View Full Version : psychiatrist is dragging out any treatment for add


Idiota
04-06-13, 11:30 AM
I started seeing him in December and am currently on lamictal and trileptal. the last time I saw him he said he'd look into a non-stimulant medication because ihe had ruled out any stimulant medication and he was already dragging his feet even on non-stim. I went yesterday after waiting for six weeks and he decided to just up the trileptal dosage and not prescribe any ADHD medication because of the risk. I'm kind of wits end here. It'll be another four weeks until I see him again. I can hold out perhaps for that time period, but it's already a bad thing since straterra takes 6-8 weeks to be effective and it's been delayed for four. I'm in a seriously dire situation if he pulls the same stunt next time.

It ruined my college career so I only have a useless degree with no accolades. I can't really get a job in my current state or hold it down. I'm trying to learn a skill on my own but it's really not going well despite the massive amounts of time I spend on it. I'm on a deferment for my student loans and I was hoping to have some progress so I could hold down a part time job by the time I run out and still be able to continue my studies in coding because I'd just be mentally exhausted from dealing with the work and people otherwise. I really cannot handle being so useless, which I have been really for my entire life.

I'm not sure what to do. When he saw me making face contortions in response to his decision, he said it's not hard to switch psychiatrists within Kaiser. the problem is my file is there and any Kaiser psychiatrist would take his suggestions seriously and it seemed like he just didn't want to deal with a ****** off patient. I can't really afford private psychiatry that doesn't take Kaiser because I only have health insurance due to my mother.

ginniebean
04-06-13, 12:24 PM
Your doctor has as good as told you he won't ever prescribe adhd meds to you. Find out if any of the docs thereknow anything about adhd, if not then maybe you need to find a way to afford a private specialist.

Idiota
04-06-13, 01:01 PM
Your doctor has as good as told you he won't ever prescribe adhd meds to you. Find out if any of the docs thereknow anything about adhd, if not then maybe you need to find a way to afford a private specialist.

this is my real fear. that's probably my game plan. i could scrounge the money for a single visit, but i'm not in any position to continue.

have you had similar experiences?

ginniebean
04-06-13, 06:31 PM
I just outright ask, are you willing to treat adhd,many say no, so I won't go for them again. I'm in Canada tho so I don't have to pay for a doc who is ignorant of adhd.

saturday
04-06-13, 06:55 PM
Idiota, how serious is your Bipolar?

Idiota
04-07-13, 01:07 AM
Idiota, how serious is your Bipolar?

I had a manic episode as a result of taking Celexa and not tapering it off well. I couldn't tell at the time. After that ending, I came down into a depressive phase. I eventually started cycling out of it and went to the psychiatrist and that's why I have lamictal. The trileptal was added because he said I'd have to be on another mood stabilizer before he'd consider a non-stimulant medicationof . In total, I've only had one manic episode and 2 severe depressive phases. He upped my trileptal dosage to 600 mg while keeping me at 100 mg for lamictal.

The whole thing is starting to get me incredibly frustrated with the medical situation. Regardless of emotional state, I've always felt dumb and easily mentally fatigued and I really need my ADD PI treated.

keliza
04-07-13, 11:09 PM
I do not want to be a bearer of bad news, but the fact that you were triggered into a manic episode by Celexa means that it's going to be extraordinarily difficult for you to find any reputable psychiatrist who will put you on stimulants, or even a non-stimulant like Strattera, until you've been stable on your mood stabilizers for quite a while. Stims are major triggers for manic episodes, and having been flipped into mania by an antidepressant once is a big red flag for something like Strattera.

I have bipolar disorder and ADHD, and I had to be stable on my mood stabilizer for over a year before my psychiatrist would even consider a very low-dose stimulant. I took it for a little while and was okay, but the very instant I started to experience added stress in my life, I flipped to manic. It seems like my mood was just barely hanging onto normal... once my brain was under the added stress, everything went to hell in a handbasket and the mood stabilizer itself wasn't enough to keep me even. I haven't taken a stimulant since.

Have you considered that increasing the Trileptal might be making you feel more foggy and mentally fatigued? I found that the higher my Trileptal dose, the foggier and more "stupid" I felt. I had a hard time finding words, terrible short-term memory loss, it was like all of my ADHD scatter-brained issues were amplified by ten. Now I am on the lowest possible dose that works to keep a ceiling on my mood episodes without making me feel like I constantly have hangover brain.

