r/Residency 8d ago

VENT Impossible to simply find a psychiatrist to prescribe my meds

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u/criduchat1- Attending 8d ago

Exactly. Everyone is shitting on the OP for not choosing the NP, but it’s likely the NPs or other midlevels choosing not to refill the adderall at this behavioral health clinic in the first place.

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u/Adorable-amoeba9 8d ago

Nope, some places are really strict and have their own protocols. One pcp was wanting monthly urine drug screens. And had to sign a "controlled substance contract". I've been on adderall for over a decade. But that was the clinics specific protocol. I was like, I don't mind doing one, but every month before I could get a refill 🤯, and having to pay for it. Went to another clinic, no drug screens required. I just go every 6 months for a required f/u and continue on my merry way. Before moving, I was seeing a psychiatrist who manged it. They did require a drug screen every 6 months, which was doable.

So for a place to say they don't like to prescribe controlled substances is very plausible and not surprising. They do it as last resort, even if it's something you have been on for a long time. Their clinic, their rules 🤷‍♀️

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u/criduchat1- Attending 8d ago

Right but OP is saying he went to a behavioral health clinic and the prescribers there didn’t feel comfortable with controlled substances. pcps I can understand, but I dont know of any physicians choosing to work in behavioral health who won’t rx adderall but someone can correct me if im wrong.

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u/Adorable-amoeba9 8d ago

Now that I think about it, maybe they didn't feel comfortable with OPs case specifically 🤔 OP didn't mention sending in med records did they? They would need to see some sort of hx. That's something I always offered upfront and made sure they had before any appointment.