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	<title>Comments on: Bipolar Doctor – How Does Yours Stack Up?</title>
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	<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/</link>
	<description>A blog on all things bipolar disorder (also known as manic depression)</description>
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		<title>By: Katrin</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1438</link>
		<dc:creator>Katrin</dc:creator>
		<pubDate>Wed, 08 Jul 2009 22:29:06 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1438</guid>
		<description>Tyler, of course I am aware that hydrocodone contains tylenol and about the toxic effects. I was not advertizing wither for the treatment of bipolar, but just making a point.

And in my son&#039;s case, he did not even have bipolar, it turns out, and after going through hell for 7 or so years. I mean he did, but it was the Luvox that caused this. Seven years of hell, and it took a complaint, and a visit from DHS to finally
deal with this. the case worker told the psychiatrist to take my son off the Luvox and from that moment on the &#039;bipolar&#039; was history and has not returned for even a moment since and that was 2.5 years ago.

As I said, he almost died from lamictal and some of the others, like internal bleeding, etc.

I am not against medications, and I am not against doctors, but I do not worship them either.

I am glad the lithium is working for you.</description>
		<content:encoded><![CDATA[<p>Tyler, of course I am aware that hydrocodone contains tylenol and about the toxic effects. I was not advertizing wither for the treatment of bipolar, but just making a point.</p>
<p>And in my son&#8217;s case, he did not even have bipolar, it turns out, and after going through hell for 7 or so years. I mean he did, but it was the Luvox that caused this. Seven years of hell, and it took a complaint, and a visit from DHS to finally<br />
deal with this. the case worker told the psychiatrist to take my son off the Luvox and from that moment on the &#8216;bipolar&#8217; was history and has not returned for even a moment since and that was 2.5 years ago.</p>
<p>As I said, he almost died from lamictal and some of the others, like internal bleeding, etc.</p>
<p>I am not against medications, and I am not against doctors, but I do not worship them either.</p>
<p>I am glad the lithium is working for you.</p>
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		<title>By: Tyler</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1437</link>
		<dc:creator>Tyler</dc:creator>
		<pubDate>Wed, 08 Jul 2009 13:25:54 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1437</guid>
		<description>Katrin,

Are you aware that hydrocodone contains acetaminpohen? In large doses, in the amounts people abuse, acetaminophen is EXTREMELY toxic.

Look, I am bipolar and I&#039;ve abused most of the drugs under the sun, including marijuana and alcohol. Those drugs are like repairing your car with duct tape. It might hold you down for a few weeks, but they don&#039;t help in the long run.

In the long run the drugs were less effective, more expensive, and had a plethora of side effects that made work and school difficult.

Contrast that with an old standby drug like lithium. If you are healthy and monitor your blood levels lithium is extremely safe with mild side effects. I feel soooo much better on lithium than I ever did on marijuana, alcohol, or any one of the other drugs I attempted to self medicate with.

Psychiatrists aren&#039;t gurus, and it may take a few tries to get the drugs right. Psychiatrists aren&#039;t all equal in quality, but generally speaking they are a hell of a lot better at helping people than all these anti-medicine nutjobs.

Marijuana as medicine? Do you use leeches to cure your influenza? Give me a break. Please.</description>
		<content:encoded><![CDATA[<p>Katrin,</p>
<p>Are you aware that hydrocodone contains acetaminpohen? In large doses, in the amounts people abuse, acetaminophen is EXTREMELY toxic.</p>
<p>Look, I am bipolar and I&#8217;ve abused most of the drugs under the sun, including marijuana and alcohol. Those drugs are like repairing your car with duct tape. It might hold you down for a few weeks, but they don&#8217;t help in the long run.</p>
<p>In the long run the drugs were less effective, more expensive, and had a plethora of side effects that made work and school difficult.</p>
<p>Contrast that with an old standby drug like lithium. If you are healthy and monitor your blood levels lithium is extremely safe with mild side effects. I feel soooo much better on lithium than I ever did on marijuana, alcohol, or any one of the other drugs I attempted to self medicate with.</p>
<p>Psychiatrists aren&#8217;t gurus, and it may take a few tries to get the drugs right. Psychiatrists aren&#8217;t all equal in quality, but generally speaking they are a hell of a lot better at helping people than all these anti-medicine nutjobs.</p>
<p>Marijuana as medicine? Do you use leeches to cure your influenza? Give me a break. Please.</p>
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		<title>By: Katrin</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1436</link>
		<dc:creator>Katrin</dc:creator>
		<pubDate>Tue, 07 Jul 2009 21:44:05 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1436</guid>
		<description>Joe Kraynak says:  &#039;I highly doubt that most psychiatrists would recommend medical marijuana for patients with depression or mania..&#039;

I would highly doubt the same as well, but at the same time, their judgement about this really do not impress me in the least.

