View Full Version : Which physician are you seeing for your child's medication?


Khamy25
12-22-15, 09:52 AM
Hi everyone!

I wondered which physician are you seeing for your child's medication management and prescription?

Is a child psychiatrist always the best choice?

I feel many parents consult their paediatrician for medication but are they well trained to deal with adhd?

I'll see her in few days for my child physical examination I'll ask her.

sarahsweets
12-22-15, 11:38 AM
We have been seeing the same psychiatrist for my family for 16 years. She is trained for it, and has built a relationship with the kids and has grown to know them well. A peds doctor might be used to dealing with the occasional illness and growth milestones. I recommend a doctor trained in mental health.

Khamy25
12-22-15, 05:16 PM
Hi

Ok because I heard many parents consult a paediatrician to get medication.

dvdnvwls
12-22-15, 05:46 PM
The most important thing is having a doctor who really understands ADHD, has made the effort to educate themselves about it, and deals kindly and effectively with your concerns. It doesn't matter that much what category the doctor belongs to. Some paediatricians are excellent for ADHD because they have put in the time and effort. Others are no help. BUT the same is true of psychiatrists. It would be great to have the person who the other doctors consider to be the local ADHD expert.

Khamy25
12-22-15, 07:36 PM
You're right the first psychiatrist we saw was awful.

ccom5100
12-22-15, 09:02 PM
Pediatrician. I think most of them see a great deal of adhd patients, and are pretty knowledgeable about the condition. I guess if the medication he prescribed wasn't working, I might seek out a specialist, but we are very happy with his treatment.

Khamy25
12-22-15, 10:19 PM
Hi,

I think most of them see a great deal of adhd patients, and are pretty knowledgeable about the condition

Yes I think also.

ToneTone
12-23-15, 08:15 PM
For adults I strongly recommend seeing a psychiatrist. They know the medications and the various conditions of mental health better than general practitioners.

But I think DVD is right, that the biggest factor is how comfortable you and your child are with the pediatrician and also, in my view, how comfortable that pediatrician seems to be with working with a kid with ADHD. A distant or grouchy psychiatrist (and there seem to be a number of them) can be quite off-putting to kids (and to adults too!) ... so if your child has a good rapport with the pediatrician, go for it.

You can sense if the doctor is comfortable treating the condition by whether or not they keep mentioning the possibility of going to a specialist ... or just in their body language. You want a doctor whose body language doesn't yell out, "I hate treating this."

This may be relevant later: A large percentage of people with ADHD also suffer from another condition, such as depression or anxiety ... It's called "comorbidity" in medical terms, the tendency for two conditions to run together. And so for getting treated for those comorbid conditions (depression and anxiety) it often makes sense to find a good psychiatrist. I'm not sure how common this comorbidity is among children, but it is a huge issue for adults.

I generally think psychiatrists are a much safer option for treating multiple conditions. My psychiatrist treats me for depression and for ADHD. But again, there are some grouchy ones out there.

Tone

Khamy25
12-24-15, 08:35 AM
Hi,

This may be relevant later: A large percentage of people with ADHD also suffer from another condition, such as depression or anxiety ... It's called "comorbidity" in medical terms, the tendency for two conditions to run together. And so for getting treated for those comorbid conditions (depression and anxiety) it often makes sense to find a good psychiatrist. I'm not sure how common this comorbidity is among children, but it is a huge issue for adults.

I generally think psychiatrists are a much safer option for treating multiple conditions. My psychiatrist treats me for depression and for ADHD. But again, there are some grouchy ones out there.

My child has also anxiety and mood disorder. You might be right in our case a psychiatrist might be a best option but it's not easy to find a good one who takes insurance.

I'll see with the time if the psychiatrist we found is good or not. We saw him once it's hard to tell but he's much better than the first one we saw.

Abi
12-24-15, 08:39 AM
I strongly vote psychiatrist.

Best of luck.

Khamy25
12-24-15, 08:49 AM
Thanks!!!!

ToneTone
12-24-15, 12:22 PM
I used to have a psychiatrist who was outside of my insurance network. He was excellent, but he moved.

And I realized I needed to go to a psychiatrist who took insurance as my job had cut back on allowing extra work that I had been doing to increase my income.

It was so hard finding a psychiatrist who took insurance. My family doctor was willing to give me prescriptions while I struggled to find one. I went through my insurance company's website and made call after call ....A lot of the people listed as taking insurance apparently do that for hospital associated work ... and not for individual patients ... Several offices said they were full and were not taking new patients.

Finally I got a callback from a psychiatrist who had operated locally and had since moved to away ... But his former patients had such trouble finding someone else who took insurance that he started sessions via online two-way video ... Turns out the law in this state is that he hold video sessions as long as I go to an office ... His former secretary meets me at his former office and then I go into a separate room with an open laptop ...

Oh, and get this: he does the video sessions on weekends, when he's not at his new job. Crazy as it sounds, weekends are perfect for my schedule. It's amazing: I feel quite comfortable talking to him via video ... and when I run into his other patients, they seem happy as well ... I love my new guy ...

Here's another option for insurance: psychiatric nurse practitioners. I have a lot of respect for nurse practitioners, and I was able to find a couple who took insurance and were willing to meet ... The psychiatric nurse practitioners seem to give a good amount of time in their sessions, from what I can tell. I was about to set up an appointment with a nurse practitioner when Mr. Video Psychiatrist's secretary called.

Good luck.

Tone

Khamy25
12-24-15, 06:03 PM
Video consultation is a good option he seems to care about his patients. I'm glad to here that.

I'll think about psychiatric nurse practionners if needed.

Thanks!!!