Psychiatrist think I'm drug seeking

[kolaborator]

Originally Posted by Alex1234

OP, 10mg IR adderall gives stays in your system just as long as a 50mg IR adderall. If you are good with a 10mg IR for 3 hours, that means 10mg is enough! In order to have a good track record with doctors, here are some things to keep in mind (which are also useful for your own good)...

1) DON'T EVER LOSE YOUR PRESCRIPTION! Once you get it, go to the nearest pharmacy and get the drug! Adderall is a controlled substance so if you lose it they couldn't care less.
2) DON'T EVER LOSE YOUR DRUGS! keep it somewhere safe at home! If you have to take it out, put just ONE pill in a container so that if you lose it, it doesn't matter.
3) DON'T REQUEST 1 SPECIFIC DRUG! If the doctor wants you to try something else which you haven't tried yet, TRY IT.
4) DON'T EVER EXAGGERATE YOUR PROBLEMS. Tell it like it is, or it'll be like crying wolf. Doctors won't give a **** after a while.
5) DON'T BE DIFFICULT OR DEMANDING! Doctors have to see loads of effed up druggies and their patience may be running thin. Always be respectful and try to explain your situation as completely as possible.

If all else fails and you think the doctor just hates you, find a new one.

I pretty much disagree with every single one of your statements.

1) Losing something, whether a script or your car keys is normally outside of your control, and no one intends to do it yet it happens. Additionally, people with ADD are several times more likely to misplace something. In addition, there are shortages practically all the time and many pharmacies will not tell you over the money if they have adderall in stock. Finally, the prescription can be voided if you lose it and a pharmacy that distributes the drug to someone other than the patient will be held liable, that's why most required proper ID, and every sale of a controlled substance is very well documented.

2) While I agree with the idea of always protecting your filled prescription, carrying the pills without the container or proper documents that show you are legally allowed to have Sched II stimulants will lead to your arrest and if this happens at night there will be no way to check whether you are telling the truth. You will not get convicted of course, but you may still be fingerprinted and detained and this alone can create problems for you in the future, and they may even be far worse than needing to talk to your doctor about your lost prescription.

3) If you have a VALID reason to request that specific drug, you should by all means do so. Most PDocs are not ADD specialists, they see hundreds of patients and are exposed to hundreds of different psychiatric conditions. There is no way for them to know everything about every drug available for ADD and most will at least listen to the patient if they request a specific drug and can substantiate their request with evidence even if anecdotal in nature. I believe that all adults once diagnosed with a form of ADD should be able to choose their specific medication, as long as the selected drug is considered appropriate for ADD symptoms. It seems completely ridiculous to me that some doctors are allowed to say "Well, you might have heard good things about Adderall but I don't like to prescribe it...so I'll give you Ritalin instead" when both meds are designed for ADD. On the other hand, the doctor should still mention other meds and offer their professional opinion as to why he thinks those might be more appropriate, but at the end they should still let the diagnosed patient choose.

4) Symptoms should not be exaggerated but they also should not be understated. Ultimately they MUST be emphasized in the short time given for most sessions with pdocs, and the former option is often better than the latter. If you have two different people describing the same car accident, one may call it a "collision", while another will call it a "crash", and this simple choice of words may lead the listener to formulate a completely different idea with respect to the actual accident. Your doctor may get a different impression of your symptoms if you tell him that "you seem to be having trouble concentrating at work" versus you telling him "that your attention problems sometimes make it difficult for you to pay attention to other drivers or road signs while driving". While both can arise from the same underlying condition, the indication of the latter symptom will indicate a very specific reason why you want your condition addressed.

5) This advice is beyond inappropriate. Most of us pay thousands of dollars in health insurance costs every year, and there are also numerous copays and deductibles that we are responsible for. Many pDocs charge more than $250 for a 20-minute session, and many regular patients only needing a refill of their meds use a fraction of their time. These people are not social workers or underpaid counselors, and most are not doing this to benefit humanity. It is inconceivable to me that many patients still believe in that ideal of a white-coat physician that is always right and does nothing but saves their patients' lives left and right. When a doctor refuses to prescribe a stimulant to someone, their decision is largely influenced by their fear of losing their license to write prescriptions, and not because of the potential risks the drug may pose to their patient.