My son&#039;s father was bipolar, although never officially diagnosed as such. He always self medicated with pot, and was indeed a lot more bearable with than without it.

If I was an &#039;official researcher&#039;, I would interview the patients and not the doctors.
After all, when a large majority of people self-medicate with pot, this means a lot more than when a doctor does not recommend this treatment. 9of course they do not!)

Same with something like hydrocodone, one of the most abused prescription drugs in the US. A doctor will explain that this medicine is only indicated for moderate physical pain. But the person who self-medicates with it uses it for psychological pain, or well being, and it works quite well for this, and also often, energy. (Oh, but it is supposed to make you drowsy, the leaflet says)

Anyway, I am sounding a little sarcastic because my son would be dead more than once had I not paid attention to his well being during these endless trials of varying mood stabilizers.

The point is, that many, many people are dead, and surely a lot more are dead from the combination of psychiatric drugs and those who prescribe them than from self medicating with pot.</description>
		<content:encoded><![CDATA[<p>Joe Kraynak says:  &#8216;I highly doubt that most psychiatrists would recommend medical marijuana for patients with depression or mania..&#8217;</p>
<p>I would highly doubt the same as well, but at the same time, their judgement about this really do not impress me in the least.</p>
<p>My son&#8217;s father was bipolar, although never officially diagnosed as such. He always self medicated with pot, and was indeed a lot more bearable with than without it.</p>
<p>If I was an &#8216;official researcher&#8217;, I would interview the patients and not the doctors.<br />
After all, when a large majority of people self-medicate with pot, this means a lot more than when a doctor does not recommend this treatment. 9of course they do not!)</p>
<p>Same with something like hydrocodone, one of the most abused prescription drugs in the US. A doctor will explain that this medicine is only indicated for moderate physical pain. But the person who self-medicates with it uses it for psychological pain, or well being, and it works quite well for this, and also often, energy. (Oh, but it is supposed to make you drowsy, the leaflet says)</p>
<p>Anyway, I am sounding a little sarcastic because my son would be dead more than once had I not paid attention to his well being during these endless trials of varying mood stabilizers.</p>
<p>The point is, that many, many people are dead, and surely a lot more are dead from the combination of psychiatric drugs and those who prescribe them than from self medicating with pot.</p>
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		<title>By: Candida Fink, MD</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1435</link>
		<dc:creator>Candida Fink, MD</dc:creator>
		<pubDate>Tue, 07 Jul 2009 19:29:48 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1435</guid>
		<description>Marijuana or cannabis is contraindicated in treating mood disorders for a number of reasons, and I encourage all my patients to limit or eliminate their marijuana use as we try to treat their bipolar disorder.

There are no well controlled studies of marijuana in bipolar disorder, so I could not in any way recommend its use. The risks are many and include negative effects on mood and anxiety - paranoid thinking and triggering psychosis to name two I have seen on numerous occasions.  Moods are not guided better but in fact become more loose and potentially dysregulated - inhibitory systems are reduced in power and this can add to problems with dysregulation. Long term use can lead to numbing and flattening the neurological systems related to motivation and reward. Individuals with bipolar disorder typically have associated deficits in thinking and attention - and marijuana clearly can make those much worse. Finally the interactions of marijuana with other bipolar medications can be complex and hard to predict so therefore high risk.

