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Doctor insights on: Psych Doctors

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Like how do psych doctors test for depression?

Like how do psych doctors test for depression?

Depression Diagnosis: Despite all the screening tools available in research, online, in fashion magazines. The psychiatric interview is the best possible way to diagnose depression although the scales are helpful to evaluation and monitoring response to treatment. Its helpful but not the way to diagnose some one with depression. ...Read more

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What's wrong with me? Is my depression serious? I know this is a public forum, but I am desperate. I used to see a psychiatrist, but he prescribed 11 medications for me, and I got "toxic brain syndrome". I am terrified to see a psych doctor. But...I am so

What's wrong with me? Is my depression serious? I know this is a public forum, but I am desperate. I used to see a psychiatrist, but he prescribed 11 medications for me, and I got "toxic brain syndrome". I am terrified to see a psych doctor. But...I am so

Hello.: Hello. Yes, your depression is serious. You are also lonely. You are clearly apprehensive about seeing a psychiatrist. How about just starting gently. You could go to a group like alanon that would provide support. As you feel able, you can start to branch out from there. As you begin to feel part of a whole, you may feel less like you don't belong. There is help. Start with baby steps. Hopefully, at some point you will consider at least simple psychotropic medications. If you ever do feel suicidal, please get help right away. ...Read more

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I really want to be a doctor (psych) but I worried about my grades, did you have straght as during school?

I really want to be a doctor (psych) but I worried about my grades, did you have straght as during school?

Not necessarily: Straight "a's" are not necessarily needed, but a true desire to assist others and curiosity & energy enough to want to study and learn, are. If you're only 18 you are either starting college or thinking about it -- and you can commit to working hard towards your goal. Get support and mentoring from trusted others, who are academically grounded and who listen well to you. Good luck to you. ...Read more

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Help I need to c a doctor for ADHD / anxiety to figure out which one I have I may have been diagnosed wrong but have a strict med card doctor or psych?

Help I need to c a doctor for ADHD / anxiety to figure out which one I have I may have been diagnosed wrong but have a strict med card doctor or psych?

Psych consult: You can meet with a psychologist to determine your diagnosis. ADHD and anxiety can co-occur. Check out this article http://psychcentral. Com/lib/when-adhd-and-anxiety-occur-together/ ...Read more

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Feel fam doc of 6yrs is not diagnosing rite way jus coverin problems & pos. Over medicating for my age do I need consent 2 see neuro psych or for pain?

Feel fam doc of 6yrs is not diagnosing rite way jus coverin problems & pos. Over medicating for my age do I need consent 2 see neuro psych or for pain?

Referral vs 2nd opin: Depending upon your insurance, you may need to get primary care provider to refer you to a specialist. But consider giving your doc a chance. When making your next appt, ask for 1st in AM or 1st after lunch. Then ask to block out extra time if possible. That way s/he can focus on you. Or your doc might prefer to make you last of AM/PM so no other patients to distract or pull away. Good luck! ...Read more

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I'm with a pain mgmt doc. I was referred 3 mos ago. Jumped thru hoops. Had to see pain psych. No help or communication. Is this normal?

I'm with a pain mgmt doc. I was referred 3 mos ago. Jumped thru hoops. Had to see pain psych. No help or communication. Is this normal?

Real Pain: Pain is very individual. It can be difficult to describe how you are feeling especially if you are suffering during the office visit. I'm really sorry to hear how it's going. Keep a "pain diary" and show it to the doc including the times the pain wakes you from sleep & prevents you from doing things. The notes will help your doctor understand how much this is affecting your life. TC ...Read more

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How often should psych meds be assessed? Am really struggling and wondering if I should ask my new doc for an assessment. It's been over 3 yrs.

How often should psych meds be assessed? Am really struggling and wondering if I should ask my new doc for an assessment. It's been over 3 yrs.

More often than 3 yr: My goodness, even pts of mine who are considered "stable" and not requiring any med changes are seen at least once a year, and those on controlled substances (i.e. clonazepam) are seen every 6 months. You are long overdue what one of my pts refers to as her "10, 000 mile check-up"! If "really struggling" is going on now, then you owe it to yourself to ask for a med check or a reevaluation. ...Read more

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No offense to any APN. But just found out my psych doc is not a psych but an APN. I am pretty sick, can an APN be as qualified as a psychiatrist?

No offense to any APN. But just found out my psych doc is not a psych but an APN. I am pretty sick, can an APN be as qualified as a psychiatrist?

