doctor, doctor

My previous psychiatrist left his practice with very little warning last December, so I had to find a new one. This week I had my first appointment with the new p-doc, and I think it went very well. After the obligatory paperwork, I was interviewed by an intake nurse who asked me a lot of wide-ranging questions about my symptoms and my life in general. She seemed very organized, and made plenty of notes in the computer.

I was sent back to the waiting room for about 15 minutes, then they brought me in to see the doctor. We talked about my current and past symptoms, and how they have changed over time with the medication. I felt like I had to make a case that I still have bipolar, and he seemed to agree that even though I have been relatively stable with the meds I would be in trouble without them. We also discussed the weight gain with Abilify, and he started me on Topomax, an anti-seizure drug with a major side effect of appetite suppression and weight loss. He said several patients have had success with this combination. Finally, he gave me a little bit of Ativan to take as needed on days when my anxiety is problematic.

I was nervous the entire time, but I think I covered everything I wanted to during the appointment. I had prepared by writing up a list of symptoms, a timeline, a list of meds, etc., which helped me lay things out in an organized manner when responding to questions.

I got the impression from the conversation that he was much more friendly and personable than my previous doc. I also believe he is much more inclined to listen and be interactive, working as a partner in my mental health goals rather than just ordering me to do what he says.

dumped by my doc

I found out yesterday that my P-doc has moved to another city, and I have to find a new provider. It is a pain in the ass for me to find someone new, but it is no emergency. In a city this size, you would think there would be more doctors accepting new patients, but apparently not.

I don’t know how I am supposed to feel about this. I know it can be traumatic for some people with mental health problems when the need to change doctors. I’m not in a crisis mode, so I have time to wait while I can be scheduled (March, one potential new doctor said). But what if I was feeling bad, or needed someone right away? I know there are the crisis centers or the hospitals, but it’s not like having a relationship with someone who knows you.

Despite the inconvenience, I had been wondering if it was time to look for another pair of eyes to review my symptoms and get a different perspective. I guess that time has come.