Hi I was wondering if you could help me, I’m having issues with my psychiatrist and I’m also in Australia. To cut a long story short I was working with an addiction specialist because I had a bad reaction to sublocade treatment lasting the previous 13 months, we were talking via SMS ( which I think inevitably lead to some misunderstandings and the A.S. Ended up jumbling different parts of our convoluted conversation together) and because my psych was extremely unhelpful and refused any correspondence outside of paid consultations, I ended up directing my questions to the A.S. ( I’d totally forgotten about blue light at this point, perhaps if I’d known I could of avoided this ridiculous circumstance I find myself in) the addiction specialist was surprised with a few things I’d said about the treatment and said he would speak with the psychiatrist, at this point I’d found the A.S kind helpful and always willing to listen, which was the opposite of the psychiatrist, so the next time I went to see the psychiatrist he put all these arbitrary restrictions on my treatment, his words were “if I’ve got problems that means problems for you”
I had done nothing wrong whatsoever, I mean if I was I wouldn’t be confiding to an addiction specialist, so he said I wasn’t allowed to increase my Vyvanse dose which was on the starting dose of 45mg, I’d been on vyvanse 45 mg for about 4 weeks at this point, before that I’d been on 7 5mg dexies for about a month and I’d only been diagnosed 3 months before and had gradually worked my way up to 7 dexies, after he said I could never increase my dose only decrease it, I said “ but what if I develop a tolerance and it starts wearing off” he stated that this does not happen and anyway I was talking to the wrong person about it, he also refused to prescribe dexamfetamine anymore, the vyvanse was actually working really well for me at this point, I was sleeping once it wore off and it felt much smoother than the dexies ( I also requested to be put on vyvanse multiple times and was finally put on it once I told the psychiatrist that the a.s. Told me to request vyvanse) anyway after I left the appointment I asked the a.s. Why he told the psychiatrist to do that, I said I had trusted him and now I felt betrayed, I said you could of at least told me that you were going to or had spoken to him , at least that way I wouldn’t of been blindsided and thrown into it unknown territory (chaos) like that, tbh I was furious I felt like once again the drs had disregarded my agency and decided what was best for me, not based on evidence but based on this caricature of who I was over 10 years ago, I felt that both of them really had no idea who I was as a person as they’d only just met me and they’d certainly not spent the time to get to know me. but he said he didn’t say anything like that, he said that he believed my psychiatrist was offended because the A.S. Told him he should of been working more closely with my suboxone dr, cuz at this point he hadn’t spoken to my suboxone gp at all wgich I thought was pretty strange myself, he also said that he told him he should have a more collaborative approach and not just increase my dose of vyvanse to 70 mg like he’d apparently planned to, he did also admit to saying that maybe 70mg of vyvanse and dexies on top might be a bit high, cuz the A.S thought I wasn’t sleeping at this point, but I was sleeping he had confused what I’d told him about the dexies earlier in our chat and inserted it into the current vyvanse treatment, at this point I was only taking the 45mg vyvanse on its own, some days, maybe once or twice when it wore of early, i would take a dexie cuz I couldn’t have the vyvanse wearing off at work, which I told the A.S about and he said that maybe I shouldn’t do that because it might result in me developing a tolerance to the vyvanse quicker, which I’d already told him was what I feared the most, (that’s what happened with the dexies until only my morning dose would work 3.5 5mg tablets) although knowing what I know now I could of probably just pushed through those days and I probably would of been fine,
Anyway So 3 weeks after this appointment with my psychiatristmy vyvanse is wearing off at 11am if it works at all, I’m barely holding onto my job because I have other complications from the chemotherapy I received in 2013, I have a mortgage a sick wife and a 2 year old autistic son who are completely reliant on me, so my question is, I’m in the process of getting my authority transferred to my suboxone dr, but will he be able to increase the dose if my psychiatrist has put these restrictions on?
The worst part is that if my psyche had explained to me that I could use my suboxone dr to write the scripts and adjust my dose according to my needs, i could of just spoken with him and I’d likely never be in this situation, my suboxone dr has known me for like 9 years and he’s always been super helpful and pragmatic with my suboxone doses.
