Last week at the end of our session my patient told me, "I'm glad I found you". He had earlier seen an "addiction medicine" doctor who detoxed him off of opiates, i.e., 20+ Norco's per day. This doctor used a Suboxone taper with Tramadol and detoxed him over 5 days. The Suboxone was appropriate; the Tramadol was not. My patient then stated that for 4 to 5 months he did not feel well. He couldn't sleep, he kept having racing thoughts, and he felt quite dazed. He was probably in a manic delirium exacerbated by his "successful" detox. My patient thought that he was still having drug withdrawal symptoms. I told him, "No, although your detox was successful this most likely triggered a bipolar mood cycle". It is not necessary to wait a year of sobriety to make this diagnosis. In fact my patient was so impaired during this time he almost lost his job.
|The intersection of all 3 circles is health and well being.|
Seriously?!? Make it easy on yourself. Start with a psychiatrist and get it all done at one time. Why see several providers? As a board certified, subspecialized psychiatrist all of this is pretty easy for me to do. Less is MORE.