Similar to alcohol, there may be some immediate feelings of mood improvement but the bigger picture is much too risky to consider this a medically safe journey.</description>
		<content:encoded><![CDATA[<p>Marijuana or cannabis is contraindicated in treating mood disorders for a number of reasons, and I encourage all my patients to limit or eliminate their marijuana use as we try to treat their bipolar disorder.</p>
<p>There are no well controlled studies of marijuana in bipolar disorder, so I could not in any way recommend its use. The risks are many and include negative effects on mood and anxiety &#8211; paranoid thinking and triggering psychosis to name two I have seen on numerous occasions.  Moods are not guided better but in fact become more loose and potentially dysregulated &#8211; inhibitory systems are reduced in power and this can add to problems with dysregulation. Long term use can lead to numbing and flattening the neurological systems related to motivation and reward. Individuals with bipolar disorder typically have associated deficits in thinking and attention &#8211; and marijuana clearly can make those much worse. Finally the interactions of marijuana with other bipolar medications can be complex and hard to predict so therefore high risk.</p>
<p>Similar to alcohol, there may be some immediate feelings of mood improvement but the bigger picture is much too risky to consider this a medically safe journey.</p>
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		<title>By: Joe Kraynak</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1434</link>
		<dc:creator>Joe Kraynak</dc:creator>
		<pubDate>Tue, 07 Jul 2009 16:45:51 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1434</guid>
		<description>Examiner.com has a recent article entitled &quot;&lt;a href=&quot;http://www.examiner.com/x-14883-Santa-Cruz-County-Drug-Policy-Examiner~y2009m7d6-Medical-marijuana-and-psychiatric-conditions&quot; rel=&quot;nofollow&quot;&gt;Medical Marijuana and Psychiatric Conditions&lt;/a&gt;,&quot; which addresses this topic. Another recent article you might find interesting is &quot;&lt;a href=&quot;http://www.pcworld.com/article/167962/medical_marijuana_dispensary_thrives_on_twitter.html&quot; rel=&quot;nofollow&quot;&gt;Medical Marijuana Dispensary Thrives on Twitter&lt;/a&gt;.&quot;

I highly doubt that most psychiatrists would recommend medical marijuana for patients with depression or mania, but I&#039;ll double-check with Dr. Fink and encourage her to weigh in here.</description>
		<content:encoded><![CDATA[<p>Examiner.com has a recent article entitled &#8220;<a href="http://www.examiner.com/x-14883-Santa-Cruz-County-Drug-Policy-Examiner~y2009m7d6-Medical-marijuana-and-psychiatric-conditions" rel="nofollow">Medical Marijuana and Psychiatric Conditions</a>,&#8221; which addresses this topic. Another recent article you might find interesting is &#8220;<a href="http://www.pcworld.com/article/167962/medical_marijuana_dispensary_thrives_on_twitter.html" rel="nofollow">Medical Marijuana Dispensary Thrives on Twitter</a>.&#8221;</p>
<p>I highly doubt that most psychiatrists would recommend medical marijuana for patients with depression or mania, but I&#8217;ll double-check with Dr. Fink and encourage her to weigh in here.</p>
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		<title>By: simon wegel</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1433</link>
		<dc:creator>simon wegel</dc:creator>
		<pubDate>Tue, 07 Jul 2009 08:19:23 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1433</guid>
		<description>I am familiar with cannabis being a good therapeutical substance when combating Bipolar II( rapid cycling ).

It alleviates symptoms, and brightens a mood when depressed.It offers introspection when manic.

Endocannabinoids may respond negatively on synthetic medicines.
Herbal cannabis seems to work well.

The main advantage is moods being guided better, and no adverse side effects occur, aside from slightly increased appetite at times, alight euphoria, and possibly brightening up altogether.</description>
		<content:encoded><![CDATA[<p>I am familiar with cannabis being a good therapeutical substance when combating Bipolar II( rapid cycling ).</p>
<p>It alleviates symptoms, and brightens a mood when depressed.It offers introspection when manic.</p>
<p>Endocannabinoids may respond negatively on synthetic medicines.<br />
Herbal cannabis seems to work well.</p>
<p>The main advantage is moods being guided better, and no adverse side effects occur, aside from slightly increased appetite at times, alight euphoria, and possibly brightening up altogether.</p>
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		<title>By: thinker22</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1432</link>
		<dc:creator>thinker22</dc:creator>
		<pubDate>Sun, 05 Jul 2009 17:42:57 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1432</guid>
		<description>I&#039;d been depressed from the age of 5 or 6 that I can recall. I had trouble sitting still in school. I slept a lot during the day or pretended to sleep so people would leave me alone. Yet at other times I had tons of energy and would turn silly and extroverted with thoughts racing, body bouncing, and telling jokes around people who did and didn&#039;t know me.

I never put it all together because the depression was the most memorable and long lasting. I never wanted to be on medication and I didn&#039;t like the couple of times that I had tried therapy because they wanted to rehash the past and I hated most of my childhood and just wanted to move forward.