I would actually prefer them not to increase the vyvanse and just go back to giving me dexies as well, I’ve found 1/2 in the morning and 1/2 at lunch time on top of the vyvanse to work best, but I doubt my gp will be allowed to do this. I have spoken to him and he and the prescribing nurse there, both said they’d be happy to take me on and told me to say hello to the A.S. As they know each other, that’s where I first came across the A.S., though my suboxone dr.
Anyway there is more pertinent info, but this comment is already too long, sorry about that, just trying to preempt some Of the questions i would inevitably be asked if I’d given you a shorter version.
thx
I had done nothing wrong whatsoever, I mean if I was I wouldn’t be confiding to an addiction specialist, so he said I wasn’t allowed to increase my Vyvanse dose which was on the starting dose of 45mg, I’d been on vyvanse 45 mg for about 4 weeks at this point, before that I’d been on 7 5mg dexies for about a month and I’d only been diagnosed 3 months before and had gradually worked my way up to 7 dexies, after he said I could never increase my dose only decrease it, I said “ but what if I develop a tolerance and it starts wearing off” he stated that this does not happen and anyway I was talking to the wrong person about it, he also refused to prescribe dexamfetamine anymore, the vyvanse was actually working really well for me at this point, I was sleeping once it wore off and it felt much smoother than the dexies ( I also requested to be put on vyvanse multiple times and was finally put on it once I told the psychiatrist that the a.s. Told me to request vyvanse) anyway after I left the appointment I asked the a.s. Why he told the psychiatrist to do that, I said I had trusted him and now I felt betrayed, I said you could of at least told me that you were going to or had spoken to him , at least that way I wouldn’t of been blindsided and thrown into it unknown territory (chaos) like that, tbh I was furious I felt like once again the drs had disregarded my agency and decided what was best for me, not based on evidence but based on this caricature of who I was over 10 years ago, I felt that both of them really had no idea who I was as a person as they’d only just met me and they’d certainly not spent the time to get to know me. but he said he didn’t say anything like that, he said that he believed my psychiatrist was offended because the A.S. Told him he should of been working more closely with my suboxone dr, cuz at this point he hadn’t spoken to my suboxone gp at all wgich I thought was pretty strange myself, he also said that he told him he should have a more collaborative approach and not just increase my dose of vyvanse to 70 mg like he’d apparently planned to, he did also admit to saying that maybe 70mg of vyvanse and dexies on top might be a bit high, cuz the A.S thought I wasn’t sleeping at this point, but I was sleeping he had confused what I’d told him about the dexies earlier in our chat and inserted it into the current vyvanse treatment, at this point I was only taking the 45mg vyvanse on its own, some days, maybe once or twice when it wore of early, i would take a dexie cuz I couldn’t have the vyvanse wearing off at work, which I told the A.S about and he said that maybe I shouldn’t do that because it might result in me developing a tolerance to the vyvanse quicker, which I’d already told him was what I feared the most, (that’s what happened with the dexies until only my morning dose would work 3.5 5mg tablets) although knowing what I know now I could of probably just pushed through those days and I probably would of been fine,
Anyway So 3 weeks after this appointment with my psychiatristmy vyvanse is wearing off at 11am if it works at all, I’m barely holding onto my job because I have other complications from the chemotherapy I received in 2013, I have a mortgage a sick wife and a 2 year old autistic son who are completely reliant on me, so my question is, I’m in the process of getting my authority transferred to my suboxone dr, but will he be able to increase the dose if my psychiatrist has put these restrictions on?
The worst part is that if my psyche had explained to me that I could use my suboxone dr to write the scripts and adjust my dose according to my needs, i could of just spoken with him and I’d likely never be in this situation, my suboxone dr has known me for like 9 years and he’s always been super helpful and pragmatic with my suboxone doses.
I would actually prefer them not to increase the vyvanse and just go back to giving me dexies as well, I’ve found 1/2 in the morning and 1/2 at lunch time on top of the vyvanse to work best, but I doubt my gp will be allowed to do this. I have spoken to him and he and the prescribing nurse there, both said they’d be happy to take me on and told me to say hello to the A.S. As they know each other, that’s where I first came across the A.S., though my suboxone dr.
Anyway there is more pertinent info, but this comment is already too long, sorry about that, just trying to preempt some Of the questions i would inevitably be asked if I’d given you a shorter version.
thx
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