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A Dickless Prick: A Letter to My Psychiatrist

I wrote this to share with my psychiatrist, and I thought I’d share it with all of you, too. Thanks to Kat for the “dickless prick” phrasing.

I thought we had established my background, but it seems like we/you need a bit of a refresher, so here we go.

I used to be a pharmacist. Then I was a mental health nurse for 15 years. I have a Master of Psychiatric Nursing degree and regularly read psychiatric/psychological research papers to do knowledge translation on my blog for people who are actually taking these treatments. I’ve done a significant amount of continuing medical education, particularly with regards to treatment-resistant depression. A copy of Stahl’s Essential Psychopharmacology sits on my home bookshelf. I’ve written a book called Psych Meds Made Simple that’s in the top 10 in bestsellers in the medical psychopharmacology category on Amazon. It’s rated 4.6/5 with 786 ratings. It’s sold over 11,000 copies.

I’m unconvinced that you have the slightest clue how to approach treatment-resistant depression. Instead, you’re too bloody scared to just order Cytomel at the dose I took from 2012-2016 (that an endocrinologist was fine with back then), and furthermore, you’re too bloody scared to order a water-soluble B vitamin at a dose I’ve taken before that’s supported by the research literature. And you didn’t have the courtesy to tell me that you intended to waste my time with a dose that’s an order of magnitude smaller than what would actually be useful.

So if you feel the need to question me, then what you can do is kiss my ass and stay the fuck away from my care. We are done here. I’m not cooperating with anything further. We can continue to fight, but I don’t think that accomplishes anything for anyone. So please put an end to this nonsense and let me leave AMA.

A few additional points:

The post Cell Phones on Psych Wards—Yea or Nay? is the hub for all psychiatric hospitalization-related content on Mental Health @ Home.

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