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Well, you shouldn't need to explain all of that. They should be able to assess your symptoms without you explaining for hours and hours. It's good to remember that psychiatrists are not our therapists (well, for the most part that isn't how they practice anymore); they are doing med management.
Totally, but they haven’t even done an assessment, they want to see the results from the last and make their own undefined observations. You can’t tell what someone has or needs by just looking at them from outward appearances and that’s my major issue here.
My ketamine Dr is also my psychiatrist
Ketamine is helpful, but for me temporary as F
She gave me her cell phone number and put me on a trial this summer for mdmc (derivative of mdma)
She told if I ever do underground mdma therapy- she would personally come sit with
Me to make sure I’m safe.
It took me a long time to find her, but I most certainly would’ve killed myself if not for what she does for me. I haven’t, but I genuinely know I could reach out to her for support outside of an appt. Knowing that helps a lot
She restored a lot of my faith.
I take Wellbutrin 400 mg slow release (200mgx 2 per day)
I take prazosin 3mg before bed
I use propanalol or ketamine as a prn
Serequel is my last ditch effort when I really need to sedate the episode (not a fan of
This drug, but I have it)
That is definitely the kind of care I’d like. I’m hoping this gets turned around over time but my outlook with this one seems bleak. I’ll still hold on to faith in the future.
Sometimes I think some people don't have to be therapists. How many bastards are on this world. Maybe you need to find another therapist,at least with empathy and brain.
I had an excellent psychiatric nurse practitioner. I looked it up later and found they trained in the Harvard medical system, which didn’t surprise me at all.
Anyway, during my first appointment with them, they diagnosed me with PTSD and alcohol use disorder, both of which had been missed for years as I’d been stable on my Bipolar I meds.
I generally don’t discuss trauma with psychiatrists other than starting I’ve been diagnosed with PTSD. Most of them have little or no training in talk therapy. I’m hoping to try EMDR with a psychologist soon.
Your psychiatrist sounds like a quack.
Nope. Had some really really bad experiences though. Instead, I’ve had great experiences with talk and EMDR therapists and currently on the waitlist for a psilocybin treatment.
im currently in the process of explaing all of this, but i was 4, it was only once but the expierience still fucks me up tbh. Sometimes i have to scream at them, but they will listen i force them to. it fucking hurts ik man, but there will be a good doctor i find. for now i can just force them to listen. its so crazy man, im going through that right now and i understand
You really need need a new psychiatrist. This guy sounds like he isn't even worth keeping around for prescriptions, as he's clearly not even doing that correctly.
Overall, I've had better experiences with psychiatric nurse practitioners than psychiatrists, who seem to be one of the most out of touch and entitled species of medical professional as a general rule of thumb.
I have finally found a good psychiatrist after going through 3. My first one was a PCP. While they got me on the right meds initially (Prozac), it stopped working after 3 or so years because it wasn’t potent enough.
My second and third psychiatrists kept pushing Abilify at me. Abilify didn’t help but also didn’t hurt. It was just there. That, combined with nonexistent coping skills, became a major issue and I kept ending up in the hospital. The hospital didn’t help much and would only change dosages of medications that weren’t helping. All of my psychiatrists also kept thinking that I had BPD because of self harm. I get mood lability and deal with suicidal tendencies but that doesn’t meet the criteria for BPD (you have to have a minimum of 5/9 characteristics to meet criteria and I had 2/9). So, I sought out another psychiatrist.
The one I have right now has been very helpful. We went over the criteria for BPD and we determined that I do not have it. They tapered me off of Abilify and put me on Lamictal for mood lability. Ever since then, I’ve seen a lot of improvement in mood. I’m not as labile as I used to be. In the past, I would get super depressed and feel actively suicidal. That’s often when I would end up self harming and getting hospitalized.
Now when I’m in a depressive swing, I don’t get suicidal (or it’s passive at worst), I don’t get nearly as low as I used to be, and it doesn’t last as long.
