Posted by Bob on February 3, 2014, at 12:00:49
In reply to Re: Wrong about mental illness. » herpills, posted by SLS on February 3, 2014, at 8:37:34
Unafraid to use MAOIs and combine them other drugs. Unafraid to refuse the use of treatments that he believes are unsafe or counterproductive, despite the pleadings of his patients. Willing to listen to patients and respect their intelligence and knowledge. Understands that drugs can make someone feel worse instead of better - that suicide can be the ultimate side effect. Monitors a patient closely during the first three weeks of treatment when suicidality is most likely. Spends more than 5 minutes interacting with and evaluating a patient on follow-up visits. Willing to suggest to a patient that they seek a second opinion or consultation with another doctor when the strategies tried are inadequate. Understands the dynamics between the biological and psychological and appreciates the value of psychotherapy. Refuses to tell a patient that they are untreatable. Aappreciates the number of permutations possible of drugs when they are combined. Knows the pharmacology of drugs in addition to their clinical characteristics.
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Scott:What area of the country are you in? I might consider looking for a pdoc that would consider the MAOI treatment along with nortriptline and possible augmentation with dopaminergic drugs as well on occasion. He has been a relatively good doc for me though and meets just about all the other criteria you've mentioned in your description. And I've been seeing him for almost 20 years. It would be a big change for me.
I'm also not sure how I would find a pdoc that I knew was willing to try before I've even seen him or her. Seems kind of weird to ask someone that as a pre-screening req.
Bob
poster:Bob
thread:1060040
URL: http://www.dr-bob.org/babble/20140123/msgs/1060170.html