View Full Version : There are no in-network psychiatrists who specialize in adult ADHD on my health plan


Wish
04-10-07, 02:11 PM
Has anyone else found it impossible to find a good psychiatrist who specializes in ADHD through their health plan? I dealt with the the phantom network odyssey, described in this article, when I attempted to find an in-network psychiatrist who specialized in ADHD and was currently accepting new patients.

My BCBS plan listed 70 in-network psychiatrists in the Metro Denver area. Between the # of listed in-network psychiatrists who weren't accepting new patients and had wait lists that were at least a year long and the # of listed in-network psychiatrists who no longer had a practice, there were maybe 5 out of 70 in-network psychiatrists who were currently practicing and currently accepting new patients. None of the 5 psychiatrists whom I spoke with were particularly knowledgeable about adult ADHD.

Ultimately, I couldn't find a single in-network psychiatrist who specialized in adult ADHD and was currently accepting new patients. Thank goodness my plan reimburses me for 60 % of the cost of out of network providers or I wouldn't have been able to afford to get the psychiatric help that I needed for adult ADHD.

http://www.psychjourney.com/Phantom%20Network%20Odyssey.htm

VisualImagery
04-10-07, 02:23 PM
Holy Crapoly!

In Denver even! Yikes. HMO or PPO? I have BCBS Illinois and have no problem. I go to St. Louis, 90 miles each way. He is on my PPO list. HMO's are much harder though. I find BCBS online list of doctors to be woefully out of date. Call the Dr referral line at the big hospitals. There might be new docs coming in who are applying to get their BCBS# and not be in the system yet. Big teaching hospitals often staff them with nurses who tell you what insurance they take, are trained to find 2-3 doctors that meet your needs, tell you where the doc was educated and how long he/she has practiced.

Do you have an intenist or GP? Sometimes they know more about a doctor than the staff. I found a good internist like this from my ENT! Some people here recommend a neurologist-I have never done that but could it be an option? Perhaps they could treat you while you wait for an appointment. The only way to get into a psychiatrist fast is to be suicidal or have suicidal ideation-not the way to do it, trust me.

Is there an ADD support group there? They may know and sometimes patients can refer or ask their doctor to take a patient even if they say they don't. Especially if the person has been seeing them for years-or at worst, may recommend someone.

Best to you on the quest, let us know what happens.
ME-VI

QueensU_girl
04-10-07, 02:39 PM
Have you been diagnosed by a Psychologist as having ADHD after Neuropsychological /or/ Psychoeducational Testing? (eg have a written report)

(If not, almost no doctor is going to just hand out controlled drugs like stimulants to a new patient.)


My ADHD Doctor won't even -=see=- people, unless they have Neuro Testing Reports by a Psychologist.

Tara
04-10-07, 02:40 PM
Are there any CHADD support groups in your area? Quite often networking/word of mouth is the best way to find professionals who understand Adult ADD. http://adultadd.meetup.com is also a great resource. Even if there isn't a group you can post to their message board.

Terry Matlen of http://www.addconsults.com also offer consulting services to find professionals who treat AD/HD.

You might also trying looking through professional directories like http://www.add.org/help/index.php and http://www.adhdcoaches.org/content/acomembersearch.html to find local professionals who could recommend somebody.

QueensU_girl
04-10-07, 02:47 PM
re: Visual Imagery

Yes. ADHD subspecialty tends to be a "choice".

Psychiatry is really for the "mentally ill" AKA the people who don't know they are 'sick'.

So if you aren't Seeing Aliens (and distressed by it) or having Command Hallucinations to "Kill, kill, kill the Cops", or Walking in -40 below [with no clothes], frankly, you aren't in enough of a crisis.

------

One can have Distress (as in ADHD fallout), but it isn't necessarily 'mental illness' (when compared with, say, psychosis, where someone is dangerously impaired in their reality testing).

Self-knowledge and self-management are really KEY in ADHD management, i find.

Testing helps find weaknesses (deficits) and strengths, which helps us better manage our goals [and stop trying to do what 'doesn't work'].

-----------


Most of your own coping, healing and management will come from what you teach yourself.


