emma123New Contributor
Frustrated with psychiatrist care
Just joined to get some support from other people who are dealing with similar situations. Bit of background: my husband has paranoid disorder (paranoid ideas, people are following us in our home etc. But no halucinations). He has been on medication (antipsychotic +SSRI) and has maintained his job, never needed to take a day off, never been hospitalised. As a carer I am very proud of this, because it has not been easy. I've put a massive effort into supporting him, making sure he gets the best medical care (I have an MD degree myself, and I think this helps).
Now onto the problem: as most people with paranoid disorder, his paranoid ideas are very real to him. Hence he doesn't think he needs the treatment. I've managed to convince him to take it to "deal with the stress of what he's going through". For the past 3 years, he did not have any symptoms, but I still booked him in to see his psychiatrist once a year (in Oct last year). He told the psychiatrist he would like to go off medication. The doctor told him to go off his SSRI by reducing to half for two weeks and then stop taking it. No follow up appointment was scheduled.
In Dec, my husband had some stressful event at work, after which he became very anxious, distressed and paranoid. I called his doctor's office to book an appointment. The only available appointment is in May. I. tried to send him an email and let him know symptoms have relapsed, but I was told he does not provide advice by email. I am angry and disappointed. This is a highly experienced doctor. He knew that going off the SSRI means risk of anxiety and anxiety leads to paranoid ideas. He also knew that if symptoms relapse my husband would not book in an appointment (it's paranoid disorder, not back pain!).
Why did he take him off the SSRI completely instead of reducing to half dose and checking in with a follow-up? Why did he not at the very list schedule a follow-up appointment to see how my husband is doing off the SSRI? I used to accompany my husband to his appointments , but I don't. want to look controlling. But now I have the huge burden of convincing him to take his SSRI again, I don't have a psychiatrist appointment until May, and my husband is starting work again after the Xmas break in a few days. He might be ok, but he might not ...
Thank you for reading my long rant. I'm hoping to find a good psychiatrist who actually cares if they put the patient at risk of relapse. Also, my heart goes out to everyone who needs to deal with these difficult conditions, and navigate medical care. This is not ok and really has to change. Psychiatrists should be accountable for patient relapses in the same way that a surgeon would be for the outcomes of surgery.