So any hostility or anger that im not responding immidtely back is not, is there is only one time i can get on here. I have a horrible filled with anxiety and would do any thing to make it go away, it plages me in everyway possible and i cannot stand it.
2nd of all, there are a million things that are on my mind during the day. It drives me to the point of almost overwhelming to where i dont feel real.
I am glad so many people posted, and i know that there is going to always be alot of critizism in every post from some posters. Every aspect is skepitalized here, this should be a board for some doctors. Maybe even my doctor....so he will know what stuff i've been in the past. There is too much pain in life that i expereince, and something to make me just "not here" like an antipsycotic, well it will work, but the treatment is hardly "hard psychiatrity" not "treating the symptoms". Being in a hospital they can do anything to you, you have no rights or anything, they will pull you down and put you on anything the doctor says, with out negotioation. Thats why its not the place to go.
If i have to leave this doctor because he belives more in "pedicatric" treatment, stimulants and Seroquel. I have been too many antipsychotics and it ruins my life. The doctor has to know that, if he refuses, he's fired.
Please give me the best luck and thank you for all posters for helping me here.
Posted by Sky Brite Line on May 26, 2008, at 23:37:50
In reply to Re: My psychitatrist....... » Sky Brite Line, posted by Phillipa on May 26, 2008, at 0:08:22
He treats people, but his brocere says "pedicatric, and adolecent" - hinting that he belives in treating hyperactivity, bratty, and alot of medications that are used in children. Not anything like Lithium. He put me on 15mg of Ablify, that is anti-psychotic dose. I couldnt not take it so i took 7.5, still motivation is hingered. I dont belive at all i need an antipsychotic. Lithium, Topamax, or something else, something like Lamictal would be best.
Posted by B2chica on May 27, 2008, at 11:41:55
In reply to Re: My psychitatrist......., posted by Sky Brite Line on May 26, 2008, at 23:37:50
> He treats people, but his brocere says "pedicatric, and adolecent" - hinting that he belives in treating hyperactivity, bratty, and alot of medications that are used in children. Not anything like Lithium. He put me on 15mg of Ablify, that is anti-psychotic dose. I couldnt not take it so i took 7.5, still motivation is hingered. I dont belive at all i need an antipsychotic. Lithium, Topamax, or something else, something like Lamictal would be best.
>i'm not a doctor, i don't know what you need. i don't even really know all your sypmtoms.
however, my pdoc now that i see treats many people with bipolar and is adamant about using mood stabilizers such as topamax and lamictal. i would say as long as your diagnosis or symptoms warrent (showing depression and manic behavior) that a mood stabilizer request is beyond reasonable and should be honored by your doctor. especially if you are not feeling well on antipyschotics. and if your doc still demands AP, request both. moodstabilizer and low dose AP. go from there.
its a start.
tell him you'll stay on (what you say 2.5 or 7.5 abilify) and Lamictal or which ever MS you want to trial.
i am on a MS and an AP. now actually the AP works better for me than the MS, but i like Topomax cuz it helped a little with weight gain from zyprexa.you can always search for a new pdoc in the mean time but please dont leave yourself without a doc. just incase of emergency.
best wishes
b2c.
Posted by Jeroen on May 28, 2008, at 3:16:20
In reply to My psychitatrist......., posted by Sky Brite Line on May 25, 2008, at 23:43:45
hes a f*ck*ng bastard
This is the end of the thread.
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