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Wellness Wednesday for April 17, 2024

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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How does one go about finding a "Dr. House" kind of specialist for very treatment-resistant conditions? Specifically, a psychiatrist. Money is no object.

I'm having a four-month-long episode of severe anxiety and panic as a result of getting off of an SSRI I had been on for 25 years. I was totally fine before getting off of it. Getting back on the medication has not gotten me back to my prior normal. My psychiatrist has tried many different adjunctive medications and either nothing resolves it or I get intolerable side effects. My psychiatrist today described my prognosis as, quote, "poor", on account of repeated medication failures.

My ideal vision is a team of multiple experienced psychiatrists, ideally who specialize in anxiety, who can spend a few hours reading about my case and consulting with each other about what might be going on and what might help. I just have no idea how to find such a thing. I'd also be happy to see a single psychiatrist if only I had some way of knowing whether they're especially brilliant or perhaps specialized.

Any advice - even wild speculation - about how to find the care I need would be appreciated. I'm pretty desperate.

I mean, you could always go to Scott? (Or put yourself on his waiting list)