Financially driven, offers mediation management, but treats patients like addicts begging for drugs- using this power to "encourage" more appointments than necessary for "check ins." Very cold, felt no patient/doctor relationship or loyalty- often was told "I don't feel comfortable with giving you refills. We need to have more appointments." This continued after one year of monthly appointments. I had also been on the same protocol for the last seven years, documentation was provided. She did not look want it and only read it with my "encouragement." Very frustrating, I wasn't starting from scratch. I was strongly "encouraged" to change the drug protocol and have more office visits. "It's ultimately your choice, but wothout change I don't think we will be a good fit." Two years in her care, I finally asked to combine talk therapy with the medication management she had been providing and agreed to make more changes in meds. The holidays had added some emotions I didn't know how to manage. She had been encouraging me to add talk therapy. Then, over Christmas she sent me a letter ending her care of me and she "didn't feel comfortable" prescribing any refills if I'm not in her care. Dismissing any responsibility that she is leaving me without medication that is very dangerous to stop abruptly after so many years. Offering only that my primary care doctor would probably give me a years worth of refills without question. My primary has never covered mental health based medications for my care. I'm not sure why she stopped things so quickly and refused to prescribe at least two months of medication, which had become our routine. She acknowledged that with my health care it will be very difficult for me to find someone else. I am not sure if something in my insurance changed, but it sounded like she was frustrated with me, maybe that I hadn't been making enough changes? Is this ethical behavior? Her reason was that she was getting older and shrinking her practice.
I don't recommend she continue caring for people who need emotional support or medication management.