I saw the new and temporary general practitioner today. It was crazy right out of the gate. Within ten minutes of being in her presence, she suggested shock therapy. I nearly walked out. She went in to how it's not like what you see on TV and blah, blah, blah. I told her I'm not interested. She then wanted me to add Abilify to my psych meds. I don't know much about it. She said it's supposed to help make the Cymbalta work better.
I decided to call my old nurse practitioner who is retiring. She's the one who handled my psych meds. This is where trust comes in. I don't know the new GP. There is no consistency to fall back on, no working relationship, no track record to rely on so I don't know why she suggested this medication. The old nurse practitioner said that Abilify will add dopamine (the good chemical) to help with my mood so I can get out of this depression easier. Shoot. I can do that with chocolate and wine and earn the dang weight gain. Okay... I'll try the 2 mg per day.
I'm not happy about the weight gain issue especially since I just lost 10 lbs, I don't intend to be on Abilify forever. I will lose the weight and feel better in my head. I need that very badly.
Also without knowing my history, she told me to go purchase some Black Cohosh to help with Menopausal issues. I absolutely can not take that because I have had a stroke and I have a history of blood clots. Between shock therapy and just popping off with Black Cohosh, my confidence in her is minimal.
I'm horrified by the suggestion of shock therapy. When I told my old nurse practitioner said, She just threw that out there the very first time you saw her? I said, yeah, within ten min. She said. tell her you'll have it but she has to go first.
I've not seen the movie One Flew Over the Cuckoo's Nest, but I hear it gave people a bad view of the treatment, which is making a come back. In its defense, I've heard "Films such as One Flew Over The Cuckoo's Nest did for ECT what Jaws did for sharks". That isn't a valid argument because sharks kill people and so does shock therapy. No matter the stats, I don't do water so no horrible shark death for me. I don't do ECT which means no electrical mishaps. I don't care what you say, shocks and sharks are bad for your health.
The new GP wants to see me back in a month. In that session we will discuss pain and what I do to manage it. That session will make or break our future relationship. I need to know where her head is in all this.
Back to the old nurse practitioner. This woman told me that when I go to see a new psychiatrist I should not bring up that I'm in therapy. She said to give them as little information as possible. Don't tell them I have DID. Don't tell them I have PTSD. Don't tell them about my abuse history. Tell them my brother died and I need medication for depression. I feel this is bad advice. This is where knowledge come in. There are certain things doctor's need to know. Not every doctor needs to know absolutely everything but if you go in for psychiatric care it might be a good idea to give them some history, ya know? There is a trust level with the old practitioner. I trust that sometimes she's going to go off the deep end.
Withholding that kind of information with my medical history is a very bad idea and it goes against everything I stand for as a patient. I am honest with my doctors. I need them to trust me as much as I trust them. Not everything needs to be disclosed but I don't think believe completely withholding information is a good call either.