So I was chatting last night with a young woman who has a 9-month-old baby and is suffering from postpartum depression. She asked me where to go to get a "good" anti-depressant. She's been going to her OB who has prescribed Lexapro but so far the Lexapro isn't working for her. Before that, she went to her primary care physician who had her taking Paxil for a while, which also didn't work.
What amazes me here is the fact that neither of these doctors should be prescribing an anti-depressant to this woman who is obviously suffering. I mean, when you need medication for your heart, you go to a heart doctor/cardiologist. When you need medication for your brain, you go to (you guessed it) a brain doctor.
Why are so many women getting their anti-depressants from doctors like gynecologists, obstetricians, internists, etc??? Why are we messing around with our brains??? Would you go to a foot doctor if you're suffering from an ulcer? I think there are so many misconceptions about anti-depressants and it has gotten to where they are way too commonly prescribed -- and by any kind of doctor.
So I suggested that this young mother try to go see a psychiatrist so that she'll have the opportunity to get on the right anti-depressant or mood stabilizer or combination of medications, not to mention the correct dosage level for her. She'd never thought about going to see a psychiatrist or even a psychiatric nurse practitioner. None of her doctors had mentioned this option to her. I just don't understand why doctors who are obviously not specialized in the area of the brain feel that they can prescribe brain meds.
Taking a brain medication is a big deal -- not to be handled lightly.