Expecting a mental health professional to be of HUGE help, is akin to Dorothy in the Wizard of Oz pulling back the curtains to see that "The Wizard" is really the little man pushing the buttons and shifting the gears to put on the show. (My own ADHD doctor is likely the best psych I have ever seen, but noone can teach me all the things I need to learn about myself, for myself.)



e.g. learn about ADHD deficits, so you can use your brain OPTIMALLY

-Working Memory

-Executive Function problems

------------------

Wish
04-10-07, 02:48 PM
I have the Federal Employee BCBS Standard PPO (it's supposed to be one of the best plans in the country, which is scary given my experience).

For starters, it only covered about 70 providers (yep after checking with my insurance plan that was correct).

I saw a different psychiatrist through my plan. I had been seeing him for over a year and my condition was not improving at all. He was the only psychiatrist who was covered at the in-network rate and was willing to see me. I suppose in hindsight that should have raised a red flag in and of itself. So, I decided I needed to find someone who specialized in ADHD.

I called every name insurance gave me. Some of the people who they claimed were knowledgable in adult ADHD weren't! Yeah, I know shocker that a health insurance company would ever give you inaccurate info haha.

According to my new psychiatrist, a lot of psychiatrists in the Denver area are limiting their practices because of low reimbursement rates from insurers and other issues with insurers. So, that's part of why many psychiatrists in Denver rarely accept new patients.

I was looking for a psychiatrist who would do more than meet with me for 15 minutes for a medication check. I don't think you can meet with someone once for 45 minutes and really have a fully accurate idea of what medications are best for them. Plus, I'm of a strong opinon that in order to find the most effective medication for a person, you have to know what is going on in their lives and how their condition is affecting things like interpersonal relationships. A neurologist was useless for anything besides doing a brain scan to confirm that I do in fact have adult ADHD.

So, I went out of network because my plan will cover 60 % of the fees of out of network providers. I am SO glad I did because I met with my new psychiatrist for the first time yesterday and the difference was night and day between this psychiatrist and the old psychiatrist. After seeing this new psychiatrist, I saw a huge difference in quality between out-of-network psychiatrists and the preferred bcbs psychiatrists that I had previously seen.

Ultimately, the only options I had were to go to an emergency room and pretend I was having a psychiatric emergency (didn't really want a psychiatric commitment on my record), wait possibly a year or more to see a good psychiatrist on my plan, or accept a 60 % reimbursement rate from insurance and see an ADHD specialist who was willing to see me right away.

Considering I didn't want to be committed, a neurologist couldn't effectively help me with what I needed, and I had already spent a year seeing a psychiatrist under whom my condition worsened, the only way that I could become happy again and get the help that I needed was to go out of network to someone who had immediate openings and knew how to help me.

Wish
04-10-07, 02:51 PM
Yes, I have been diagnosed twice. I was re-tested by a licensed psychologist about a year and a half ago. The test reaffirmed my diagnosis.

Tara
04-10-07, 02:51 PM
You probably are going to need to do what most of us do. Find a psychologist/counselor to talk to and an MD (or other qualified medical professional) to prescribe the meds. It's a pain to have to see more than one person but it's pretty standard.

Wish
04-10-07, 02:57 PM
I did find a professional out of network who specializes in ADHD. Every name I got from local groups was out of network. My issue is not my inability to find someone who specializes in adult ADHD. I found a fair amount of ADHD specialists who were willing to see me once I decided to go out of network.

My issue is the fact that there are so few psychiatrists who specialize in ADHD and who are accepting new patients, that the only way I could get the help I needed without waiting a year or more was to go out of network and pay the out of network fee.

VisualImagery
04-10-07, 02:59 PM
I am confused. Why are you asking about a psychiatrist when you state you have one and are happy with him/her?

You went out of network.
You have an ADD dx.
You think the out of network doc is better
You like your new doc
You actually have a doctor
You don't like BCBS in Denver
You didn't say if it is an HMO or PPO-big difference
So I have to conclude you don't want an in-network doctor.
Why did you ask for help finding a BCBS doctor then?

I am confused, why did you post then? Seems like you spent a lot of time asking for something you don't want and already have a solution for your problem. Do you still want a BCBS doctor? I am glad to help but I spent a lot of time with my first post and then find out you have a doctor. And no thank you for the information and help.

Best of luck
Good bye.

Tara
04-10-07, 02:59 PM
There are a lof of doctors who do not advertise the fact that they "specialize in adult AD/HD" yet they do. That is why networking/word of mouth is one of the best ways to find somebody.

