Doctors defo avin a laugh

[flip0415]

Went to see my doctor today told him my Anxiety had came back after being free of Anxiety an meds for a year, he asked my symptoms, vision is funny, heart pulse racing, feelin dizzy, constant butterflies in stomach. And being on edge all the time, he took my blood pressure twice, and listen to my heart, told him have my anti-drepressant ave taken over the last ten years since I was told I had an Anxiety disorder. He is not puttin me on anti-dresspants just back beater blocker 80mg when my notes took both and he was reading my history. I told him I wanted to see a behavour therapist, cause they help me last time. He said were not at that stage yet. I look at him an asked why what stage r we at ave had it for ten years and its came back cause am under a lot of stress. So why has it come back, he said am wanna the unlucky 20% it returns to, come back an see him in 2-3 weeks if things haven't  improved. So before left I made another appointment to see another doctor friday. Was like he didn't give a crap, an wasn't bothered. Met doctors like this before they shouldn't do the job if the can't be bothered with people

[Paxiled]

And I should add, if you do want therapy, a psychiatrist might be very good at it if you find one who does therapy, but they charge a fair amount more than a psychologist with less training in psychology.  But healing is also an art form, so one might find the best therapist in an area is a psychiatrist, but then you have to pay a lot more for it.

[nursegirl6572]

A psychiatrist can and does offer more than just medications.  Meds or no meds, I feel the most important thing a psych can do is a thorough assessment, to offer an accurate diagnosis, and a referral to the appropriate therapist.  Respectfully, to recommend avoiding the p-doc is encouraging skipping an important step in the process.

While a PCP can diagnose and recommend a therapist, a p-doc generally pays closer attention to the official parameters set up to diagnose a specific mental health disorder, which helps in the formulation of the best treatment plan, and of course, they are also MD's, so they should be doing a thorough physical assessment (some p-docs are more thorough than others).

A PCP may give a general diagnosis of "anxiety" whereas a p-doc will be more specific, and there CAN be differences in treatment modalities between anxiety disorders.  For insurance purposes, and the red tape stuff, an official diagnosis should come from a medical doctor, in order for services to be covered, with no issues.  A p-doc will provide the most accurate DSM diagnosis (compared to a PCP).  

Typically, if a medication route isn't chosen, there will simply be less frequent follow up appointments with the p-doc, and the therapist will be the primary caregiver.

I've been under the care of a p-doc numerous times without being on a medication.  In order for my therapy to be covered, it had to be ordered by a doctor, and overseen by a doctor.  My PCP referred me to a p-doc, especially due to my long history of anxiety.  Someone with acute, or temporary anxiety I would agree wouldn't necessarily need the p-doc.

[flip0415]

Gonna see what's the best option, do reading an research, the will have me doing an keep me busy an my mind will be on something else. Gonna do somethin abar it not fallin in the way I was last time leaving it too late. Thanks for the advise

[Paxiled]

My advice is to avoid the psychiatrist, too.  Just another doctor, though better equipped if you want medication.  But if it's behavioral therapy you want, and that's certainly a better option if it works since it's longer lasting and more curative than drugs are, which just treat symptoms and not the underlying disorder, than you need to see a psychologist who specializes in cognitive therapy.  All doctors will assume you came to them for medication since they don't do therapy, even psychiatrist by and large.

[flip0415]

Will do, and thanks

[nursegirl6572]

Good for you!  I too do not like when I hear people being dismissed.  You asked for something reasonable and he says "we're not there yet".  LOL  WE?  I bet if he WAS going through this with you, he would have insisted on something being done long before now.  Ugh!

Best to you, let us know what's going on!

[flip0415]

Thanks for the advice an pointing me in the right direction, I am gonna keep goin on at the doc's,until someone listen and know what their talkin about. Not some doctor fobbin me off, felt like a liar today, made me mad

[nursegirl6572]

My opinion, find a new doctor.  Make sure it's a psychiatrist.  You've been dealing with anxiety long enough that he should be recognizing this is a chronic issue for you.  Plus, anxiety disorders (ie chronic anxiety) doesn't usually just "go away" forever.