Hi guys,
This subject is one that touches me on a very deep and personal level.
I finally got a chance to meet my b/f's (we live together, going on 2 years now) psychiatrist.
I don't know how I feel about her. On the one hand, I feel she is probably very good for my b/f, as she is currently persuing her PhD in medications to treat anxiety/depression, so she's very scientific and she knows a lot about meds... On the other hand, I can't shake the nagging feeling that she's a least somewhat off base with his treatment.
Here's why:
1.
She keeps insisting that at the dosage my b/f is on (37.5 mg of Effexor), he should not be having any benefit at all for his anxiety/depression, as the dose is too low to be doing anything. I live with him, and the 3? times he's gone off the medicine, I've seen a dramatic and unmistakable change in his mood - and not a positive one. So there is no doubt in my mind it's doing something. He feels the same way (independently), as he keeps saying that he needs the medicine to combat stress. He does stress out, mostly due to work pressure, and has gone back on the medication each time she's tried to wean him off it (he can take mine as I'm on the same medicine). He ends up calling her up and asking her to refill his prescription - this time I believe she asked to meet with him before doing so (but I need to confirm this with him - he doesn't always tell me the whole story).
2. This is probably his third (maybe more) appointment with her in the last year that he's insisted he doesn't want to go off the medication/dosage he's on, as he can tell there's a change when he goes off it.
Again, she told him: here's what we're going to do - I want you to stop taking the medicine for 3 months in this meeting. She told him, she didn't suggest. It was a little weird.
3. He invited me to the meeting, so I sat in (and thus met her) - it was only supposed to be a 15 min med checkup, so there wasn't really time to therapeutize, but I did get a few comments/opinions in,
which she disregarded, I felt (no response from her to any of my comments, basically I felt ignored). For example, since she asked me, I told her about his sleeping habits (she feels he has a sleeping disorder, and the reason he feels tired often is due to this, and that this is likely controlling his moods more than anything else). I also piped in when she asked him "this is your only occurrence, right?" (of anxiety); he's worked for 10 years since graduating college with his Masters, and I said - "no, he also had anxiety in college-" He also had to remind her that his Dad has PTSD (hello?), and her only response to this was the question: so you were sometimes afraid of your Dad's responses? B/F said: No, I wasn't afraid...(but he always does this, he immediately denies things, but if you probe him, he'll admit more - he's sort of a macho guy, afterall).
4. My b/f seems not to mind all this, but after 2 (I believe) years of seeing this therapist, I think she should remember some basic things about him - Like that his dad suffers from PTSD.
So I'm questioning a) whether he's told her everything, and b) whether she really remembers all the important facts. The Dad with PTSD is MAJOR. I think. What do you all think?
5. I think to do him justice, she should be exploring this and his feelings more in psychotherapy, not just relying on the drugs to combat his anxiety. In my travels, I've read this is the best scenario for success, using a combination of psychotherapy and meds, to reframe those past events into positive ones. I'm surprised they've talked in depth about so little. Also, we've had major fights since we started seeing one another, and I'm not sure he's even discussed any of these with her. I tell my T everything (when I can get around to it). I keep asking him: so, when are you going to have your next Hour long appointment with "Kathy." I think you should talk about this with her...
6. He seems willing, even volunteers to come to my T sessions with my Therapist. I wonder if he likes her better for the psychotherapy?
Am I way off base here? Is she N or what or am I just being paranoid? I care deeply about his mental health, and I know I'm responding a bit codependently as well, which makes me cringe a little. What would be an appropriate response for me?
I need to try to approach my b/f about my concerns, but I'm very afraid he'll see it as a challenge as he really likes her. And I can understand why, because when he was feeling really bad, she "saved" him, really. It was right after his previous g/f of 10 years left him and he was feeling quite anxious and abandoned. He sort of had a nervous breakdown. The fact that he met me has probably had a lot to do with him feeling better, but I'm afraid the issues with his parents (which are the main ones to address) haven't even been touched on.

pb