pdoc/doc situation

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Veteran Member

Date Joined Mar 2006
Total Posts : 1191
   Posted 4/10/2006 7:17 AM (GMT -7)   
hey guys
so i saw my counsellor (who is also a doctor) on friday- -since my depression seemed to flare for the last few weeks (feeling stable today) this counsellor/doc decided NOT to take me off of effexor altogether, and keep going with 150mg of effexor and 75mg of lamictal.
so the last few days i've upped my effexor back to 150mg, and i am feeling better about that decision, especially since my panic attacks have also been out of control once i started to decrease my effexor, so now i should be on the road to stableness (or at least a little bit of it).
i've done a lot of research on effexor and lamictal together and it seems like a very successful combination. 
here's my q
i've had the same PDOC for the last 5 years, and have told him that i've started seeing this new counsellor who is also a doc and that the counsellor has decided to treat me SINCE my pdoc literally has NO time at all.  for the last 2 years i've only been able to see my pdoc for 5min (not exaggerating) appts once ever 2 months!!  when i told my pdoc i had a new doc, he said that i should just let the new doc treat me since my pdoc doesn't have time, and he also said that we won't treat me as long as someone else is treating me.
but on friday my new doc said to ask my pdoc his opinion on our new med plan- -i want to retain my pdoc, but i don't know if my pdoc will go along with that.  i think having a psychiatrist is very important to treatment.  i also think there's nothing wrong with having both a doctor AND a psychiatrist.
so if anyone could just give me some feedback on this situation that would be great...
take care hugs and support all around

Veteran Member

Date Joined Oct 2005
Total Posts : 4031
   Posted 4/10/2006 7:59 AM (GMT -7)   
Hi mogli,  Okay I am going to try to help here as I have spent my whole career in the mental health field.  So I am a little experienced with this.
Let me make sure I understand what your saying....You have one psychiatrist you have been seeing for 5 years.  But he has little time for you and your appointments are short and you feel unbeneficial to you...is this correct?
Then you started to see a counselor who is also a doctor?  and he has been changing your medication dosages and diagnoses?  Am I still correct here?
If this is the case than I can see where your previous psychiatrist would have a problem with this.  In the medical field it is called a conflict of interest.  He cant treat you if another doctor is already.  I would suggest that you pick one and stick with it.  It sounds like you like the one you have been seeing of late and he is working with your meds to help you feel better and giving you the time and attention that you need. 
ways to help support healing well:

Veteran Member

Date Joined Mar 2006
Total Posts : 1191
   Posted 4/13/2006 9:38 AM (GMT -7)   
thanks els for your reply, i understand the conflict of interest...i'll just be continuing with my new doc
thanks so much for your response
hope all is well with everyone
hugs and support all around yeah
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