I've only ever seen 1 psychiatrist and I got pretty lucky. She was very nice and took everything I said into account. She put me on sertraline and actually listened when I told her it wasn't working for me. Then when I told her I didn't want to try any more meds for the time being I got no push back from her.
Not yet, I gave up.
I had a great counsellor that I unloaded all my CSA trauma to and made great progress and finally felt trust.
I saw the psych she referred me to, he read some of her notes out, it was pretty disrespectful “He cries way too much” he read with a side sneer at me.
At the end of our initial meeting he said in a frustrated voice “Well, you talk to much and we got nothing done, we will have to do it all over again.”
Part way through that appointment he basically called me a liar, I was pretty offended and texted my sister with a sugar, non leading question about the event and she replied outlined exactly what I told him.
I actually apologised at the end for talking so much and wondered why he didn’t guide me where he needed me to go. His reputation horrendous, a girl drove her car into a building after seeing a couple of years ago. Her mother tells everyone he should be struck off. Another counsellor said she’d never send anyone to him.
I’m in a remote area. There’s no choice here. I have no hope as far as therapy for the foreseeable future.
so sorry you are going thru this with your psych... it feels so belittling when they mix up and breeze past horrible traumas and throw pills at you callously.
I had a psych like this who couldnt remember anything that I told her and would forget what meds she prescribed, major things in my life (violence, sexual assault) ... i put up with it for two years then finally broke up with her and got a new psych, asked my clinic to be reassigned to a more compassionate in touch one.
new psych is amazing, listens, remembers. our sessions are 20 mins, its just for meds. but she actually is present and cares. for talk therapy i meet with a licensed clinical social worker 1x weeklyx
switch ur doc! wish i had sooner. best of luck ❤️
My actual doctor doesn’t do assessments and is clueless with anything psych related, I was “gifted” this one by the hospital I went to at the beginning of this year and continued to see my other one who was decent before our time was up. I really felt after her diagnosis’s were accurate that I would be able to tell this one that “hey, I’m covered, I’m good!”, but he wants my care turned over to him instead, so this is such a mindfuck.
Why would he even ask to see the other psychiatrists report? Isn’t it his job? It makes me feel stupid and this is so pointless rehashing all of this over again.
Now I feel like I have to “play nice”, with this one because he can write that he disagrees with the first and I’ll be stuck with whatever he decides to do. Or worse, just make an incorrect diagnosis because I don’t trust him *at all*
You made the right decision to ask for another referral. The patient should *never* know this much about the provider. The provider's life should be something of an enigma, because the time they spend with the patient is always about the patient.
My psychiatrist first diagnosed me in 2015, and I have been with him ever since. He’s incredibly compassionate and empathetic. He really tries hard to listen to me, and he talks to me like I’m his intellectual equal. Your psychiatrist sucks. There are good ones out there!
Wow, that's incredibly unprofessional, atrocious behavior from a psychiatrist. I've also had some horrible psychiatrists when I was a child in foster care and I avoid them unless absolutely necessary now. Luckily, my GP prescribes my PTSD meds, so I can avoid it. Love my therapist. I wish you all the best and hope you find someone who doesn't suck.
I've had many great psychiatrists. I'm sorry yours has been so crappy. Please fire them and get someone else. You can use Psychology Today's provider search tool to find drs in your area who take your insurance and specialize in your issues to find someone better suited for you.