Wish
04-10-07, 02:59 PM
I've been through years of therapy. I've done all that I can doing psychotherapy and life coaching. Thus, if I am still having problems that no amount of psychotherapy or life coaching can help, this leads me to believe that there is some untreated biological component to this. And, the new psychiatrist who I saw yesterday strongly suspects that something biological hasn't been adequately diagnosed or treated before.

Wish
04-10-07, 03:02 PM
I would ultimately like to see insurance reimburse the out of network provider at an in network rate because under my contract there is a clause which states that if you cannot get treatment that you need in network, then we will reimburse an out of network provider at the in network rate. However, despite the fact that my condition has worsened since I've seen the old psychiatrist under bcbs, the insurance company claims that he is an in network provider who can adequately treat my condition.

Wish
04-10-07, 03:04 PM
I did refer to the fact that I found someone to treat me in my new post. "Thank goodness my plan reimburses me for 60 % of the cost of out of network providers or I wouldn't have been able to afford to get the psychiatric help that I needed for adult ADHD."

Wish
04-10-07, 03:06 PM
Well, my new psychiatrist said that he thought it was a horrible idea to only see a psychiatrist to prescribe meds. He said that's why so many people are on the wrong meds and have trouble finding the right meds. He is of the mind set that there is no way you can accurately determine what meds best suit each individual patient if you only see them once a month for 15 minutes.

Tara
04-10-07, 03:17 PM
We need more like him to speak up and change things!

justhope
04-10-07, 04:37 PM
Well I tend to agree ,to a small degree. You perhaps need both, but if you have done all that Wish is saying she has done, and still aren't getting past the symptoms, then going to a doctor for medication treatment is the next step, especially if you want to do it.

Although all my doctors that diagnosed me , treated me..were psychiatrists. The first one a neuro-psyc doc. The best kind in my book.
And how do you track what meds are best for someone? Give them the pill and see them everyday that week? When you have gone through all the "therapy" and you can't CONTROL yourself and your ADD symptoms..meds are a good option, and I don't know how else you determine how meds work except, do a baseline of blood tests make sure you are fit to take them, take them...and see you in a couple weeks or a month? Most doctors will tell you what to watch for, and if it's okay to discontinue if there is a "bad" side effect that is part of the meds, or you can make a call to the office explain it to the nurse, and she can get the doctor if it's serious?

I guess I am missing something? If meds aren't working for me, I am not going to lie about it? If they are working I am not going to lie?

Why if I don't need therapy, and my meds are workign do I need to see him more often?



Yes. ADHD subspecialty tends to be a "choice".

Psychiatry is really for the "mentally ill" AKA the people who don't know they are 'sick'.

So if you aren't Seeing Aliens (and distressed by it) or having Command Hallucinations to "Kill, kill, kill the Cops", or Walking in -40 below [with no clothes], frankly, you aren't in enough of a crisis.

------

One can have Distress (as in ADHD fallout), but it isn't necessarily 'mental illness' (when compared with, say, psychosis, where someone is dangerously impaired in their reality testing).

Self-knowledge and self-management are really KEY in ADHD management, i find.

Testing helps find weaknesses (deficits) and strengths, which helps us better manage our goals [and stop trying to do what 'doesn't work'].

QueensU...I'm sorry but I disagree totally with what you are stating here. I think phyciatrist are perfect for treating ADD...and I don't know about you, but when I went for my dianoses, my life was crap, just a much as it ws for my Bipolar. And I dno't think things work here the same as they do there?
I do find the need to reseach as you post many things that are facts for your region that simply aren't here. If you are saying you can treat most of your ADD issues by yourself...I disagree again. There are somethings that can be treated with behavior mod, coaching etc. But the most extreme issues of ADD can't be treated by yourself? That is why there are doctors who specialize in it, and meds to treat it? If I could management myself, believe me I would save the co-pays and med expense?
I frankly would hate to see any one wait to be in your type of crisis before seeking help. If I can't concentrate at work and it causes me to lose a job, and then lose my home...for example, or if I am depressed because I can never be what I know I can be no matter how hard I try...or how many therapist, self pep talks, or self help books I read...taht is a crisis.

Sorry. I have to disagree with about everything you just said here.

TygerSan
04-10-07, 05:42 PM
Just a thought: Have you tried looking at neurologists as well? I just ask because I was in basically the same situation as you, but happened to notice that there was a neurology practice that fit the bill. Not much for chatting, but very good at med management, and they work closely with psychologists as well.