Also, of course they see difficult patients, they chose psychiatry after all, and not only it should have no bearing on the standard of care their next patient receives, but their bedside manner should actually be better because of it. It is as if you are saying that people who are seeking treatment for cancer should give their oncologist a break when their standard of care is subpar simply because he might have had to tell one of their previous patients that their cancer is terminal.

The patient always comes first, and it is the psychiatrist that should work on gaining their patient's trust, not the other way around.

[JR1973]

Some doctors take time before they will trust you. Their jobs are on the line and many do have reason to be skeptical (more so for pain management doctors though).
You could stay and work with this doctor for a while. Prove that you are trustworthy then suggest different doses and options.
Or you can find another doctor.
Or you can find another doctor that has and will administer the Quotient ADHD test (you can google that test to find out more about it). Only takes 20 minutes, is highly accurate, and it the only FDA approved test for assisting in the diagnosis of ADHD. Once you finish the test you will get a printout of the results for your own records. I took it. Drove me batass crazy for the 20 minutes but I'm glad I did it.

[electric76]

OH my goodness. This is a horrible story. Every person you came across took it too far. They just looked at the last persons false report (like the adderall drug seeking) and took it to the next level. I know this is quite a stretch, but have you ever thought of moving? As in...moving to California maybe? Not that I would recommend getting a marijuana prescription, but psychiatrists would be much more open to your situation. My psychiatrist is so understanding, he's like "I'm asking you if you've taken marijuana, amphetamines, MDMA(!) to see how it worked for you, not to judge you" whaa? And who knows, maybe you'd find more interesting things to do out here to make you want to get out of bed. No offense of course, I just can't imagine living Midwest

[Dmitri]

Go straight with your doctor. Be on the offensive, not the defensive. If she makes a rude remark or assumption, call her out on it, maybe even scorn her if she goes too far. If she's honestly too much of a hoebag to give proper medication, you're wasting time and money seeing her. Say to her face that she is incompetent, unhelpful, and overly judgmental and say that you will look elsewhere for a shrink that does their job.

Honestly, incompetent doctors are a waste of time. Do everything in your power to find a better one otherwise you're ******* away valuable time and money

good luck dude. And that's some ******** with that rehab program, I feel bad. Never heard of somebody getting sent to something that severe for something that minor. sorry bro

[PSUEDONYMPH]

Sorry for bumping this but this is the only thread i could find similar to my situation.

I was diagnosed with ADHD about 4 or 5 months ago. I was also diagnosed with Panic Disorder, Anxiety and Depression prior to that. My primary doctor started me on Amphetamine Salts 10mg twice a day. I also take Diazepam (Valium) 5mg when needed for panic attacks, 20mg of Citalopram twice a day, and 15mg of Mirtazapine (Remeron) before bedtime. My primary set me up to start seeing a psychologist and psychiatrist to take over prescribing my medications, since theres only so much a primary can do for mental disorders. Well my primary had asked me if i do any drugs, and i was honest and admitted that i occasionally smoke marijuana with my friends, but not on a regular basis. He said that he has no problem with marijuana, would only be concerned if i was doing crack or heroin.

So i started seeing the psychiatrist and psychologist at Buffal Psychiatric Center, which is state funded... told me i need to take a urine test to make sure im taking my medications correctly. I informed my psychiatrist that i smoked a little weed at my best friends birthday party about 2 or 3 weeks before this.

He then informed me that he will not write my prescriptions if i was involved with barbiturates. I told him that i smoke once in a blue moon and that my primary didnt seem to have an issue with it. He told me that was my doctors preference and that he can not continue to prescribe me anything. When he gave me the results of my urine sample, it came back positive for diazepam, opiates, barbiturates, and came back with no trace of adderrall, which is absolutely impossible. I demanded a retest of my urine because ;
1.) I rarely take my diazepam... the last time i took it before my urine test was like a month before when i have a really bad panic attack, but normally i try and get out of my panic attacks by doing breathing exercise and whatnot.
2.) I take my adderrall everyday like clockwork, at exactly 8am and 2pm ( i even have alarms set on my phone)
3.) I dont mess around with opiates and i never have, the only time i ever took a loratab was when i was prescribed them 4 years ago when i broke my ankle... the only thing i took recently around that time was a tylenol for my neck pain which is induced by my anxiety... which may have had codeine in it... but it was a regular tylenol extra strength.....so i dont even think thats the case.

