Being Amber Rhea

Yesterday I went to see a psychiatrist, recommended by the therapist (a licensed clinical social worker) I’ve been seeing. The last time I saw a psychiatrist was when I was in college, and he’s the one who originally prescribed Wellbutrin for me. I don’t remember who prescribed it for me when I lived in Texas. When I moved to Atlanta, my primary care doctor started prescribing it for me, and admonishing me to see a therapist, since I wasn’t going to one at the time. A couple years ago that doctor stopped working after she had a baby, and the doctor’s office assigned me to another primary care doctor for insurance purposes, but I’ve never actually met the guy. Nevertheless, the office keeps refilling my prescription every time I call for refills.

All of this is to say, I’ve been on Wellbutrin now for about 5-6 years, and it’s been working great the whole time. But I knew that sooner or later I would have to see a real live doctor for med maintenance, as it’s called.

And more importantly, for the past several months - okay, going on a year now - there have been times when I’ve felt as if I might be sliding into depression. I can spot the warning signs, and I want to do everything possible to make sure I don’t end up there again; it’s not fun (obvious statement of the year). After talking with my therapist though, we both think it’s more anxiety than depression.

Oh, I should back up: a few months ago I started seeing a therapist again. She’s up in Dunwoody, and it takes two hours out of a workday for me to go see her (her office hours are exactly the same as mine). The office doesn’t file insurance, which pisses me off, because I have to file it myself, and so far I haven’t gotten any refund checks (the first time I mailed in my claims, and later called to see if they’d been received, and was told they had “no record” of the claims… no surprise there). Anyway, I really like this therapist, and I’ve been seeing her every other week; but I don’t know how long I’ll keep it up, with the travel time and the insurance pain in the ass.

There are a few psychiatrists at the office too, and she recommended I see one for a medication evaluation. So that’s what I did yesterday. The doctor decided to keep my current dosage of Wellbutrin and also add a small dosage of Lexapro, which is anti-anxiety medication. I’ll be getting that prescription filled this week, and within a few weeks to a month I should start to see results… hopefully good ones. She said Lexapro can cause nausea; I hope I don’t have that problem.

And can I just say, I am really irritated with therapists’ offices (or any doctors’ offices, but I’ve never known any other than psychologist/psychiatrist offices that act this way) that don’t file insurance for you. My therapist said, “There are just too many different types of insurance.” Well excuse me, that’s why there’s an office staff! My therapist in Texas (whom I loved; seriously, when I moved back to Georgia I wished I could take her with me) worked at an office a lot like this one, and they filed insurance with no problem. I think it’s presumptuous and lazy for them to expect patients to do it. I don’t know if I’ll ever see the refund checks for the appointments I’ve paid for so far, especially the $300 appointment yesterday. It just pisses me off, because I’m paying for insurance but of course they give you the run-around. (Again, why can’t everywhere be nice and responsive like USAA? Sad that service like that is a minority…)

Anyway, that’s that. I know I got off on a tangent, so this is partially an insurance rant and partially an update on my mental health situation. I’m publishing it now… without proofreading!