Also, be very careful about going out of network. I know of someone with BCBS (in DC) who went out of network to get an ADHD diagnosis, and his claim was denied (read the fine print carefully, sometimes they can deny out of network if you can't provide what they consider a good reason for out of network care, especially without pre-authorization).

Wish
04-10-07, 06:39 PM
I have already been tested twice for ADHD. So I'm really not sure what a neurologist could do other than confirm the fact that I have ADHD. My new psychiatrist meets with me and asks tries to figure out how my current state affects things like interpersonal relationships and other things. I'm not looking for just med management and I've been through enough therapy. My last psychiatrist (who was in network at bcbs) did medication management. I truly believe that part of the reason why my condition worsened under him was because we only met for 15 minutes once a month. I just don't see how 15 minutes once a month can possibly be enough to possibly get an idea of what medications are best for someone like me (I have a dual diagnosis, ADHD and depression). So I'm not interested in just receiving medication management because I really need more than that.

I have Federal BCBS ppo. Federal BCBS is not the same thing as BCBS of DC. I don't know if you know this, but every BCBS plan is different. I have gone out of network before. I am also an attorney so you better believe I've read my policy cover to cover and I know exactly what the procedures are. They cover 60 % of my out of network costs. One woman at my work gets part of her accupuncture treatments covered from federal BCBS. So, I would be pretty irate if Federal BCBS would cover accupuncturist visits and wouldn't pay anything for out of network psychiatrists.

justhope
04-10-07, 10:05 PM
Wish,

Like VI stated, I am not really sure what you are asking for, because I am medicated and now I'm confused. You say you have gone to the therapist, that isn't working, you have been tested for ADD, so are you or not? The meds you were taking were they for ADD? or just the depression? Are you looking for someone to dx you with ADD because you know , that you know that you know you are ADD and the testing says you aren't? If you have been dx , why would you need to be again? And did it ever occur to you, that just because your doctor says it's a bad idea and doens't agree 15 mins a month is good enough,...after the initial stages, which aren't 15 minutes, he could be Wrong? Because I have been to several that do specialize in it, over the 12 1`/2 years and they all did about the same thing? I don't think they are all wrong?

BTW the first visit to the doctor of your choice won't be 15 minutes, I never said that. The first visit I had was over 2 hours. The next visit after starting meds was 45-60 minutes, which was one month later. (this has been the case everytime I was dx. ) The following visits were 30 minutes once a month, until I regulated out, then once every 90days for 30 minutes. I have been on meds that are working for me over a year, my visits are now every six months, and are at least 30mins, unless I set them up for longer, because there is an Issue?
I say each time I have been diagnosed , because I was dx with ADD in 1994, still lacking something I was dx with depression in 1996, stopped the meds, had 2 more children...and stayed off of meds for years, I made some huge mistakes and some really positive decisions too
I then, ran into some really bad issues, with sleep / depression ,not sleeping, anxiety, and yada yada and so forth...I then went back to the doctor, whic was seeing my 15 year old..who specializs in all "mental illnesses, and official DMV code "named ails" Then I was then dx with BPDII

So I don't know how you think a doctor should treat you once your meds are working? If they are working, why would you need to see him more often? It's like going to the regular doctor to just say Hi, I just wanted to come in and say Hi...I am fine , I feel fine, and life is good, but I felt the need to come here for an hour and just let you see me? I am not really trying to be sarcastic, but that is how I see it, when you say 15 minutes is not good enough..it's not 15 minutes? There are degrees to the visits, and 15 is when everything is Working????

If you have tried therapy, and you have tried meds, and already been diagnosed with ADD & depression, what ARE YOU LOOKING for? I really would like to offer some type of help, but you really have me thrown for a loop here?

Perhaps, if you have already gone that route, and done the meds for ADD and depression, you were misdiagnosed, or there is something else? Is that why you are looking for another doctor? If you think there is something else , and you don't agree with your current doctor...then why can't you go to another doctor that is the same type, just not Him? A psycologist, a psychiastrist, a neuro-psychiatrist,,,they can all diasnose you with any of the above things, and more, that is what they do? If you are wondering if you have another cormorbid besides what you listed, then find a specialist that works with ADD/BPD/ ODD, depression and everything else under the sun?