When I was 20, I had a 6 month bout of insomnia and the doctor I went to put me on an anti-depressant because &quot;it has a side effect of treating insomnia.&quot; I told him I was depressed because I couldn&#039;t sleep. Long story short, it made me manic in the sense that I was doing impulsive dangerous things. I vowed to never try medication again. I limped along battling depression, anxiety, and insomnia for years. Had another manic episode w/out being on any drugs or alcohol at age 23. I drove across the country and back in the course of 2 weeks with very little sleep. Sometimes I&#039;d cross 3 states in one day, only stopping to fill up and use the restroom.

Still, no one knew, least of which me, that this was related to something called bipolar. It took a forced trip to the hospital late in 2008 for me to realize this was serious and I needed help for the debilitating depression and anxiety. I started therapy, I was going through all kinds of medication combos, but none were really helping to prevent the severe depression and mood swings. It was in therapy that we identified some of my manic episodes and I finally had a name for this...bipolar disorder. I wasn&#039;t just dealing with major depression and there was a reason why I responded badly to SSRIs and other things designed for unipolar depression.

Now, just today I&#039;ve started Lamictal and am hoping that at last I can get this disease under control and move on with my life.

It&#039;s been a long journey, as I&#039;ve heard so many express, and it&#039;s far from over, but it&#039;s good to know we&#039;re not alone and that this is treatable. We&#039;re very lucky to live in an era with medications, therapy, and far more understanding than even 50 years ago, let alone most of human history that locked up or killed the chemically unbalanced. I can&#039;t wait for gene therapy and other technology that will revolutionize medicine. I want to get back to writing creatively, my passion!

Your story and quest for stability is valid. I love this site and the support of everyone here. Hugs!</description>
		<content:encoded><![CDATA[<p>I&#8217;d been depressed from the age of 5 or 6 that I can recall. I had trouble sitting still in school. I slept a lot during the day or pretended to sleep so people would leave me alone. Yet at other times I had tons of energy and would turn silly and extroverted with thoughts racing, body bouncing, and telling jokes around people who did and didn&#8217;t know me.</p>
<p>I never put it all together because the depression was the most memorable and long lasting. I never wanted to be on medication and I didn&#8217;t like the couple of times that I had tried therapy because they wanted to rehash the past and I hated most of my childhood and just wanted to move forward.</p>
<p>When I was 20, I had a 6 month bout of insomnia and the doctor I went to put me on an anti-depressant because &#8220;it has a side effect of treating insomnia.&#8221; I told him I was depressed because I couldn&#8217;t sleep. Long story short, it made me manic in the sense that I was doing impulsive dangerous things. I vowed to never try medication again. I limped along battling depression, anxiety, and insomnia for years. Had another manic episode w/out being on any drugs or alcohol at age 23. I drove across the country and back in the course of 2 weeks with very little sleep. Sometimes I&#8217;d cross 3 states in one day, only stopping to fill up and use the restroom.</p>
<p>Still, no one knew, least of which me, that this was related to something called bipolar. It took a forced trip to the hospital late in 2008 for me to realize this was serious and I needed help for the debilitating depression and anxiety. I started therapy, I was going through all kinds of medication combos, but none were really helping to prevent the severe depression and mood swings. It was in therapy that we identified some of my manic episodes and I finally had a name for this&#8230;bipolar disorder. I wasn&#8217;t just dealing with major depression and there was a reason why I responded badly to SSRIs and other things designed for unipolar depression.</p>
<p>Now, just today I&#8217;ve started Lamictal and am hoping that at last I can get this disease under control and move on with my life.</p>
<p>It&#8217;s been a long journey, as I&#8217;ve heard so many express, and it&#8217;s far from over, but it&#8217;s good to know we&#8217;re not alone and that this is treatable. We&#8217;re very lucky to live in an era with medications, therapy, and far more understanding than even 50 years ago, let alone most of human history that locked up or killed the chemically unbalanced. I can&#8217;t wait for gene therapy and other technology that will revolutionize medicine. I want to get back to writing creatively, my passion!</p>
<p>Your story and quest for stability is valid. I love this site and the support of everyone here. Hugs!</p>
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		<title>By: Suzanne</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1431</link>
		<dc:creator>Suzanne</dc:creator>
		<pubDate>Wed, 01 Jul 2009 19:09:39 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1431</guid>
		<description>When I was first dxed by my internal medicine doc (at my first appt. w/her; I had been going to a GP who dxed me w/depression--as I never went to see him when I was manic! Plus my mother had bp &amp; committed suicide).  The internal med doc said I was in a &quot;mixed episode&quot; as I was very depressed &amp; very agitated.  She sent me to a pdoc who started me on Depakote.  That helped w/the agitation, but not the depression.