Becoming more common: It's a trend. You'll see Nurse Practitioners & Physician Assistants (PAs) in all the medical fields now. APNs are RNs (registered nurses) that went on to get a master's or doctorate degree in nursing. They are not trained as long as a MD. So I have some misgivings as well. They tend to practice more by algorithms (cookie cutter). But I also know some NPs and PAs that are better than doctors. ...Read more

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My doc in denver b4 I moved. Told me "good luck on loosing wt with the cocktail of psych meds ur on" was she right? Is it a hopeless cause to exercise

My doc in denver b4 I moved. Told me "good luck on loosing wt with the cocktail of psych meds ur on" was she right? Is it a hopeless cause to exercise

No! Not at all!: Many psych meds do increase risk of weight gain but none make everyone gain weight. The only one you mention, Lamictal, does not seem to cause weight gain & may induce weight loss!
Exercise not only helps with weight but improves overall health & helps anxiety and depression.
A healthy diet is crucial for weight loss- I like Dr. Fuhrman's- see http://bit. Ly/1dHW9hT ...Read more

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My psych gets testy when I suggest medication possibilities outside of his regimen for my sad, etc? Doctor egotism or justifiable? Should I switch doc

My psych gets testy when I suggest medication possibilities outside of his regimen for my sad, etc? Doctor egotism or justifiable? Should I switch doc

It depends: It depends on what kind of medications you are suggesting for yourself, and I don't know what those are. Generally there can be a discussion of the benefits you are or aren't experiencing, along with some options to improve your results as needed. If you're asking for habituating or intoxicating substances, this might make any doctor "testy" -- mental clarity is a worthy thing to protect. ...Read more

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I am a psych patient and I've started abusing animals. Does privilege apply or does my doctor have to report me? I want help but not police trouble.

I am a psych patient and I've started abusing animals. Does privilege apply or does my doctor have to report me? I want help but not police trouble.

Animal Violence: Animal abuse is almost always a red flag.
The national link coalition is a us organisation working to stop violence against people and animals, and highlighting the link between them. ...Read more

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Doc started me on Celexa (citalopram) 2 days ago for anxiety/panic. Symptoms have been worse- psych appt in 5 days. Do I stop the Celexa (citalopram), or is this normal?

Doc started me on Celexa (citalopram) 2 days ago for anxiety/panic. Symptoms have been worse- psych appt in 5 days. Do I stop the Celexa (citalopram), or is this normal?

SSRI's can initially: Lead to increased anxiety symptoms. For most, this will resolve. Please let your prescribing physician know about your symptoms to obtain his/her guidance. Take care. ...Read more

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If I tell a doctor I have thoughts of suicide, will they force me to go to a psych hospital?

If I tell a doctor I have thoughts of suicide, will they force me to go to a psych hospital?

Not necessarily: It all depends on your history (prior attempts), the severity of your depression, and whether or not you have a plan and/or the means to carry out these thoughts. Other factors, such as hallucinations, substance abuse, and family history would be considered. This is a very difficult call, and simply reporting suicidal thoughts does not always require hospitalization. ...Read more

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I had a major depressive episode during my relapse and was thinking destructive things. Should I tell my doctor? Will she admit me in the psych ward?

I had a major depressive episode during my relapse and was thinking destructive things. Should I tell my doctor? Will she admit me in the psych ward?

Tell your Doctor: I appreciate your apprehension, but if you trust your doctor to make the best decision in your behalf, you need to be able to also trust your doctor with information you stated. I have had this situation come up many times, and I have often decided that if a patient tells me things of a potentially dangerous nature-that means the patient just needs help and we can then best work thru it together. ...Read more

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I was referring to a answer another doctor made about psych wards and suicidal thoughts. Is there a way to have a conversation on this with a doctor?

I was referring to a answer another doctor made about psych wards and suicidal thoughts. Is there a way to have a conversation on this with a doctor?

1-800-273-8255: From national suicide prevention lifeline: "no matter what problems you are dealing with, we want to help you find a reason to keep living. By calling 1-800-273-talk (8255) you’ll be connected to a skilled, trained counselor at a crisis center in your area, anytime 24/7." url: www. Suicidepreventionlifeline. Org. ...Read more

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Why would my psych doc prescribe klonopin and ambien (zolpidem) together for chronic insomnia? Doesn't that make tolerance go up faster for meds?

Why would my psych doc prescribe klonopin and ambien (zolpidem) together for chronic insomnia? Doesn't that make tolerance go up faster for meds?

Chronic Insomnia: I understand your concern.
Both Klonopin and Ambien (zolpidem) can be habit forming, and you can develop tolerance.
Using Klonopin with Ambien (zolpidem) may increase dizziness and difficulty concentrating. Some people may experience impairment in thinking and judgment
Discuss with Psychiatrist Diagnosis of Chronic insomnia, Medication benefits and side effects ; Therapy for stress for stress in your life, Relaxation. ...Read more

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Sane/stable/happy on bipolar meds. Mentally great, but doc suspects physical symptoms psychosomatic. How 2 address mental-physical stuff like pain, rectal blood, fevers? Not eager to change psych meds

Sane/stable/happy on bipolar meds. Mentally great, but doc suspects physical symptoms psychosomatic. How 2 address mental-physical stuff like pain, rectal blood, fevers? Not eager to change psych meds

Talk Therapy: First, congratulations on getting the right meds and sticking to them! It always makes me happy to hear about people with bipolar doing well. You don't mention that you are in therapy. Talk to your psychiatrist. If your symptoms are psychosomatic they can usually be treated with talk therapy. Best wishes and good luck. ...Read more

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Confused & scared, saw a psych and prescribed quetiapine & fluoxetine, never taken before won't see doctor for 3 weeks but feeling suicidal at appt?