I dont' know about your insurance, I know when I researched finding my doctor....I read his "bio" he specialized in many co-morbids...ADD / BPD..and all the above and treated both kids and adults?

So to try to attempt to "help" you with your questions, can you please clarify again? ....What are you looking for, and why?

Wish
04-10-07, 11:11 PM
I have been diagnosed with both ADHD and depression. I am also a recovered anorexic. So, I've had a total of 3 psychiatric diagnosises in my life. Because of that fact, my case is more complex than just ADHD.

Yes, I have ADD. I was tested twice and both tests said I had ADHD. You're right, talk therapy ain't cutting it alone. So, yes I have ADHD.

I am taking 2 medications. One is for depression/anxiety and the other is for ADHD.

My therapist thought I might be bipolar ii instead of depressed. So, I needed someone to give me a new psychiatric evalution. The new psychiatrist who I'm seeing does not think I'm bipolar ii. He thinks that my temper, rage, inability to let go of things, and unhappiness are related to ADHD. He is the first psychiatrist to tell me that these things might be realted to ADHD. And so he thinks I might not be on the best medication for ADHD, if these symptoms are related to ADHD.

My old doctor was WRONG. When I told this new doctor about him and the way he treated me, the new doctor couldn't believe it and said thank god you found a new psychiatrist. I no longer see a therapist anymore. I know that I need more than 15 minutes. I have a real problem with people who don't know me for anything telling me that they know more about my condition than I do. If 15 minutes is enough, why did my new doctor tell me it isn't? My psychiatrist likes to do a combination of some counseling and medication with his patients. He feels like he's shortchanging patients if he only does a medication check.

My problem is that my old psychiatrist refused to change my medication despite the fact that things got so bad that I almost winded up in the emergency room for a psychiatric emergency. If anyone wants to question the fact that this guy wasn't effectively treating me, go ahead.

I know the first visit wasn't 15 minutes because I've already seen the psychiatrist. I am 26 years old and have seen a psychiatrist since I was 12. I'm well aware of the fact that the first visit isn't 15 minutes. The subsequent visits with this psychiatrist will not be 15 minutes. So, I'm sorry you think 15 minutes is all I need because my psychiatrist and I both disagree.

I was abused and anorexic. So, forgive me if I want to talk to a psychiatrist for counseling too (even if my meds work). Psychiatrists do offer counseling. Why do you have such a problem with me seeing my psychiatrist for counseling when he and I both agree that it is what's best for me? Why are you trying to tell me I can't see him for counseling?

I am looking for a new medication because both myself and my new psychiatrist agree that I have been on medications that aren't helping. I AM LOOKING FOR NEW MEDS THAT TREAT MY CONDITION MORE EFFECTIVELY FOR THE LOVE OF GOD. Why do you have such a problem with me wanting to be on a new medication? I'm not saying I need a new diagnosis. But when the medications I'm on nearly land me in an ER for a psych emergency, I think it's time to change meds instead of just sitting around and hoping I don't get that bad again.

The whole point of my post is that I finally went to a new doctor this past Monday because my condition worsened. I feel like you didn't hear one word I said before.

Am I missing something?

I was simply sharing my experience with my insurance. I'm an intelligent woman and I know what I need. I wasn't posting here because I need people to tell me what to do or anything. I'm not asking for help, opinions, or advice. I was posting to vent my frustration at the lack of psychiatrists in Denver because I think it is dangerous when a big city has a gross shortage of available psychiatrists because insurance has made it so difficult for them that many of them simply won't take insurance any more. That's it.

Imnapl
04-10-07, 11:30 PM
Wish, are you comfortable telling us which med you are taking for ADHD?

Wish
04-10-07, 11:40 PM
Adderall xr

EYEFORGOT
04-10-07, 11:43 PM
I was diagnosed with depression by a psychiatrist but my first medication sent me into a manic state. I was switched to Lamictal for bipolar which helped tremendously. I'm Bipolar II. I suspected ADD before I went to the psych about depression, but I wanted to deal with one then the other. A neurologist confirmed that I was ADD and that was enough for my psych to get me on straterra. The best side effect has actually been that it curbed my temper of all things!

One thing my psych told me that helped me a lot when I faced moving out of state and marital problems. He said that stress will make the symptoms worse even on medication. That it was important for me to do what was suggested by my cognitive therapist and remove stress in whatever areas I could.

