MD vs nurse practitioner

[lee1213]

My MD happened to be informative about my autism, but she's rude. She cuts me off in the middle of my sentence like the previous professional I saw at the same clinic, but the MD was more stern about my talking. I walked in after having a side-effect to one of the psyche meds she gave me. However, I was set up with a nurse practitioner, who was polite. She is quiet and she listens to what I have to say.

I very much value this in a professional, but she only mentions my PTSD. I made a statement about myself being increasingly aggressive to my mom (whom I live with) in arguments since I've been on a new psyche med she herself has given me and she just states PTSD. However, my M.D. mentioned both my difficulty communicating with autism and my possibly of having. My M.D. wanted to make sure my mom understands more about my conditions whereas the nurse practitioner doesn't care to.

I'm thinking of switching back to my M.D. despite her having a possibility of being arrogant again. I hope my NP hasn't dismissed my other diagnoses. My M.D. has made statements about myself being 'high-functioning' though I have an IQ of 85, whereas my NP mentioned nothing about autism/intelligence. I don't think you tell that someone is 'high-functioning' by just having a conversation with them, but I do believe that the M.D. might or might not be the best option.

 

[Streetwise]

from what I just read on the Internet nurse practitioners have no in-depth teaching of mental illness or autism ,they may specialise in geriatric medicine or occupational health ,so it may be better to stay with your MD !
they are primarily interested in nursing

 

[LucyPurrs]

Welcome to Aspies Central. This is a great place and you will get good information here as well as friendliness and understanding.

 

[Ylva]

I'm thinking of switching back to my M.D. despite her having a possibility of being arrogant again. I hope my NP hasn't dismissed my other diagnoses. My M.D. has made statements about myself being 'high-functioning' though I have an IQ of 85, whereas my NP mentioned nothing about autism/intelligence. I don't think you tell that someone is 'high-functioning' by just having a conversation with them, but I do believe that the M.D. might or might not be the best option.

Functioning labels are bull. IQ is an ableist, racist, and sexist concept that shouldn't be relied on no matter how proud some people are of their trigonometry scores. You should trust your own judgment. Maybe you have PTSD (a lot of us do), but knowing that only takes you so far.

As for doctors who cut you off: I read that most of them cut people off in eleven seconds, regardless of neurotype. To combat this in my physician I get to the point fast and keep my sentences short. I speak fast, not dragging the words out like I'm not sure what I'm talking about. If this is not enough, try keeping it to keywords, or prepare a list of questions before you go in.

 

[lee1213]

from what I just read on the Internet nurse practitioners have no in-depth teaching of mental illness or autism ,they may specialise in geriatric medicine or occupational health ,so it may be better to stay with your MD !
they are primarily interested in nursing

I have known this, but my mother kept saying that NPs 'sometimes do better' than MDs. The NP has a nurse that told me to stop on the Seroquel because of the aggression/aggressive thoughts, though I never saw the NP that day because she was 1-2 hours late from the time she saw me. I saw the NP a few days later and she told me something totally different as if she changed her mind, and that's very interesting, say the least!

She told me to go back on the Seroquel, yet with an increased dosage, and told me right away that I would need an injection of it if I don't take it. Ever since I've been on that dosage (about 3 days after taking the increased dose), I've been even more verbally aggressive. I remember asking her (before the increase) if the Seroquel can make you more aggressive, and she said 'it would if you think so'.

I'm not sure if it takes 3 days for the new dose to go into affect, but aggression does happen to be a Seroquel side-effect. She told me that it wasn't, so I don't know how qualified she is in managing Seroquel. I took the Seroquel during the preteen years and again on the late-teen years, but I was delayed until I hit 21. I am a pituitary dwarf.

Quetiapine (By mouth) - National Library of Medicine - PubMed Health

 

[lee1213]

Functioning labels are bull. IQ is an ableist, racist, and sexist concept that shouldn't be relied on no matter how proud some people are of their trigonometry scores. You should trust your own judgment. Maybe you have PTSD (a lot of us do), but knowing that only takes you so far.

As for doctors who cut you off: I read that most of them cut people off in eleven seconds, regardless of neurotype. To combat this in my physician I get to the point fast and keep my sentences short. I speak fast, not dragging the words out like I'm not sure what I'm talking about. If this is not enough, try keeping it to keywords, or prepare a list of questions before you go in.

The clinic was trying to get me to stay with the NP since switched once and stated how uncomfortable I was with the MD. She's the only MD in the clinic, so I hope they can switch me back to the MD regardless of their negative feelings of myself 'flip-flopping.'

As far as iq tests, I am aware of how culturally biased/historically ableist they can be, but I am neither aware of the sexism tied to it nor it's recent usage of shady terms like bright/dull. But I still see a lot of people (both in/outside the mental health field) viewing Geniuses as gods and calling people retarded. I actually to tell NAMI that 'mental retardation' was outdated about 7 years ago.

I underwent a Kaufmann IQ test, which isn't based on trigonometry yet simple math along with pictures, pronunciation and spelling. It is said to be unique from other IQ tests. I don't remember how in it's wholeness, but they don't feature trigonometric/geometric shapes.

 

[Streetwise]

in uk nurse practitioners can't prescribe drugs ,what they do is take you through an appointment and they have pre-signed prescriptions I find some of them have a better attitude toward mental illness but they have trained for 2 to 3 years ,where as a GP trains for seven - 10 years in the UK .
nurses can administer drugs !but the problem is I think because they can't prescribe them they don't have that knowledge.
when I was first given an anti depressant I did research and when the GP offered me an antidepressant I said no so I think it's like me exasperated you showed me what was on offer the one I plumped for what supposed to be the least toxic it will be better for you if you could go to a psychiatrist as they may encounter more people who have reactions to the drugs they prescribe and are autistic .

 

[Mary Anne]

I have known this, but my mother kept saying that NPs 'sometimes do better' than MDs. The NP has a nurse that told me to stop on the Seroquel because of the aggression/aggressive thoughts, though I never saw the NP that day because she was 1-2 hours late from the time she saw me. I saw the NP a few days later and she told me something totally different as if she changed her mind, and that's very interesting, say the least!

She told me to go back on the Seroquel, yet with an increased dosage, and told me right away that I would need an injection of it if I don't take it. Ever since I've been on that dosage (about 3 days after taking the increased dose), I've been even more verbally aggressive. I remember asking her (before the increase) if the Seroquel can make you more aggressive, and she said 'it would if you think so'.

I'm not sure if it takes 3 days for the new dose to go into affect, but aggression does happen to be a Seroquel side-effect. She told me that it wasn't, so I don't know how qualified she is in managing Seroquel. I took the Seroquel during the preteen years and again on the late-teen years, but I was delayed until I hit 21. I am a pituitary dwarf.

Quetiapine (By mouth) - National Library of Medicine - PubMed Health

Please get off Seroquil. It is such a dangerous drug with tremendous side effects. There is an years old thread here that I have been actively engaged in. Hundreds of posts in the dangers from users and former users. Seroquel (Quetiapine) Withdrawal Symptoms: How Long Do They Last? - Mental Health Daily

I took seroquill for 20 years...a very low dose of 25mg daily. 8 months later after weaning myself off and I still am struggling with the side effects of withdrawal. It is a most dangerous drug. You will see extreme weight gain on it.