Mental Health Psychiatrist closed my case 😞

[Marda]

So last month my dr closed my case. She said I’m noncompliant. First of all, I’m on 300mg of Effexor, 300mg Limictal, 1.5 Vraylar. So I have one month refill. I can’t find a psychiatrist that takes state insurance. Back to the noncompliant thing. I stopped Vraylar cold turkey bc I knew the other 2 had my back. No physical wd but I did get a little bit nutty. So I started back. At the appt, I was off it. I also told her I wanted to ween off everything and she said I’m “not one of them people that can come off.” We argued, she also knows I get Xanax 1mg to sleep at night (not prescribed). Ashamed to say, a line of meth when I study once a week bc it calms and focus’ me.
So her boss called me few days later and told me they are letting me go. Anyone have advice? Because I’m not ok with out them, cold turkey.

 

[Jabberwocky]

Tough situation, I'm sorry.

Are you voluntarily going or forced?

I've had doctors pissed when I told them I stopped taking whatever medication but I've never heard of "non compliance"

Well except for the physician who refused to treat me if I didn't stop drinking.

 

[Marda]

Tough situation, I'm sorry.

Are you voluntarily going or forced?

I've had doctors pissed when I told them I stopped taking whatever medication but I've never heard of "non compliance"

Well except for the physician who refused to treat me if I didn't stop drinking.

Thank you for the reply. And I’ve been diagnosed with servers depression since I was about 10. Assuming bc my dad died in plane crash when I was 7yrs old. Bipolar I forget 1 or 2. Whatever the lows one is. Not the hyper manic but manic depressive. That diagnosis came into the picture around 23-25yrs old.
My addiction started @ age 28. I was a cocktail waitress at a casino and the bar people sold Percocet 10mg to the waitresses. I remember having to break them in half.
Eventually, unfortunately, it progressed. Only thing I haven’t done is ayahuasca.
I was put on my meds about 30 yrs old after I had my son who’s 12 now. They tried so many different combos. Eventually it came to ( I forget if I mentioned what I’m on.... Effexor 300, Limictal 300 and Vraylar 1.5) and it’s been that for about 6 years. Idk if they help. I get very bad lows. I’m not suicidal but I daydream about it. I say “I’m not suicidal but I can’t wait to see what’s next” I’m obsessed with A.I. and pretty much every theory of what’s next. (I forget your question )
Oh yeah, so it’s not mandatory, it’s bc my depression and ended up in 16 rehabs/detox’s, psych wards. I know I’m not right. Some call me weird, some try to say in a nice way, unique, strange. “Something just not right with you”
So I assume I need them but I feel like I think and act like any “normal person”. It bothers me when people say that.
But point is, I want to ween off them and get off. I can’t stand being physically dependent on anything. I went thru that from 28ish up til 40. (40 this past March) Yeah so, I’m pretty frightened.

 

[Marda]

Am

Thank you for the reply. And I’ve been diagnosed with servers depression since I was about 10. Assuming bc my dad died in plane crash when I was 7yrs old. Bipolar I forget 1 or 2. Whatever the lows one is. Not the hyper manic but manic depressive. That diagnosis came into the picture around 23-25yrs old.
My addiction started @ age 28. I was a cocktail waitress at a casino and the bar people sold Percocet 10mg to the waitresses. I remember having to break them in half.
Eventually, unfortunately, it progressed. Only thing I haven’t done is ayahuasca.
I was put on my meds about 30 yrs old after I had my son who’s 12 now. They tried so many different combos. Eventually it came to ( I forget if I mentioned what I’m on.... Effexor 300, Limictal 300 and Vraylar 1.5) and it’s been that for about 6 years. Idk if they help. I get very bad lows. I’m not suicidal but I daydream about it. I say “I’m not suicidal but I can’t wait to see what’s next” I’m obsessed with A.I. and pretty much every theory of what’s next. (I forget your question )
Oh yeah, so it’s not mandatory, it’s bc my depression and ended up in 16 rehabs/detox’s, psych wards. I know I’m not right. Some call me weird, some try to say in a nice way, unique, strange. “Something just not right with you”
So I assume I need them but I feel like I think and act like any “normal person”. It bothers me when people say that.
But point is, I want to ween off them and get off. I can’t stand being physically dependent on anything. I went thru that from 28ish up til 40. (40 this past March) Yeah so, I’m pretty frightened.

And yes, same as you, bc I couldn’t stop using at this time I was barely using, that was one of the reasons why she cut me off.

 

[Jabberwocky]

I guess I’ve been lucky with psychiatrists, or maybe Aussie one’s are a bit different, but I’ve always felt that my meds were a subject of negotiation and joint agreement. Given the hellish side effects of some drugs, it seems risky for psychiatrist to literally compel people to take any particular one without their understanding and informed consent.

However if I refused to take anything at all he would still report it to my insurance company and they’d be the one’s to make a stink about not making efforts to get better.

 

[Downinit]

You mentioned you're on state insurance, so I'm guessing you're in the U.S.? If so, I'm not sure what state, but I know here in Michigan, if they're closing your case, for whatever reason, they have to send you a notice, and on that notice there are instructions to appeal the closure. Ethically they can't just dip out on you like that without referring you to another psychiatrist. You may also want to call your insurance and ask for a patient advocate. I hope things get better for you, and you get a psychiatrist who's actually interested in helping you. Best of luck.