Easier said then done, I know. After moving I became a hermit with my 3 kids and binged. Ok, not the healthiest choice. I also had to up my bipolar meds. Fortunately I had a friend online that helped me tremendously, I don't know what I would have done without him to talk to.

Wish
04-10-07, 11:47 PM
I tried straterra. It was horrible for my ADHD. I was so much less focused on it. I'm glad it worked for you, but I had an awful experience.

Wish
04-10-07, 11:49 PM
The best I can do is manage stress. I've done anger management and stress management. My psychiatrist said if you're looking to remove stress from your life, you'll be waiting til you die. But it can be managed.

Imnapl
04-10-07, 11:52 PM
Adderall xrWhat a great username. Why didn't I think of that? Have you checked out the postings in the Adderall forum? I don't take Adderall (Ritalin for more than eleven years), but I know it doesn't work for everyone.

We have a shortage of ADHD specialists, too. I was very lucky to see an experienced psychiatrist for my assessment and diagnosis, but my daughter was "assessed" in twenty minutes by a psychiatrist who told her if she had ADHD, she would have outgrown it by now (adult age). Her referral clearly stated that she was seeking an assessment for ADHD so why that psychiatrist felt comfortable charging the taxpayers of my province (government health care), when he hadn't opened a book in twenty years, still boggles our minds. The non-ADHD specialist also stated that a psychiatrist really shouldn't be diagnosing ADHD because the symptoms are behavioral and a psychologist was better qualified to assess ADHD.

I know this isn't helping you, but your post got me thinking about our experience.

justhope
04-10-07, 11:53 PM
Well yes and no, you are and aren't missing something. I was unclear and confused, which is why I asked you to claify futher...now that I hear you Loud and Clear...let me answer...and clear the air...


I have been diagnosed with both ADHD and depression. I am also a recovered anorexic. So, I've had a total of 3 psychiatric diagnosises in my life. Because of that fact, my case is more complex than just ADHD.

Yes, I have ADD. I was tested twice and both tests said I had ADHD. You're right, talk therapy ain't cutting it alone. So, yes I have ADHD.

I am taking 2 medications. One is for depression/anxiety and the other is for ADHD.

Good, so now I know. ADD/comorbids. 3 exactly, or so far.


My therapist thought I might be bipolar ii instead of depressed. So, I needed someone to give me a new psychiatric evalution. The new psychiatrist who I'm seeing does not think I'm bipolar ii. He thinks that my temper, rage, inability to let go of things, and unhappiness are related to ADHD. He is the first psychiatrist to tell me that these things might be realted to ADHD. And so he thinks I might not be on the best medication for ADHD, if these symptoms are related to ADHD.
Oh, okay...well....I had some of those things...but after a myriad of different meds....that "worked" for the ADD....I had to get rediagnosed, and get treated for the Bipolar. Now the meds work great for both. However, one doesn't work well for both, and visa versa. ADHD & BPD can be tricky....do you think you are Bipolar? Surely if you have been seeing a therapist for that long...and you sound like you have no issues saying how you really feel and I assume that means you have def tried to do whatever you can humanly do to correct the issues..then yes it's not just you...and it doesn't sound like it's just ADD either? hmmm...

My old doctor was WRONG. When I told this new doctor about him and the way he treated me, the new doctor couldn't believe it and said thank god you found a new psychiatrist. I no longer see a therapist anymore. I know that I need more than 15 minutes. I have a real problem with people who don't know me for anything telling me that they know more about my condition than I do. If 15 minutes is enough, why did my new doctor tell me it isn't? My psychiatrist likes to do a combination of some counseling and medication with his patients. He feels like he's shortchanging patients if he only does a medication check.
Ok let me back track here.....yes doctors can be wrong, and more than one of them in a row? 15 minutes only being used in the terms of medication "check up's not visits for medication checkup's and counseling? Yes then 15 minutes is not long enough. I agree. If you need both , and they don't provide both, then yep find another doctor. I was not saying it should be okay. I was saying, when everything is going well, assuming you have gone past the first 6 months..of longer visits, and not needing the counseling part too...15 minutes to check in (which I have never had, always 30 at min) could be okay? And it has been for me, my sister, my son, my brother...and so forth.


