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I think that's a common response from doctors these days: "This patient has a problem that doesn't fit the algorithm, so I should send him/her to a psychiatrist to get a prescription for antidepressants." Actually, maybe that's part of the modern medical algorithm.
Wishful, post: 2291301
I don't know where you live but the drill in TX has changed....overnight. Psychiatrists now have to see patients before a presciption can be given. e.g. If it's for depression, you're "sized-up" and then given the prescription and sent back to your original doctor, with the new prescription, although it's filled. Whatever you do, don't lose any of your pills, you'll be put on a blacklist. Anti-depressants are used for far more than depression, but by state law you have to see a psychologist first.
It's even worse for pain. My old neurologist was also a pain specialist. However the fentanyl crisis changed our state rules totally. As far as I'm concerned the wrong people are being punished and it was sudden, to say the least. So again, a new pscyhiatrist (and they really only deal with diagnosis and determining whether or not a drug would help the situation, plus having to see them again for perhaps once/yr., is what it now takes. You can then go to a pain specialist who can treat you. It's very involved and you end up with 3 new doctors that you didn't have before. The new breed of Pain Specialist perform implants, do other specialized surgery the others aren't licensed to do and it's up to them to also help determine if someone is an addict or not. You go through about 3 people before you ever see the specialist. I now see the need for it, as it's almost impossible to determine who's an addict and who isn't. Illegal drugs are destroying our society. The big problem that I haven't heard an answer to is this: OK, they can't get fentanyl any longer....but they're already on to something else. Why penalize those who didn't have trouble with the drug, took vacations and had been on low dosages for years? I'm sick of dealing with it all....and why does it take a doctor 4-5 visits before he then insists that you see a psychiatrist?
Out of interest: Since I've seen a psychologist for 35 years, have had the same neurologist for that period of time; it was determined that I didn't have to see the psychiatrist. Not once have I ever abused any prescription and I simply don't fit the profile for drug abuse. I've seen it up close, it's ugly and it kills your loved ones. I despise them or at least the misuse of them.
So I should get to the point: Each state has different regulations. I'm no longer on fentanyl, I'm not having any implants b/c my primary illness is helped for about 1 yr. and then pain relief stops. I'm then left with an ever greater build-up of scar tissue. I'm 73, I know what I'm up against and this is my choice. Right now I have 12 - would be 9 if left the old way. Doctors that I see on a somewhat regular basis. ME is one of the many diagnoses I have. I'm tired of it all, but I still have to play the part. My neurologist is disgusted with the changes he sees, as are my other long term doctors. But we all have to play the game. It's not a great deal of fun, trust me. I hope your state has different laws, but they're changing very quickly in so many states. Yours, Lenora.