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Psychiatrist visit

Nov 03, 2015 11:16 PM

I saw this new shrink today to get help with depression from Fibro. My sister sees him too and the times I have been there w/her he has been great. Today was awful, he said he just got back from Mayo clinic and opioids are now not apropriate for the treatment of fibro. He said he can't help me until I get off the Meds I'm on and that the pain is from repressed feelings and that therapy is the only acceptable treatment along with mood stabilizers. I'm now terrified of going thru withdrawal and not having anything for the pain. I know it's not all in my head but I feel like that was what he thinks. I haven't felt like this since I was diagnosed 15 years ago. He also put me on Serequel and my pharmacist (who I trust a lot) said the dose he is starting me on is double the norm. This psych doc is supposed to be the best in my area. I'm thinking about going to the Cleveland clinic. Has anybody been there for fibro? And was it helpful?

Nov 04, 2015 6:54 AM

Glassylady, I'm sorry you're psychiatrist isn't what you hoped for. You said he just came from Mayo. I just spent three trips going to their FL clinic. They were to dx tremor cause, dizziness, imbalance & memory issues. My neurologist sent me there. I came home with the same dx the Neuro have me, except Mayo said, "We aren't certain what's the cause of the patients tremors. But we suspect it's from her medications, as this patient has a very long list of meds she takes. We think she would be a perfect candidate for our Pain Clin Rehabilitation Program."

The long list they a are referring to consists of 10 daily meds & vitamin supplements, none which are for pain, except Tylenol Arthritis. These are for asthma/allergies, sjogrens, hypothyroidism, IBS-C, and muscle cramps.
Then I have about 6-7 PRN meds, which are for allergies, asthma attacks, Tramadol for breakthrough pain, muscle spasms, migraines, pelvic floor spasms, bronchial cough. My PCP also wanted me to put any child or allergy OTC products on the list, which there's another 6-7.

After a lot of praying, and weighing the cost to go down to their pain clinic, and reviewing their program plan, I decided not to participate. Mayo saw my list of meds and decided they should totally wean me off all ( you have to bring them and they choose what, if anything you would be given). Half the program is PT and OT, while the other half is psych, behavior modification, and basically drug rehab.

So I can understand why your psych doc said what he did. Mayo is selling their pain rehab as the golden treatment plan. Now my pcp wants me off my thyroid meds, pain med (1 med), several of my allergy/asthma/cough PRN meds, pelvic floor spasms med, and all my vitamins. I'm afraid we may see a lot more of this take place with many docs.

Just because someone is considered the best doc, doesn't mean they're the right doc for you. I have a psych doc who dispensed my depression and anxiety meds only. I now have a psychologist for therapy. And I'm being sent back to my pain doctor to oversee my fibro, OA, DDD, and other pain meds.
You may want to find a pain specialist and a psychologist, instead of using that psychiatrist. Or you may at least want to seek a second opinion. Good luck. (((Hugs))) & a prayer said for you! 🙏🌼

Nov 04, 2015 6:56 AM

I forgot to mention the Mayo program costs $30,000. And my insurance denied atop the of the "gadget" testing they did, saying it was either an unproven treat or unnecessary (unsupported by their documentation of my issues). Now I owed them $1500+! 🌼

Nov 04, 2015 7:00 AM

Insurance denied all the "gadget"...

Nov 04, 2015 7:05 AM

Flappsy.. How in the world can the pcp say he wants you off of your synthroid?!?! If he takes you off of that, your thyroid numbers will crash and the ramifications are not good. When I went to get my physical, I had been skipping doses of mine and the blood tests showed that my numbers were so low that he said I can't even miss ONE dose because it's dangerous to have such low thyroid hormone level. I would ask him why next time you see him. Sending you {{{{Hugs}}}} and prayers my dear friend. 💕🙏🏻🌻

Nov 04, 2015 11:23 AM

Alwayz, It's simply because he doesn't like that I was sent to another specialist who thought different from him and put me on the meds. He doesn't know the doc but doesn't like her. He's just upset I didn't take his word for it! Trust me, in not coming off any meds prescribed by others doctors, unless those docs say so. I see my endocrinologist today. Two docs besides him had me on B12 & Iron. The last labs showed my iron too high, but instead of lowering my dose he said "come off it all." He's lost his ability to doctor safely in my opinion. He says one thing then another, and its been happening 2 years. I'm waiting for the new year to hopefully find a new doc collider to home! 🙏🌼

Nov 04, 2015 1:40 PM

Flappy, one option would be raw Thyroid, it's not prescription and you wouldn't have to tell your doc, but definitely check with a pharmacist. Thyroid problems run in my family, but everyone has had issues with synthroid not actually working, so we use the supplement of raw tissue capsules.
Also your doc sounds pretty ridiculous. Mine's the same way sadly, but the PCPS seem to have a stupid pressure from a mysterious somebody, and I don't even tell my docs the truth that often cuz ice read research that PCPs have ignored in the past.

Nov 04, 2015 3:23 PM

I honestly think you should find a new psychiatrist that knows about fibro. Bc I would be insulted to hear those words. Good luck & prayers!

Nov 04, 2015 6:02 PM

Thanks for all the great suggestions and info. The Cleveland clinic is supposedly looking into the connection between black mild and fibro symptoms. I dunno, I just know I hurt

Nov 04, 2015 7:54 PM

I went to Cleveland clinic once for answers 6 hour trip one way...I ended up with legs giving out fell and broke both arms four hours late to my appointment & he had no information for me BC he hadn't looked at my biopsy yet but wud get back with my Dr in week after his vacation.... Completely wasted trip

Nov 04, 2015 7:56 PM

Ferretbandit, I saw my endocrinologist today. She said if the meds are helping she does not want me to come off, even to address if they are causing tremors. I'm not worried about telling my PCP in staying on them. All my docs can see each other's notes and orders due to electronic records now, so he'll see when she prescribed the meds anyway.

Glassylady, is "black mild" a mistype? I'm not sure what you meant. Lol maybe it's my fog brain. Just be patient and you'll get the right doc and the right dx. Hugs & prayers! 🙏🌼

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