3 ms·

In general you should listen to your doctor for these things; if they say that an increase in dosage is recommended, listen to them. Although I am not very sur

In general you should listen to your doctor for these things; if they say that an increase in dosage is recommended, listen to them. Although I am not very sure about the word "offer". What do you mean "offer" from your psychiatrist? If you are worried about long term effects of stimulant medication (which is a very valid worry), you may want to ask your doctor for an intermittent schedule. Sadly, as we know, many of us need the medication to function reasonably in daily life. However, if you are building tolerance to the medication, it is probably worth it.

mouse_ 2y ago
I think the Sackler family destroyed most people's trust regarding listening to their doctor about their prescriptions. You can't really come back from that...
- deleted 2y ago
  [deleted]
- Suppafly 2y ago
  Doctors themselves are at least partially, if not mostly, responsible for that lack of trust. The Sacklers might have been pushing on the doctors but the doctors were the ones writing the prescriptions and ultimately responsible for the health of their patients.
  - desert_rue 2y ago
    The Sacklers gave docs the wrong guidance on how habit forming it is. A doctor is busy and needs to be able to trust the experts- those who make the drug.
DontchaKnowit 2y ago
^ horrible advice here. In general you should take agency of your oqn health. Educate yourself and make informed decisions instead of relying on the advice of a doctor who may or may not be confident and may or may not give any kind of a shit about you. In my case, doctors recommended that I "just keep taking xanax until I feel better" which ended in a 24+ hour blackout. So yeah, dont necessarily just listen to your doctor
- ykonstant 2y ago
  No, it is not horrible advice, it is good advice. If you have no confidence in your doctor, choose a better doctor. If you cannot trust any doctor, fair enough; do whatever you like.
  - DontchaKnowit 2y ago
    Well we will agree to disagree ut far too many times ive seenpeople prescribed contraindicated meds because the doctor wasnt paying attention and the patient wasnt aware enough of their own healthcare to even list the pills they were taking daily. Certain doctors will keep ramping up your adderall script until your on 200mg a day. No one needs that shit. Its horrible for you. So to just say "listen to your doctor, they know best!" As a general statement is asinine
gertop 2y ago
As someone who has been medicated for mental illness for several decades and went through this dance countless times, I can assure you that this is the worst advice to give somebody. Psychiatrists aren't evil, of course, but they're not going to tell you (or are always aware) of all the minutia of long term effects treatment can have. It is up to the patient to decide if the risk is worth it to them. The adage of trust but verify applies here as well. You should start with the assumption that they know more than you, trust, but they can still make mistakes or have gaps in knowledge that could be very impactful to you, so verify.
- Suppafly 2y ago
  >Psychiatrists aren't evil, of course, but they're not going to tell you (or are always aware) of all the minutia of long term effects treatment can have. This, I help a family member with their medication and occasionally they'll have side effects that are obviously a direct result of one or more of the medications and the doctors will often ignore that until it's brought up over multiple appointments, even then they often want to add an additional medication to the 6-7 they already prescribe instead of working to lower dosages of the ones causing issues. My brother was on ADHD meds most of his early life and started having heart issues that doctors seemed to have no ability to figure out, despite it being one of the listed side effects of his medication. I have a friend who is pretty convinced that his wife won't live much longer because the dose of her medications is one that is known to cause liver and kidney damage long term. You also regularly see psych patients gain tons of weight in a short amount of time from some of the medications like Seroquel, but the typical doctor response is "better to be fat than dead" while totally ignoring the long term health issues, including things like depression that the medicine was original prescribed to treat, stemming from ongoing unregulated weight gain. People really need to advocate for themselves and often aren't in a place to do so.

mouse_ 2y ago

I think the Sackler family destroyed most people's trust regarding listening to their doctor about their prescriptions. You can't really come back from that...

deleted 2y ago
[deleted]
Suppafly 2y ago
Doctors themselves are at least partially, if not mostly, responsible for that lack of trust. The Sacklers might have been pushing on the doctors but the doctors were the ones writing the prescriptions and ultimately responsible for the health of their patients.
- desert_rue 2y ago
  The Sacklers gave docs the wrong guidance on how habit forming it is. A doctor is busy and needs to be able to trust the experts- those who make the drug.

DontchaKnowit 2y ago

^ horrible advice here. In general you should take agency of your oqn health. Educate yourself and make informed decisions instead of relying on the advice of a doctor who may or may not be confident and may or may not give any kind of a shit about you. In my case, doctors recommended that I "just keep taking xanax until I feel better" which ended in a 24+ hour blackout. So yeah, dont necessarily just listen to your doctor

ykonstant 2y ago
No, it is not horrible advice, it is good advice. If you have no confidence in your doctor, choose a better doctor. If you cannot trust any doctor, fair enough; do whatever you like.
- DontchaKnowit 2y ago
  Well we will agree to disagree ut far too many times ive seenpeople prescribed contraindicated meds because the doctor wasnt paying attention and the patient wasnt aware enough of their own healthcare to even list the pills they were taking daily. Certain doctors will keep ramping up your adderall script until your on 200mg a day. No one needs that shit. Its horrible for you. So to just say "listen to your doctor, they know best!" As a general statement is asinine

gertop 2y ago

As someone who has been medicated for mental illness for several decades and went through this dance countless times, I can assure you that this is the worst advice to give somebody. Psychiatrists aren't evil, of course, but they're not going to tell you (or are always aware) of all the minutia of long term effects treatment can have. It is up to the patient to decide if the risk is worth it to them. The adage of trust but verify applies here as well. You should start with the assumption that they know more than you, trust, but they can still make mistakes or have gaps in knowledge that could be very impactful to you, so verify.

Suppafly 2y ago
>Psychiatrists aren't evil, of course, but they're not going to tell you (or are always aware) of all the minutia of long term effects treatment can have. This, I help a family member with their medication and occasionally they'll have side effects that are obviously a direct result of one or more of the medications and the doctors will often ignore that until it's brought up over multiple appointments, even then they often want to add an additional medication to the 6-7 they already prescribe instead of working to lower dosages of the ones causing issues. My brother was on ADHD meds most of his early life and started having heart issues that doctors seemed to have no ability to figure out, despite it being one of the listed side effects of his medication. I have a friend who is pretty convinced that his wife won't live much longer because the dose of her medications is one that is known to cause liver and kidney damage long term. You also regularly see psych patients gain tons of weight in a short amount of time from some of the medications like Seroquel, but the typical doctor response is "better to be fat than dead" while totally ignoring the long term health issues, including things like depression that the medicine was original prescribed to treat, stemming from ongoing unregulated weight gain. People really need to advocate for themselves and often aren't in a place to do so.