When I told him that, he asked if the radio was sending me &quot;special messages&quot;--which I had never had as a symptom! He just said I was fine &amp; to stay on the Depakote.  Well, I wasn&#039;t &quot;fine&quot; so I &quot;fired him.&quot;

Went to an out-patient program affiliated w/a hospital.  The pdoc there started me on Lithium (plus Provigil to combat the side effects of excessive daytime sleepiness).  I felt GREAT on Lithium; have never felt that good.  But I had kidney malfunction on Lithium.  He sent me for an ultrasound to make sure I didn&#039;t have a tumor on my kidney or something causing the bad test results.

No, it was the Lithium.  By that time I was finished w/the out-patient program &amp; went to a psychiatric nurse practitioner at the recommendation of my therapist.  The np is not in my network, but I asked for special authorization so my insurance pays a pittance.  However, I get more than my money&#039;s worth in that she spends 45 min.-1 hr. w/me for $115.00.

She will see me immediately if necessary &amp; managed to put a combo of meds together that allowed me to have a good quality of life.  She &amp; my therapist converse (with my permission).  I&#039;ve been w/her for 12 yrs. &amp; am now happy to report that I&#039;ve been able to get off some meds (Abilify, Trazodone) &amp; lowered the dosages of others in the hopes of eventually getting off them or take as little as possible.  I credit Dialectical Behavioral Therapy for helping me &quot;retrain&quot; my thinking &amp; for teaching me much-needed coping skills, communication techniques, self care, etc.

My np actually took an afternoon off (for no charge)to accompany me to a doctor&#039;s appt. that I was so anxious about that I kept canceling &amp; rescheduling.  But it was important for me to go as I have high blood pressure &amp; cholesterol &amp; needed to have my levels checked.

She has treated patients that she has had who have lost their jobs (one a friend of mine) &amp; has not charged them.  Somehow she has this &quot;crazy&quot; idea that her job is a calling to help people who are suffering from mental disorders.  She&#039;s given me her cell phone # &amp; works in a collaborative way w/me.