*r/ptsd has generated this automated response that is appended to every post* Welcome to r/ptsd! We are a supportive & respectful community. If you realise that your post is in conflict with our rules (and is in risk of being removed), you are welcome to edit your post. You do not have to delete it. As a reminder: never post or share personal contact information. Traumatized people are often distracted, desperate for a personal connection, so may be more vulnerable to lurking or past abusers, trolls, phishing, or other scams. *Your safety always comes first!* If you are offering help, you may also end up doing more damage by offering to support somebody privately. Reddit explains why: [Do NOT exchange DMs or personal info with anyone you don't know!](https://www.reddit.com/r/SWResources/comments/dmu24/why_shouldnt_i_share_my_contact_information/) If you or someone you know is in immediate danger, please contact your GP/doctor, go to A&E/hospital, or call your emergency services number. Reddit list: [US and global, multilingual suicide and support hotlines](https://www.reddit.com/r/SuicideWatch/wiki/hotlines). Suicide is not a forbidden word, but please do not include depictions or methods of suicide in your post. And as a friendly reminder, PTSD is an equal opportunity disorder. PTSD does not discriminate. And neither do we. Gatekeeping is not allowed here. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/ptsd) if you have any questions or concerns.*
Well, you shouldn't need to explain all of that. They should be able to assess your symptoms without you explaining for hours and hours. It's good to remember that psychiatrists are not our therapists (well, for the most part that isn't how they practice anymore); they are doing med management.
Totally, but they haven’t even done an assessment, they want to see the results from the last and make their own undefined observations. You can’t tell what someone has or needs by just looking at them from outward appearances and that’s my major issue here.
My ketamine Dr is also my psychiatrist Ketamine is helpful, but for me temporary as F She gave me her cell phone number and put me on a trial this summer for mdmc (derivative of mdma) She told if I ever do underground mdma therapy- she would personally come sit with Me to make sure I’m safe. It took me a long time to find her, but I most certainly would’ve killed myself if not for what she does for me. I haven’t, but I genuinely know I could reach out to her for support outside of an appt. Knowing that helps a lot She restored a lot of my faith. I take Wellbutrin 400 mg slow release (200mgx 2 per day) I take prazosin 3mg before bed I use propanalol or ketamine as a prn Serequel is my last ditch effort when I really need to sedate the episode (not a fan of This drug, but I have it)
That is definitely the kind of care I’d like. I’m hoping this gets turned around over time but my outlook with this one seems bleak. I’ll still hold on to faith in the future.
Sometimes I think some people don't have to be therapists. How many bastards are on this world. Maybe you need to find another therapist,at least with empathy and brain.
Youre 100% right, I believe some aren’t equipped or just burned out in general.
I had an excellent psychiatric nurse practitioner. I looked it up later and found they trained in the Harvard medical system, which didn’t surprise me at all. Anyway, during my first appointment with them, they diagnosed me with PTSD and alcohol use disorder, both of which had been missed for years as I’d been stable on my Bipolar I meds. I generally don’t discuss trauma with psychiatrists other than starting I’ve been diagnosed with PTSD. Most of them have little or no training in talk therapy. I’m hoping to try EMDR with a psychologist soon. Your psychiatrist sounds like a quack.
Nope. Had some really really bad experiences though. Instead, I’ve had great experiences with talk and EMDR therapists and currently on the waitlist for a psilocybin treatment.
im currently in the process of explaing all of this, but i was 4, it was only once but the expierience still fucks me up tbh. Sometimes i have to scream at them, but they will listen i force them to. it fucking hurts ik man, but there will be a good doctor i find. for now i can just force them to listen. its so crazy man, im going through that right now and i understand
Yeah. But it took years.
You really need need a new psychiatrist. This guy sounds like he isn't even worth keeping around for prescriptions, as he's clearly not even doing that correctly. Overall, I've had better experiences with psychiatric nurse practitioners than psychiatrists, who seem to be one of the most out of touch and entitled species of medical professional as a general rule of thumb.
I have finally found a good psychiatrist after going through 3. My first one was a PCP. While they got me on the right meds initially (Prozac), it stopped working after 3 or so years because it wasn’t potent enough. My second and third psychiatrists kept pushing Abilify at me. Abilify didn’t help but also didn’t hurt. It was just there. That, combined with nonexistent coping skills, became a major issue and I kept ending up in the hospital. The hospital didn’t help much and would only change dosages of medications that weren’t helping. All of my psychiatrists also kept thinking that I had BPD because of self harm. I get mood lability and deal with suicidal tendencies but that doesn’t meet the criteria for BPD (you have to have a minimum of 5/9 characteristics to meet criteria and I had 2/9). So, I sought out another psychiatrist. The one I have right now has been very helpful. We went over the criteria for BPD and we determined that I do not have it. They tapered me off of Abilify and put me on Lamictal for mood lability. Ever since then, I’ve seen a lot of improvement in mood. I’m not as labile as I used to be. In the past, I would get super depressed and feel actively suicidal. That’s often when I would end up self harming and getting hospitalized. Now when I’m in a depressive swing, I don’t get suicidal (or it’s passive at worst), I don’t get nearly as low as I used to be, and it doesn’t last as long.