Idiota
04-08-13, 01:22 AM
I do not want to be a bearer of bad news, but the fact that you were triggered into a manic episode by Celexa means that it's going to be extraordinarily difficult for you to find any reputable psychiatrist who will put you on stimulants, or even a non-stimulant like Strattera, until you've been stable on your mood stabilizers for quite a while. Stims are major triggers for manic episodes, and having been flipped into mania by an antidepressant once is a big red flag for something like Strattera.

I have bipolar disorder and ADHD, and I had to be stable on my mood stabilizer for over a year before my psychiatrist would even consider a very low-dose stimulant. I took it for a little while and was okay, but the very instant I started to experience added stress in my life, I flipped to manic. It seems like my mood was just barely hanging onto normal... once my brain was under the added stress, everything went to hell in a handbasket and the mood stabilizer itself wasn't enough to keep me even. I haven't taken a stimulant since.

Have you considered that increasing the Trileptal might be making you feel more foggy and mentally fatigued? I found that the higher my Trileptal dose, the foggier and more "stupid" I felt. I had a hard time finding words, terrible short-term memory loss, it was like all of my ADHD scatter-brained issues were amplified by ten. Now I am on the lowest possible dose that works to keep a ceiling on my mood episodes without making me feel like I constantly have hangover brain.

It was withdrawal from celexa that wasn't done right rather than the celexa itself. I hadn't experienced any manic symptoms until I went off it.


See, the thing is I was given the trileptal in addition to my lamictal as a precondition to getting any ADHD medication. I'm naturally foggy and I'm not really able to do much regardless, so I accepted that as a required step to have a chance to get the ADHD medication to make things happen. I do feel groggy when I first got on it and recently when I got upped to 600 mg. I think that will subside within a week or so because that's how it worked on when I first got on it.

The issue happens to be that I'm not really a functional individual by default due to my lack of concentration and mental fatigue even in a euthymic state, so going off the tripleptal would just take me back to the default state or keep me where I am now, meaning no benefit.

I'm under constant stress because my current lifestyle of being unemployed and not making any progress with my projects/goals in life is getting to me. I'm just **** of luck if this cannot be treated. Finito. Done. No amount of trying has ever been good enough. I can't just ******* bootstrap myself into making things happen.

See, the thing is, I have no time to waste but it's happening regardless because of this. My financial and other problems are only going to get worse with time.

sarahsweets
04-08-13, 06:30 AM
if your doctor told you that its not that hard to switch doctors under kaiser than that makes me think either a- he doesnt really care to treat you anymore, b- he doesnt want to treat you anymore or c- someone else may do better treating you. No doctor i have ever seen has told me how easy it would be to find a new one.

Idiota
04-08-13, 07:59 AM
if your doctor told you that its not that hard to switch doctors under kaiser than that makes me think either a- he doesnt really care to treat you anymore, b- he doesnt want to treat you anymore or c- someone else may do better treating you. No doctor i have ever seen has told me how easy it would be to find a new one.

I was kind of making it very clear how angry I was through my expressions. It was kind of overwhelming after waiting six weeks for a non-stim which will take a long time to work regardless. I think he basically doesn't want to deal with someone who actually gets upset during sessions, since it's not therapy. Under Kaiser's system, I've observed that psychiatrists tend be as hands off emotionally as possible.

Actually, that was the case at my Uni psychiatrist too.

He(current psych) said it was because I didn't like the plan and he also suggested getting a second opinion alternatively rather than switching. He felt like trying ADHD medication stim or non-stim was too much of a risk basically if I wasn't at 600 mg for a longer time period. He offered the next appointment in 4 weeks rather than six so I don't think he was really pushing it. He was basically saying if I was that upset with his plan of doing this extremely slowly and he went through all thhe risks and outcomes it could bring. To be frank, I didn't care that much since being functionally useless is already terrible and having a chance to get out of it was worth the risk.

I have a skype interview for a programming bootcamp in San Francisco that lasts 12 weeks on the 15th and I'm probably going to have to cancel it because I'm not going to be in any shape to be at full concentration 9am - 6pm. They expect around 70-80 hours a week being devoted to it as well.

I'd be lucky to have a productive hour or two with my default state. You can scrape by in high school and college since you can spread your schedule out and you don't have obligations except go to class/homework, but that doesn't cut it in the real world. It was the only one that offers financial aid which I'd sorely need and most cost 10-12k.