When I wanted to start getting off certain meds &amp; decreasing dosages, she was willing to work w/me.  But I also respect her professional opinion so if I had trouble without the medication I was willing to go back on it, or try another if necessary.  So I&#039;m willing to forgo other things in life to see this wonderful provider.  Also, I am blessed that my husband is willing to spend the extra money for my treatment.  He does not begrudge me &quot;costing&quot; him money.</description>
		<content:encoded><![CDATA[<p>When I was first dxed by my internal medicine doc (at my first appt. w/her; I had been going to a GP who dxed me w/depression&#8211;as I never went to see him when I was manic! Plus my mother had bp &amp; committed suicide).  The internal med doc said I was in a &#8220;mixed episode&#8221; as I was very depressed &amp; very agitated.  She sent me to a pdoc who started me on Depakote.  That helped w/the agitation, but not the depression.</p>
<p>When I told him that, he asked if the radio was sending me &#8220;special messages&#8221;&#8211;which I had never had as a symptom! He just said I was fine &amp; to stay on the Depakote.  Well, I wasn&#8217;t &#8220;fine&#8221; so I &#8220;fired him.&#8221;</p>
<p>Went to an out-patient program affiliated w/a hospital.  The pdoc there started me on Lithium (plus Provigil to combat the side effects of excessive daytime sleepiness).  I felt GREAT on Lithium; have never felt that good.  But I had kidney malfunction on Lithium.  He sent me for an ultrasound to make sure I didn&#8217;t have a tumor on my kidney or something causing the bad test results.</p>
<p>No, it was the Lithium.  By that time I was finished w/the out-patient program &amp; went to a psychiatric nurse practitioner at the recommendation of my therapist.  The np is not in my network, but I asked for special authorization so my insurance pays a pittance.  However, I get more than my money&#8217;s worth in that she spends 45 min.-1 hr. w/me for $115.00.</p>
<p>She will see me immediately if necessary &amp; managed to put a combo of meds together that allowed me to have a good quality of life.  She &amp; my therapist converse (with my permission).  I&#8217;ve been w/her for 12 yrs. &amp; am now happy to report that I&#8217;ve been able to get off some meds (Abilify, Trazodone) &amp; lowered the dosages of others in the hopes of eventually getting off them or take as little as possible.  I credit Dialectical Behavioral Therapy for helping me &#8220;retrain&#8221; my thinking &amp; for teaching me much-needed coping skills, communication techniques, self care, etc.</p>
<p>My np actually took an afternoon off (for no charge)to accompany me to a doctor&#8217;s appt. that I was so anxious about that I kept canceling &amp; rescheduling.  But it was important for me to go as I have high blood pressure &amp; cholesterol &amp; needed to have my levels checked.</p>
<p>She has treated patients that she has had who have lost their jobs (one a friend of mine) &amp; has not charged them.  Somehow she has this &#8220;crazy&#8221; idea that her job is a calling to help people who are suffering from mental disorders.  She&#8217;s given me her cell phone # &amp; works in a collaborative way w/me.</p>
<p>When I wanted to start getting off certain meds &amp; decreasing dosages, she was willing to work w/me.  But I also respect her professional opinion so if I had trouble without the medication I was willing to go back on it, or try another if necessary.  So I&#8217;m willing to forgo other things in life to see this wonderful provider.  Also, I am blessed that my husband is willing to spend the extra money for my treatment.  He does not begrudge me &#8220;costing&#8221; him money.</p>
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		<title>By: Nancy</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1430</link>
		<dc:creator>Nancy</dc:creator>
		<pubDate>Mon, 22 Jun 2009 17:10:28 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1430</guid>
		<description>I feel very lucky to have found a really great therapist and p-doc. Top it all off, they exchange information when needed to ensure I get a proper treatement.</description>
		<content:encoded><![CDATA[<p>I feel very lucky to have found a really great therapist and p-doc. Top it all off, they exchange information when needed to ensure I get a proper treatement.</p>
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		<title>By: Ferengi</title>
		<link>http://blogs.psychcentral.com/bipolar/2009/06/bipolar-doctor-%e2%80%93-how-does-yours-stack-up/comment-page-1/#comment-1429</link>
		<dc:creator>Ferengi</dc:creator>
		<pubDate>Fri, 19 Jun 2009 17:32:16 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.psychcentral.com/bipolar/?p=295#comment-1429</guid>
		<description>I had for many years a psychiatrist who refused to admit I was bipolar. He insisted, in the face of increasing evidence such as my reports of days spent unable to speak English, my thoughts were racing so fast I&#039;d leave out words all over the sentences, my writing was shorthand, and I was so sexually reckless it was unbelievable, that I just had psychotic depression. Now his eventual excuse for that was I could still sit on a chair. I couldn&#039;t change that psychiatrist because I live in Canada and when I&#039;d go to my gp and ask for another doctor he&#039;d say nobody else is available. I finally do have somebody else, who is actually helping me (miraculous to me, unbelievable) but all those years on the wrong medicines turned my bipolar into ultra rapid cycle with intense psychosis, and destroyed most of my teeth. It also led to my bankruptcy, the loss of all of my investments, and some problems with my career since I was too sick to do all the upgrading I should have. This psychiatrist I had was so far behind on his continuing education he didn&#039;t even know the names of drugs like Lamictal and Topomax. Yet he felt comfortable practicing while in fact knowing nothing about contemporary bipolar treatment. I went broke while he lives in comfort on fees paid by the government for what? Who should be allowed to work they are a minimum of 10 years out of date on their specialty and their listening skills are so poor they make serious clinical judgments by chair sitting ability?</description>
		<content:encoded><![CDATA[<p>I had for many years a psychiatrist who refused to admit I was bipolar. He insisted, in the face of increasing evidence such as my reports of days spent unable to speak English, my thoughts were racing so fast I&#8217;d leave out words all over the sentences, my writing was shorthand, and I was so sexually reckless it was unbelievable, that I just had psychotic depression. Now his eventual excuse for that was I could still sit on a chair. I couldn&#8217;t change that psychiatrist because I live in Canada and when I&#8217;d go to my gp and ask for another doctor he&#8217;d say nobody else is available. I finally do have somebody else, who is actually helping me (miraculous to me, unbelievable) but all those years on the wrong medicines turned my bipolar into ultra rapid cycle with intense psychosis, and destroyed most of my teeth. It also led to my bankruptcy, the loss of all of my investments, and some problems with my career since I was too sick to do all the upgrading I should have. This psychiatrist I had was so far behind on his continuing education he didn&#8217;t even know the names of drugs like Lamictal and Topomax. Yet he felt comfortable practicing while in fact knowing nothing about contemporary bipolar treatment. I went broke while he lives in comfort on fees paid by the government for what? Who should be allowed to work they are a minimum of 10 years out of date on their specialty and their listening skills are so poor they make serious clinical judgments by chair sitting ability?</p>
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