- 5 years ago
So I posted a bit about how I was feeling when I stopped taking Zoloft here.
I called my primary care physician and saw him for an appointment and also had an appointment with my therapist. My primary care prescribed Xanax to take as needed and Wellbutrin to try as a long term anti-depressant. He also made two more follow up appointments to monitor. My therapist referred me to a psychiatrist for help with medication. The psychiatrist is a big wig in this community. The appointment went well, and he asked me to check in with him later that week via email. I did, saying that I was still feeling depressed, hopeless and anxious at times. I said the xanax was helping and I had an apt to check in with my primary care dr.
He responded via email, giving me scripts for new medications (one for bipolar, one an antidepressant that he wanted me to take to help with sleep). He also said that I needed to have my Mirena IUD removed immediately. He didn’t really give me a reason or purpose for the new medications, and only said that the IUD has hormones in it which can cause depression. I filled the scripts, but then started having second thoughts. It seemed pretty clear to me that the symptoms were from coming off the Zoloft, but the one treats bipolar and I’m not bipolar. I’ve never had a manic or hypomanic episode and if I was bipolar, Zoloft should have spurred a manic episode, which it didn’t. I sent him a follow up email, but he refused to answer my questions and said he’d see me at my next appointment, 2 weeks away. For the amount of money I paid for the damn consult (he doesn’t participate with insurance, of course) he should be able to tell me why he’s changing my meds and how he thinks they will help.
In the mean time I had another follow up with my primary doctor. Since this past Friday, I’ve been starting to even out. Feeling less depressed, less anxious and starting to sleep better. He was able to help explain why the psychiatrist might have prescribed those medications, but obviously couldn’t say for sure. He did agree that I don’t present as bipolar and confirmed that the Zoloft should have sent me into a manic episode if I were bipolar and it did not.
So now I don’t know what to do. I feel like I don’t want to go back to the psychiatrist because I don’t feel like he listens to me or answers my questions. Part of alleviating my anxiety is actively participating in a treatment plan, since it helps me feel like I have a goal and know what to expect and how to get there.
I don’t know if I should see another psychiatrist or psychiatric nurse practitioner, go back to this guy to see what he says before I decide, or ask my primary care doctor to take back over managing my medicaiton. At first I was a little annoyed/pissed that my primary care didn’t warn me about going off Zoloft, but it wasn’t a decision I/we had made definitively at my last appointment with him, though it was discussed as an option. But he has seen me multiple times in the last 2 weeks to check in with me. For a while I was really depressed, having thoughts almost non stop about killing myself (though with no plan or intent). He gave me his cell so I could bypass the on-call process. He actually listens. But he’s a family practice doctor and doesn’t specialize in psychiatric disorders or medications.
Any advice or suggestions? Or even any one that can relate or has been through something similar?