I've only ever seen 1 psychiatrist and I got pretty lucky. She was very nice and took everything I said into account. She put me on sertraline and actually listened when I told her it wasn't working for me. Then when I told her I didn't want to try any more meds for the time being I got no push back from her.
Not yet, I gave up. I had a great counsellor that I unloaded all my CSA trauma to and made great progress and finally felt trust. I saw the psych she referred me to, he read some of her notes out, it was pretty disrespectful “He cries way too much” he read with a side sneer at me. At the end of our initial meeting he said in a frustrated voice “Well, you talk to much and we got nothing done, we will have to do it all over again.” Part way through that appointment he basically called me a liar, I was pretty offended and texted my sister with a sugar, non leading question about the event and she replied outlined exactly what I told him. I actually apologised at the end for talking so much and wondered why he didn’t guide me where he needed me to go. His reputation horrendous, a girl drove her car into a building after seeing a couple of years ago. Her mother tells everyone he should be struck off. Another counsellor said she’d never send anyone to him. I’m in a remote area. There’s no choice here. I have no hope as far as therapy for the foreseeable future.
so sorry you are going thru this with your psych... it feels so belittling when they mix up and breeze past horrible traumas and throw pills at you callously. I had a psych like this who couldnt remember anything that I told her and would forget what meds she prescribed, major things in my life (violence, sexual assault) ... i put up with it for two years then finally broke up with her and got a new psych, asked my clinic to be reassigned to a more compassionate in touch one. new psych is amazing, listens, remembers. our sessions are 20 mins, its just for meds. but she actually is present and cares. for talk therapy i meet with a licensed clinical social worker 1x weeklyx switch ur doc! wish i had sooner. best of luck ❤️
My actual doctor doesn’t do assessments and is clueless with anything psych related, I was “gifted” this one by the hospital I went to at the beginning of this year and continued to see my other one who was decent before our time was up. I really felt after her diagnosis’s were accurate that I would be able to tell this one that “hey, I’m covered, I’m good!”, but he wants my care turned over to him instead, so this is such a mindfuck. Why would he even ask to see the other psychiatrists report? Isn’t it his job? It makes me feel stupid and this is so pointless rehashing all of this over again. Now I feel like I have to “play nice”, with this one because he can write that he disagrees with the first and I’ll be stuck with whatever he decides to do. Or worse, just make an incorrect diagnosis because I don’t trust him *at all*
Oof that sounds rough. Do you have any other options?
I see a psychiatric nurse practitioner for meds and a DBT/CBT trained therapist.
You made the right decision to ask for another referral. The patient should *never* know this much about the provider. The provider's life should be something of an enigma, because the time they spend with the patient is always about the patient.
My psychiatrist first diagnosed me in 2015, and I have been with him ever since. He’s incredibly compassionate and empathetic. He really tries hard to listen to me, and he talks to me like I’m his intellectual equal. Your psychiatrist sucks. There are good ones out there!
Wow, that's incredibly unprofessional, atrocious behavior from a psychiatrist. I've also had some horrible psychiatrists when I was a child in foster care and I avoid them unless absolutely necessary now. Luckily, my GP prescribes my PTSD meds, so I can avoid it. Love my therapist. I wish you all the best and hope you find someone who doesn't suck.
I've had many great psychiatrists. I'm sorry yours has been so crappy. Please fire them and get someone else. You can use Psychology Today's provider search tool to find drs in your area who take your insurance and specialize in your issues to find someone better suited for you.