Psychiatrist appointment today. She started off with asking if I had heard anything from ASC, where the referral to DBT was sent off a couple of months ago. Reported to her that yes I received a call from the F Hospital Psych Triage, who informed me that the DBT coordinator would be in touch, but I’ve yet to hear anything further. “Do you think you could give them a call to follow it up?” Dr T asked me. “Umm…yeah…mmm…I guess so…” She picked up on my obvious reluctance and questioned as to whether it was attributed to my anxiety. I confirmed that it was. “Alright, I’ll give them a call,” she said. I breathed an internal sigh of relief. That’s one less anxiety provoking phone call I have to make…
At some point during the appointment, she made a call to the ASC to follow up the referral. I am somewhat in awe of people who are able to just pick up the phone, make a call, no qualms about it. Unfortunately the DBT coordinator did not pick up, so Dr T left a message. It is unknown to me at this point whether or not a return phone call was made.
Dr T and I spent a while discussing my anxiety. Apparently the SSRIs work better for anxiety at a higher dose. Because I’ve been on Lexapro for a while now, she’s decided to change my medication to Zoloft instead. Just when I thought the Lexapro was working too…! On my depression that is. Admittedly, it’s not doing much to alleviate the anxiety I experience. “The usual starting dose is 50mg so don’t worry that it’s more than 10mg [of Lexapro] because they have different dosages,” Dr T told me. Well duh, I do work in a pharmacy, and I was a pharmacy student for a year and a half. She informed me that she does it [medication changing] pretty quickly and I am to start off with 50mg daily and go up by 50mg per week until I’m at 200mg. If I experience adverse effects, I’m to wait two weeks before increasing my dose. That means if I do get adverse effects, I’m going to be sick for at least a month. Gee that’ll be fun…
She wrote all the instructions down on a piece of paper, and though she didn’t discuss if with me, I assumed her advice on stopping the Lexapro would be written down. Upon exiting the consulting room, I glanced at the sheet, and all I saw was this:
Err. Okay. The rest was dedicated to starting the Zoloft. I thought a medication free interval was required in switching from one antidepressant to another, but apparently not. From what I understand, I took my 10mg of Lexapro this morning, and I’m to start straight away on 50mg of Zoloft the following morning.
A referral letter was obtained from Dr T, or rather, Dr T’s secretary who typed it for her, to give to the psychologist I am seeing. Written is;
RE: Behind the Façade, [My address]
I would be grateful if you would consider seeing BtF under the Medicare arrangements for the requisite 12 sessions. BtF has a history of anxiety and depression and would benefit from psychological input.
Twelve sessions. Sighs. Like that’s going to cure me…
It cannot be grasped from the above sample, as I’ve not written it in for obvious reasons, but the secretary has spelt my name wrong. It’s wrong. Wrong! She’s completely missed out a letter of my surname, and it’s not a double letter either, so it just sounds wrong! I have to restrain myself so that I don’t go crossing it out and correcting it, like I’m so itching to do. Also bothering me, though to a lesser extent, is ‘Dob.’ It is an acronym, and should be written so. As in, ‘D.O.B.’ Yes, I am very pedantic when it comes to spelling, punctuation and grammar. Though I realise my writings aren’t perfect either!