Psychiatric nurse practitioner cancelled my appointment for today

[kabs8]

My psych NP canceled my appointment for today and, I don't know why but I feel so angry but also sad.  In a way, I think I'm angry and/or sad because I miss her, I really do like talking to her.  I know that sounds so strange a probably should talk to a therapist which I've done in the past and really hesitate to do now.  I have rescheduled for the NP but thats not for another 4 weeks and I kinda feel this may be the time to break away from her.  I take Wellbutrin SR 450 mg a day and Klonopin 1 mg a day, in divided doses.  I thinking about stopping these meds or at last weaning off them.  I've read good and bad things on the net about stopping these.  This is one thing I wanted to talk about at my appointment.  Any ideas if I should do this?  My anxiety feels about the same, maybe a little better, but depression is worse and I'm blaming that on the Wellbutrin.  

[Phtartist]

I would call and emphasize that it is important that you see her sooner than 4 weeks from now. That will be 8 weeks from your last visit, which I would tell them is too long, with your present situation.
Good luck Kabs

[KrustyBroccoli]

It is never advisible to change your medication regimine without your medical specialists approval. Since there are no text-book cases your medication has to be tailored to your specific biochemistry. This is a trial and error phase. I've always said that psychiatry isn't a science, it's an art.

Instead of going off your meds, your NP might add another medication to work in conjunction with the others. Your own personal medication "cocktail." We all have different ones, no two people have the exact same meds or doses.

Allowing the professionals to adjust your meds helps them to help you. If you all of a sudden change your meds and destabilize to the point of breakdown, that really hasn't helped them. Work with them, and not on your own.

Don't be too proud to ask for help from other people. More than one person can help you, so let them.

It's true that some medications can create the problem they are supposed to be correcting, but there are so many variables that it's difficult for someone without a medical degree to differentiate. As much as you know your body better than anyone else, they understand the medications and how they work.

I know first hand how hard it is to be patient, while feeling cast aside by medical professionals. I have a few mantras I use. "This is only temporary," "This too shall pass," and from my mom, "Ride the wave."

Create a wider support structure for yourself in case of times like this. One single person can't assume full responsibility for your care, spread it out when you need counsel.

Only ever let one person prescribe meds!!!!

Hang in there, you'll be alright. It's hard now, but it does get better.

[Bubulous]

The medication may take time to work but if you get depressed it likely no medication is going to be able to stop it completely.  I am on several medications and I cannot stop it from coming.  There are of course meditation practices and musical practices that may help but it may in fact be time to change medicine if you have been on it for a while.  It also may be time to switch your psychiatrist if they don't care enough to give you a number to call so you can reach them if you need to.  My psychiatrist said to call anytime I need him and I can always get in touch with him if I need to.  For now try to make yourself feel better as best you can, keep taking the medication or get in touch with your psych NP to change the meds.  If the depression gets worse go to the emergency room and be supervised by a doctor.  Good Luck.