So now my psychiatrist thinks im some drug addict when i really couldnt be any further away from that, beside the occassional hit of marijuana from time to time.. Should i go back to my primary and explain everything to him or just wait for the retest to comeback? My primary told me that he will continue to prescribe me anything that my psychiatrist will not the last time i saw him because he had seen and extreme change in my outlook and attitude since he prescribed the amphetamine salts...

im just so worried that i wont be able to get my prescription anymore when they are really helping me a lot. At this point theres no convincing my psychiatrist that im a good person trying to get better. please help advice needed!!

[Blanched Dubois]

Originally Posted by Alex1234

OP, 10mg IR adderall gives stays in your system just as long as a 50mg IR adderall. If you are good with a 10mg IR for 3 hours, that means 10mg is enough! In order to have a good track record with doctors, here are some things to keep in mind (which are also useful for your own good)...

1) DON'T EVER LOSE YOUR PRESCRIPTION! Once you get it, go to the nearest pharmacy and get the drug! Adderall is a controlled substance so if you lose it they couldn't care less.
2) DON'T EVER LOSE YOUR DRUGS! keep it somewhere safe at home! If you have to take it out, put just ONE pill in a container so that if you lose it, it doesn't matter.
3) DON'T REQUEST 1 SPECIFIC DRUG! If the doctor wants you to try something else which you haven't tried yet, TRY IT.
4) DON'T EVER EXAGGERATE YOUR PROBLEMS. Tell it like it is, or it'll be like crying wolf. Doctors won't give a **** after a while.
5) DON'T BE DIFFICULT OR DEMANDING! Doctors have to see loads of effed up druggies and their patience may be running thin. Always be respectful and try to explain your situation as completely as possible.

If all else fails and you think the doctor just hates you, find a new one.

Words to live by...AND, too bad we got so many passive aggressive people practicing medicine who have issues with 'anger' and their perception of other's anger as 'a red flag' instead of a cry for help in response to tooo much inept treatment exacerbating the stress issue about finding right doc and right combo of meds ....then the politically correct control added stress cus when add/ptsd 'talks' to 'normal' people ...to them it all sounds like anger cus they're ignorant....so punishment - insult upon injury
meh

[sarahsweets]

I am really confused because I didnt think weed was a barbituate?

Originally Posted by PSUEDONYMPH

Sorry for bumping this but this is the only thread i could find similar to my situation.

I was diagnosed with ADHD about 4 or 5 months ago. I was also diagnosed with Panic Disorder, Anxiety and Depression prior to that. My primary doctor started me on Amphetamine Salts 10mg twice a day. I also take Diazepam (Valium) 5mg when needed for panic attacks, 20mg of Citalopram twice a day, and 15mg of Mirtazapine (Remeron) before bedtime. My primary set me up to start seeing a psychologist and psychiatrist to take over prescribing my medications, since theres only so much a primary can do for mental disorders. Well my primary had asked me if i do any drugs, and i was honest and admitted that i occasionally smoke marijuana with my friends, but not on a regular basis. He said that he has no problem with marijuana, would only be concerned if i was doing crack or heroin.

So i started seeing the psychiatrist and psychologist at Buffal Psychiatric Center, which is state funded... told me i need to take a urine test to make sure im taking my medications correctly. I informed my psychiatrist that i smoked a little weed at my best friends birthday party about 2 or 3 weeks before this.

He then informed me that he will not write my prescriptions if i was involved with barbiturates. I told him that i smoke once in a blue moon and that my primary didnt seem to have an issue with it. He told me that was my doctors preference and that he can not continue to prescribe me anything. When he gave me the results of my urine sample, it came back positive for diazepam, opiates, barbiturates, and came back with no trace of adderrall, which is absolutely impossible. I demanded a retest of my urine because ;
1.) I rarely take my diazepam... the last time i took it before my urine test was like a month before when i have a really bad panic attack, but normally i try and get out of my panic attacks by doing breathing exercise and whatnot.
2.) I take my adderrall everyday like clockwork, at exactly 8am and 2pm ( i even have alarms set on my phone)
3.) I dont mess around with opiates and i never have, the only time i ever took a loratab was when i was prescribed them 4 years ago when i broke my ankle... the only thing i took recently around that time was a tylenol for my neck pain which is induced by my anxiety... which may have had codeine in it... but it was a regular tylenol extra strength.....so i dont even think thats the case.