My problem is that my old psychiatrist refused to change my medication despite the fact that things got so bad that I almost winded up in the emergency room for a psychiatric emergency. If anyone wants to question the fact that this guy wasn't effectively treating me, go ahead.
So if I am hearing you, you are extremely cautious, due to the bad experiences, which I would have been too? I never questioned it. I asked several questions, because I was confused, and apparently perceived your explanations as some one who was not happy wiht your current doctor, now , before...period????


I know the first visit wasn't 15 minutes because I've already seen the psychiatrist. I am 26 years old and have seen a psychiatrist since I was 12. I'm well aware of the fact that the first visit isn't 15 minutes. The subsequent visits with this psychiatrist will not be 15 minutes. So, I'm sorry you think 15 minutes is all I need because my psychiatrist and I both disagreeOk so you are saying you knew all this about the 15 minutes but don't agree because 1. you need more time....because you still want to have the counseling sessions and the "check up" for meds. Ok ...perhaps I misunderstood what you were saying, cause I thought you said you didn't need it, weren't seeing one anymore...and please keep in mind...I am ADD too. I asked because I wanted to know, I was confused, and wanted to answer what I mistook as questions, not just venting?

I was abused and anorexic. So, forgive me if I want to talk to a psychiatrist for counseling too (even if my meds work). Psychiatrists do offer counseling. Why do you have such a problem with me seeing my psychiatrist for counseling when he and I both agree that it is what's best for me? Why are you trying to tell me I can't see him for counseling?
Sorry for your struggles. And now need to forgive something, I had no issue wiht to begin with. As stated above you said, you didn't need the counseling, therapist...not me. They do offer counseling, and I have used mine in that capacity when needed, from time to time. I am saying if you found meds, were diagnosed correctly, then why would you need to see him for longer than the time needed for a "check up" , that is what I was saying.
I would never tell anyone they don't need counseling.

I am looking for a new medication because both myself and my new psychiatrist agree that I have been on medications that aren't helping. I AM LOOKING FOR NEW MEDS THAT TREAT MY CONDITION MORE EFFECTIVELY FOR THE LOVE OF GOD. Why do you have such a problem with me wanting to be on a new medication? I'm not saying I need a new diagnosis. But when the medications I'm on nearly land me in an ER for a psych emergency, I think it's time to change meds instead of just sitting around and hoping I don't get that bad again.
Ok I hear you....but in my defense dear, I was not the only one who "misunderstood" exactly what you were looking for? I thought you said you were on meds, didn't work? Not sure how many you have had, what combo's ....but there are 100's...yes you might have missed one or two, the right one's or the dosages....or maybe you are missing another diagnoses all together and that is why NOTHING you have tried is working.
I am pro-meds Wish...believe me. If he is recommending you to try new one, but you have had horrible experiences...then I hear you, but you are willing to, so if the psychiatrist agrees, he can write a script? Happy medicating?


The whole point of my post is that I finally went to a new doctor this past Monday because my condition worsened. I feel like you didn't hear one word I said before.
Nope I heard you from my perspective, and that is why I not only asked what you meant...told you I was confused, but explained to you, my expierences..and what led me to be confused based on my experiences. Simple.

Am I missing something?
Perhaps...I already said I did? And now I see. TY


I was simply sharing my experience with my insurance. I'm an intelligent woman and I know what I need. I wasn't posting here because I need people to tell me what to do or anything. I'm not asking for help, opinions, or advice. I was posting to vent my frustration at the lack of psychiatrists in Denver because I think it is dangerous when a big city has a gross shortage of available psychiatrists because insurance has made it so difficult for them that many of them simply won't take insurance any more. That's it.
Never said you weren't intelligent. Nope. Most ADD'er are.
I'm sorry but if you wanted to just VENT...then sometimes it's helps to say this is a "venting post" and not ask questions in the post, that lead people like me and the other's to respond, thinking you are asking for help, advice, experiences? That is what we do here? That is one of the biggested reasons we are here...along with venting. And now you have made your point, clear. And I hope my response, as had mine the same. Good luck on your hunt for new meds....

QueensU_girl
04-11-07, 01:09 AM
re: #17

It's okay. You don't have to read my posts if you don't want to. :)

justhope
04-11-07, 01:15 AM
Well unfortuantely I do Queen, because it's my volunteer job here to do so.

