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…