So now my psychiatrist thinks im some drug addict when i really couldnt be any further away from that, beside the occassional hit of marijuana from time to time.. Should i go back to my primary and explain everything to him or just wait for the retest to comeback? My primary told me that he will continue to prescribe me anything that my psychiatrist will not the last time i saw him because he had seen and extreme change in my outlook and attitude since he prescribed the amphetamine salts...

im just so worried that i wont be able to get my prescription anymore when they are really helping me a lot. At this point theres no convincing my psychiatrist that im a good person trying to get better. please help advice needed!!

[Lunacie]

Originally Posted by PSUEDONYMPH

>>

So now my psychiatrist thinks im some drug addict when i really couldnt be any further away from that, beside the occassional hit of marijuana from time to time.. Should i go back to my primary and explain everything to him or just wait for the retest to comeback? My primary told me that he will continue to prescribe me anything that my psychiatrist will not the last time i saw him because he had seen and extreme change in my outlook and attitude since he prescribed the amphetamine salts...

im just so worried that i wont be able to get my prescription anymore when they are really helping me a lot. At this point theres no convincing my psychiatrist that im a good person trying to get better. please help advice needed!!

Maybe a mix-up in test results, someone else's came back as yours?

My advice is to go back to the primary doctor, tell him what happened, and
ask to be referred to a different psychiatrist. A good doctor would know
that urine tests are notorious for not showing amphetamine in the system.
A blood test is more expensive but a lot more accurate.

[getcashnow]

@SwampFox56 aaayyyyyyyeeeee I know the feeling about your doc thinking you are drug seeking.

Lemme tell a lil bit of a story. My old shrink was a doctor feel good doc. I had to do some serious doctor shopping until I found him. A couple of my friends told me about him. He'd give out anything you requested and jacked up the dosages. I think he was getting some serious kick backs for selling the meds.

Anyways he started me off with a pretty high dose of adderall for my adhd. By the way I have ADHD/Social Anxiety/Boarderline depression and split personality. The depression and split personality was only his diagnoses. No other doc had said that. But he really knew his **** and I think he might have been right.

Anyways I used to push him for clonazepam and alprazolam. He said he didnt want to give it to me because he didnt want to sedate me. All the while he had me on 100mg of adderall a day. Even though my anxiety was spiking and I needed a med like a benzo for a crash pad, no dice. Come to find out he told me the real reason why he didnt give in to the benzos. On a side note he had no problem dumping vyvanse on me and multiple ssri and snris.

He told me he knew I was drug seeking. Apparently he was giving out so many meds he got busted. I'm guessing a few of his clients got busted selling and abusing and the pyschaitrist/pharmaceutical board found out and threatened to take his license. He straight out told me I better not be selling my meds. He also said don't snort them meds. Especially when he gave me vyvanse. Vyvanse is only effected when swallowed cuz it needs to break down in the liver. He told me some of his clients when questioned if they were snorting meds and they said no. He would then say... you liar I can see it in your nose.

Anyways he would pull out surprise drug tests. Just to make sure we were taking out meds and not selling them. I should have tested for just adderall. I ended up testing positive for amphetamine, weed, cocaine, oxy, suboxone and benzos (diazepam, alprazolam, and clonazepam). It wasnt your simple 5 panel drug test. It was like a 14 panel. Caught me off guard.

Yes I used to be a huge drug addict, now I only smoke weed and take my adderall which I just got a prescription today. But at the time my doctor just shook his head and advised that I need to slow down on my drug intake and dont mix certain drugs or I'll OD and die. He then turns to me and hands me my script for adderall and says, No I am not giving you benzos so dont ask.....

Gutta love good doctors. I think I need to break in my new shrink and drug seek some benzos for my social anxiety and panic attacks. I know I'll get them eventually. He already suggested putting me on Wellbutrin. I hear mixed reviews about that drug. But that's a different discussion for a different day