And while I don't have to agree with you..if I think something is a bit off, and could be perhaps misleading to others..I am going to tell you. And you don't have to read mine either...or respond. TY....;)

cwbyjohnson
04-11-07, 01:30 AM
When I first was referred to a psychiatrist I had severe panic attacks. I was diagnosed with OCD and Bipolar II. Later (recently) I was also diagnosed with ADD. I'm confused by this post. Should I have instead seen a regular MD or a pychologist?

VisualImagery
04-11-07, 01:43 AM
Cowboy, you are ridin' the right horse and on the right trail! No, you did the right thing, don't worry at all! Probably saved you a lot of grief and problems compared to what others have gone through. You are seeing the specialist trained to treat your conditions.

Take care-Thanks for sharing you dx's, not easy to do.

justhope
04-11-07, 01:58 AM
When I first was referred to a psychiatrist I had severe panic attacks. I was diagnosed with OCD and Bipolar II. Later (recently) I was also diagnosed with ADD. I'm confused by this post. Should I have instead seen a regular MD or a pychologist?

OMG...no....I so hope you are being funny...really....man if what is going on with your life..is working in regards to meds or treatments....please please plesae don't stop what you are doing.....and don't make another doctor rich...just cause someone here says you should have gone to another type of doctor...
No way no how.....you are confused...did you see me get my hiney ripped...so was I...but Wish has explained it to me,,,and I believe she and I are on the same page now.......

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Nor is anything any of us say here....especially in this thread..meant for you to double back.......if it ain't broke don't fix it....K?

Wish
04-11-07, 10:39 AM
I appreciate everyone being supportive and not judging me. I should have given more background. This latest incident with my insurance company (i.e., finding out that they were misrepresenting the number of psychiatrists who were still practicing and who taking new patients) angered me so much because it's only the last of so many screwy mental health practices of insurance companies that I've dealt with for years.

When I was anorexic, the insurance company wouldn't pay for any of my sessions with the nutritionist. They would only pay for one session a month or 12 sessions a year of counseling. Can you believe that? Like one session a month is enough for anyone who needs counseling, let alone an anorexic. Anorexia has the highest death rate of any psychiatric illness.

Given my experience with mental health and insurance companies, I can see why there are so many people out there with untreated mental illnesses. If my parents hadn't been able to help with costs of therapy and nutritional counseling when I was younger, I wouldn't have gotten the help I needed.

It's just so frustrating to pay so much for a product (i.e., health insurance) that doesn't adequately cover the care I need. As a federal employee, I've been told that I have better insurance coverage than most employer-sponsored plans. I'm almost scared to ever work anywhere else because if my plan, which is supposed to be one of the best, is inadequate when it comes to mental health needs, then I can only imagine what other employer-based plans don't cover.

justhope
04-11-07, 11:10 AM
Glad we are all 'okay" now Wish.....getting that all out of the way now...we are all on the same page...and we can understand more where we are each coming from. :)

We can know if you are just "ranting" venting....(still good to put in the title of a thread, since we are all ADD here..LOL , just in case you wanna again somewhere else...) or if you really need your questions answered. :p

We certainly don't want to ADD to your already overboiling frustrations at not getting help out in the "real" world, by doing the same in here.. ;)

Happy to turn things around, espcially if they are just a miscommunication...:foot: .

I TOTALLY AGREE...that the entire insurance system is lacking...in giving back what they take......:mad:

TygerSan
05-07-07, 05:35 PM
Hey wish,
Just came across this thread again. Sorry for your troubles. I do know how you feel; I had equally few options with my BCBS insurance plan. I do realise that every plan is different, and am glad to hear you've read the fine print! It just sucks to see someone get screwed over by insurance because they haven't.

I guess I didn't explain my situation very well, either. The neurologist does prescribe the meds, but there is a team of counsellors and psychologists who work very closely with the neurologist to determine what meds are best. So it's really quite an integrated practice. I really don't know how common this is (maybe more so at a hospital/research setting?) .

Wish
05-08-07, 01:20 PM
Tyger, I would imagine it's not fairly common simply because insurance companies often will not pay for multiple providers for one condition.

I read the fine print, it just never occurred to me that an insurance company would list 70 in-network psychiatrists and only have like 5 who were actually available. When I signed up for my plan, it never occurred to me that the insurance companies would list a ton of providers who had no openings. Part of the reason it never occurred to me is because I never had trouble finding any other type of specialist through my insurance plan. The moral of the story is that I will have to call the psychiatrists on insurance plans before signing up for one in the future.