Confused & scared, saw a psych and prescribed quetiapine & fluoxetine, never taken before won't see doctor for 3 weeks but feeling suicidal at appt?

Suicidal now? ...: If you are feeling suicidal now, please go to the nearest emergency room so that you can get help immediately! You cannot wait 3 weeks for your appointment if you are feeling suicidal. Have you started taking those meds yet? Sometimes, you can have suicidal thoughts when you begin treatment. Bottom line is seek help right now if you are feeling suicidal. Let me know if I can help you further ...Read more

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I am terrified of hospitals, is there a way to talk to a doctor about my suicidal ideation &be certain they won't force me into hospital or psych ward?

No guarantee: I don't know of a way that can be guaranteed. I treat many patients who are suicidal but who don't require hospitalization. The issue is that if I treat or evaluate someone at high risk for suicide that I am ethically, legally and medically required to safe guard that person. ...Read more

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I am fatigued from the slightest activity, irregular menstruation, atypical psych. Behavior, inability to stay warm. Doc says Hashimotos, is there med?

I am fatigued from the slightest activity, irregular menstruation, atypical psych. Behavior, inability to stay warm. Doc says Hashimotos, is there med?

If the Hashimoto's: Has damaged your thyroid sufficiently to lower your levels of thyroid hormone, you need BRAND NAME T4 replacement to return the levels to normal. ...Read more

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My doc has given me celexa 20mg, whereas psych gave Prozac (fluoxetine) 20 mg but said I could take any 1. Have dep/anxiety/ panic/ heart palp. Need help decide?

My doc has given me celexa 20mg, whereas psych gave Prozac (fluoxetine) 20 mg but said I could take any 1. Have dep/anxiety/ panic/ heart palp. Need help decide?

Talk w/psychiatrist: Both Celexa and Prozac (fluoxetine) are ssri antidepressants and can help depression, anxiety, and panic problems. They are a bit different in terms of half-life and specific fda approval for ocd, etc. Prozac (fluoxetine) may be a little more activating than Celexa in some people. Remember that the psychiatrist has additional specialty training in these disorders. You'll also likely need psychotherapy for best outcome. ...Read more

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Seek pain doc or psych doc w/Ketamine Inf Treat 4 MDD in Atlanta GA. I'm 52 M chronic pain patient Dx w/MDD, GAD, PTSD. Medicare. Want to Save My Life?

Seek pain doc or psych doc w/Ketamine Inf Treat 4 MDD in Atlanta GA. I'm 52 M chronic pain patient Dx w/MDD, GAD, PTSD. Medicare. Want to Save My Life?

Hang in there: Treatment with ketamine in MDD is a very new theoretical approach that has only just begun being tested (ie, not FDA app.). For now, my best advice would be to find a psychiatrist who you can really partner with to find optimal Rx treatment & concomitantly offers psychotherapy - as it offers you the best chance 4 success. Have you tried tapentadol? Might be something to think about. Good luck! ...Read more

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My son, who is 8 years old, has Bipolar ODD and ADHD. I'm finding it impossible to find a doctor willing to take him on because of the multiple diagnoses which he received after being committed to a children's hospital psych ward. Can you make any reco

There R doc who will: There are many doctors that manage these complex children. Usually they are subspecialists in pediatric psychiatry or developmental pediatrics. They usually work within a team approach with counselors, therapists and tutors to cover all areas of disability. Check with your nearest children's hospital. ...Read more

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Is it true (in anyones opinion) that patients are using on line psychs doctors because 15 minute appointments is not sufficient with an in person appt?

Short appointments: I am old schools and I believe the doctor should spend time with the patient. But - get used to shorter and shorter times as obama and his obamacare strangulates doctors with low reimbursements, high overheads and regulations that would make the ss and gestapo look mild. ...Read more

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13 yr old boy my 13 yrd old son has been having headache issues along with eye rolling, and ocassional clearing his throat noise. Has been to doctor, nuero, psych, recently diagnosed with mood disorder and low vitamin d.The headaches and eye rolling has me

13 yr old boy my 13 yrd old son has been having headache issues along with eye rolling, and ocassional clearing his throat noise. Has been to doctor, nuero, psych, recently diagnosed with mood disorder and low vitamin d.The headaches and eye rolling has me

Other: Other diagnoses include a chronic motor tic disorder and tourette's syndrome. If the eye rolling can be suppressed that would be a sign of a motor tic and if it can't be suppressed or involves loss of consciousness I would be concerned about a seizure. But most likely, a chronic motor tic disorder and possibly tourette's syndrome. The constellation of throat clearing, noises, and eye rolling would make me concerned about tourette's. ...Read more

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Beeing soul searching with therapists and doctors and psychs. What is main difference from aspies to highly sensitive person? Overwhelmed or decoding?

Beeing soul searching with therapists and doctors and psychs. What is main difference from aspies to highly sensitive person? Overwhelmed or decoding?

Aspergers.: Aspergers is awesome! The dsm5 failed. If you want to know a lot more. Watch my dr g aspie show at http://www. Southeastpsychstudios. Com. ...Read more