Gem,For years My PCP handled my AD med as I did really well and had no problems but in 2005 when everything went out of sync my PCP sent me to the Pdoc as he was just guessing at which drugs to try and admitted that it was not his level of expertise The Pdoc deals in AD meds all day long. I do not go blindly into what she prescribes as I do take my own thoughts and feelings to all my appointments with her. There are some meds I refuse to take due to the side effects and she has tolerated my advocating for myself.
If you can get an appointment with a Pdoc, I would recommend that you do.
I think you are right. My old PDoc retired after seeing him for two years. He was very liberal with the prescription pad and I was on many meds that I just could not tolerate. But I think my regular MD's approach is too conservative. I have been thinking I need to take matters into my own hands and try another PDoc. I just can not seem to get feeling better on an even remote basis and I try very hard and am very compliant with diet, exercise, attitude, meds etc.
Thanks for the post. I am not dismissing my appointment with new PDoc, I am actually looking forward to it. By second opinion, I meant I do not feel my MD is getting the big picture with me and believe me I am brutally honest about what has gone on over the years. I want my physician to have as much insight as possible. I have only seen one PDoc before for about two years, he retired in December. I have always had more problems with hyperactivity(mania) than depression. I really did not have problems with depression(that I was aware of) until I started on different mood stabilizers. I either could not tolerate the side effects or was unwilling (I will admit it) to ride it out until they were working as they should. 10 mg Celexa really seems to be doing me more harm than good. My moods are like a roller coaster and I have woke up to Queen singing Bohemiam Rapsody every morning for months. I like Queen but this is ridculous! I am not against anti depressants, if that is what I need, I just feel I have not found the right combination for my mood and racing thought issues. I do not give up easily and I will continue to seek, with an open mind and heart, the right course of treatment for me. What else am I going to do? I really want to feel well. what bothered me about my old PDoc is that he never gave me a concrete diagnosis, not that I guess that is that important, he said on one visit I "may" be bipolar and it is obvious that I have very high anxiety. so I will hang on until the 15th, lay it all out for new PDoc and see what he recommends. I have not even told my spouse that I have this appointment and I am not going to.