When psychiatrists just want to do medication maintenance?





I’m very much lost in the world of therapy. I’m thinking of totally stopping seeing psychiatrists all together. I really don’t see the point in seeing them. Today my psychiatrist said he was just there to maintain or adjust my medicaiton and that was it. I don’t really see the point in seeing him anymore because supplying medication every 6 months is something my GP can also do. It also wont help with all my other problems.
I thought pyschiatrists did more than this. Do some also give psychotherapy? – Do psychologists also give this?


  1. My albeit limited experience is that psychiatrists are there to do the initial evaluation and diagnose the problem, then prescribe the right medication. After that their main role seems to be advising on adjusting the dose of medication, or if necessary changing the medication.
    I think they only offer actual therapy for in-patients or for patients who are severely dysfunctional. I may well be wrong on this, but that’s my experience.
    If you want counselling your best bet may be to ask your psychiatrist to refer you to a good psychologist. Or you can ask your GP for some names of counsellors. Sometimes you have to see a few before you find the one that is going to really help you. Some of them are terrible, some are fab – keep trying until you find one who seems to help you find insight into your problems.
    Good luck with it.

  2. who cares, they were voted into authority by people who tax everybody to pay the best of the best of the best to feed the world with whatever is left over after jailing the violent poor folk to teach them how to make a real living in the real world!?

  3. Yes, your primary care doctor may legally prescribe medication such as those used for depression and other emotional disorders. It really is not a good idea to have your primary care doctor to do so. Most general doctors prefer that you obtain prescriptions-antidepressants from a psychiatrist. A psychiatrist is permitted to prescribe medication because they are medical doctors as well as having credentials as a psychiatrist. They are very knowlegeable in the medications and or their effects, and whatever the side effects may be. A therapist and a psychologist are not legally able tp prescribe medications. There are some psychiatrists that prescribe and continue therapy also. Now, most psychiatrists are indeed prescribing your medication based on your emotional state(level of depression), if the medication is or is not helping to alleve your depression or other disorders, such as not sleeping as sleep is very important in treating emotional disorders. As far as prescribing medication for 6 months and not seeing you for that length of time is not very proffessional. He was correct to tell you that he is there to maintain or adjust your medication based on the effectiveness. At anytime you feel that there is a problem with your medication and it is not helping you should contact him right away. Donot discontinue your medication at any time unless the psychaitrist tells you to. You would probably experience some feelings of withdrawal. Your psychiatrist is always learning about medications, the effectiveness, and how it works in the body and side effects when taken with any other medication that you are taking including over the counter medications. I do believe that seeing a therapist in the meantime would be a very good option. You could ask your pyschiatrist for a reference or call the hospital directory and they would also give you the names of therapists to choose from. You, your doctor, and therapist should all work together to help you with anything that may or maynot be going on at any time. That way, you would have your med checks and therapy and feel better and not confused as to what each one does. As I said, a therapist maynot prescribe medications by law. But if you all work together, you would have a definite part of the decisions made and not feel as though you were left out. It is very important to follow through and get the best care available. I also have chronic pain. I have a very good Pain Management Doctor helping me with that part of my care. Please donot hesitate to voice your feelings about them to them. You need to feel comfortable talking with them about whats going on honestly, believe me, they would rather hear the truth than have you feel confused or angry and not voice that to them. You would still continue with your regular or primary care doctor for your other illnesses, but remember to advise him/her of the medications that you are taking as well as telling your other doctors about any medications you take. I hope this has helped. I tried not to get into so much information . I experienced the same thing and it can become so confusing that you donot want to continue. Take care and always, donot hold back, thats what youre seeing them for. One more thing- if you cannot afford or have insurance you may have a mental health clinic that will treat you as needed for little or no charge.

  4. If you are not happy with any doctor , you as the patient have the right to voice your concerns, and i would ask what their game plan is.? if it doesn’t meet yours seek a referral or find another yourself. and be sure to have an appt. to just talk first and express your concerns on treatment and what you would like to have happen and if that meets theirs..
    Not every doctor, Psychiatrist , or therapist fits. Sort of like relationships with others. I agree with you on the meds.. i had doctors like that too.
    felt undone. Don’t give up though..
    i found better ones when i moved on and looked for, and I got great results..
    Your right, they can’t fix everything or problem, we have to take charge/ responsibility for our life ultimately. But, sometimes it does help to get support and guidance in some areas. don’t try to fool yourself though if you need the meds, that you don’t . that can lead to some pretty awful results.. Only a professional can determine that one.

  5. I both agree and disagree with you Danny on your frustration with psychiatrists. I have PTSD and was in pretty dire straits for some time until I was successfully treated by a combination of psychiatry and psychology. Thankfully, I found a team of psychiatrist and psychologist to see, but most people because of medicaid of other public program(s) don’t have that luxury. As a result, people are only half treated. So I understand your frustration and agree with it. I don’t know what to suggest except to find a psychologist that will accept your insurance and see if he’ll work on your case with the psychiatrist. And by the way, recovery is possible. I only see the psychiatrist once every four months and I have been released from treatment by the psychologist. Best of luck to you.

  6. Most psychiatrists do diagnoses and medication management. Not many do therapy, especially if they have a full caseload. The best thing to do is to ask your psychiatrist or doctor to refer you to a therapist or search one out on your own. You can have your doctor continue your medication management if you prefer, just be aware that if anything comes up that requires medication changes, the psychiatrist would be best to handle this.

  7. phychiatrists prescribe and maintain drugs just like he said, if you want to talk to someone you need a phycologist. If you have been taking the same drug for a while and are doing good and the right does has been established, tell your GP about it and see if he will maintain the script for you

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