Then there's the patient who is non-compliant with treatment. In her article Doctors Reject Difficult Patients, Patient Empowerment Guide Tricia Torrey gives the example of an overweight woman with diabetes who makes no effort to lose weight, which is critical to her health. Are psychiatric patients any different?
Many of you have talked about this in our forums. You believe that a drug is not helping you, or the side effects are too difficult, and stop taking the drug without your doctor's approval. Whether you find you were right or wrong about the problems, your doctor may simply feel you are uncooperative and refuse to continue seeing you.
Some of you say that your doctor is arrogant, believing that the drugs prescribed are the only ones that are right for you, no matter what you say. Tricia has written guidelines for dealing with arrogant doctors that may help you.
But sometimes a doctor will refuse to see a patient who never understands why. Do you see yourself in any of these common doctors' complaints?
If you've had a doctor "fire" you, what was the reason? And were you better or worse off afterward? Leave a comment and tell us your story.
~Marcia


I remembered this once, i went to see a pdoctor that came ‘highly recommended’ by a friend. Well, not only he is too pround and arragont. I am very sensitive on drugs, as most of them give far greater side effects than results, therefore I pay very close attention to the side effects on certain psych drugs. When he was trying to prescribe me a list of psych drugs that I’ve tried, but with serious bad results. I told him, I’ve tried them, but they are not good as i get this this and that…
He got so pissed off… He kept on telling me it’s not in the textbook nor in the information leaflet, therefore my experiences weren’t true. At the end of it, he got so pissed off because he thinks i was ‘challanging’ his profession, he told me to ‘GET OUT!!’…
I often said to my current pdoctor, just because things weren’t in the textbook or in the information booklet, don’t mean it can be. Because afterall, i’m the person that has ‘actually’ try it.. Who knows better than I do!
Currently no pdoc in my insurance plan will treat me because I chose to take more natural medicine which they know nothing about and insurance will only reimburse them if they prescribe medicine.
And yes I am doing MUCH better with the more natural treatment plan!
Continued from beore…Had to “activate” computer security issue!Hope you catch up from prior comments as Part 1..”challenged doctors” I will label them as follows.In 1998-[2004-] he was my dr.as trs passed,& being an intellegent woman,but not from the “sticks” sorry,but the facts remain.Primary doctors are the worst in their field,I was under the crazy assumption that he was going to do all he could,until the word “alternative”was mentioned!I asked if he could perhaps find an anti-depressant w/ some natural properties,as I am an avid reader,& he knew it! Later,I will tell you the hell I went through,when I read the 101 pages he was keeping on my “character”,I was never a “difficult” patient,contrarily,I was an “inferior” one..I was suffering w/ a hip dislocation,walked w/ a cane,gaining over 40lbs[since then I am now 60lbs less..I already lost weight after 2005 1yr after he "cut"me off,I was not "obese!"but he wrote "morbid obesity"[notes] saying I was taking too much time to get my hip done..but he knew I was looking for the best,afterall,he never referred me to anyone,so luckily I found the best,I was afraid,as Pocono Medical Center was having lawsuits,& no way would I allow them to operate!Allentown is where the better doctors were,so I was told to go another doctor. Mac knew this the reason for what he called”not doing anything about it” this from a dr.who wasn’t doing anything!! I said “I was reading an article re: alternatives to depression meds, in his notes,he scoffed at me, writing “she “read an article”, but it was defamatorily written,clearly a slur..knowing I was intelligent,an avid reader,he resented my constant questions as to why my thyroid[synthroid] was making my heart beat fast[over a year!This would prove,he had me at over 250mil's instead of 120?There was never any regular lithium level tests,done,unless I reminded him,saying "why is my heart beating so fast?"continued from the synthroid issue..he still never gave me a test saying he didn't know why!One year after my beloved pet went to heaven,in 03, in 04 he planted another desk girl,as I walked in,yes,"planted" because she gave me a hard time,they didn't get any satisfaction,as I kept my cool,she said she couldn't find the $60$ check I just gave her!The regular girl whom I knew for 6yrs was behind her,saying "this girl would die for me,so believe her if she misplaced it"I said "Barbara,you needn't "die" for her,just find the check,suddenly the check popped up in the same stack she just thumbed through,sloppily.."here,it is,you see,Cathy!" I had never seen this new girl before..& Barbara was acting as if she never knew me..My operation date was told to Mac,the date would be in Oct,I was there in July of 04,as we stood there,this new girl started to complain to other secretaries,same women I'd known to be friendly,suddenly listening to her demean me,to me all of these women!I spoke up saying,what is the big problem,why are you discussing this w/ everyone,you lost the check,remember??/This was a confidentiality thing,& she was trying to aggravate me,this would prove true as 2 days later,I got a letter saying he[dr]was no longer treating me!This was just after I told him my op was set for Oct!!!He wanted me to,complained that I was procrastinating,then when I “did” finally have the right safe dr..he refused to sign any release!!The ortho-sec called him,she said”he was no right to do that”but “we don’t need his lousy consent,Catherine”"you’re certainly not as “his” mercy”[this attitude from the ortho's side was an obvious annoyance to her staff too!]
I was treated so bad,I received a letter after that one “threatening not to come near the office,or premises,[he didn't own the building,nor did he give me refills,any other doctors[he spoke for the other ones too,but I'd not go back there anyway..This "threat said I said "I'd like to take you[new girl]out into the parking lot,beat the shit out of you”[I had a cane for my hip,but not to justify that as any excuse..I never said that!!The sec who I'd later tell this story to said she never heard anything said by me,she sat right there,during the entire time..I called an attorney,they're not N.Y. or even N.j.att's,still the 101 pages were likened to a police record,where your next doctor would see those pages,thus concluding me as he did?:But my next dr.never read them,she said"it has nothing to do w/ that& she couldn't believe such notes would be written by a doctor,anyway,in court I could sued for "defamatory" plus the emotional abuse from that "new girl" who suddenly came on the scene,"that day,only?"Each lawyer wouldn't read them!I read an article in "Physicians Journal" a doctors records/notes can make or break a doctor in court..but I couldn't find a Pa dr.to pursue this,rather they defended him..without knowing the true circumstances..You see,when he was confronted by my questions,re:depression,& he could do nothing,he was more secure w.old,seniors who's didn't have such questions,he didn't have to be "challenged"by! I will never give up,I'll contact a ny lawyer,next because if anyone,even if they weren't doctors would be "shocked" at what he wrote,I called a "bad screenplay"he unleashed his arrogant wrath,reminded him as to the rotten doctor he was,even deadly to my life!
My mom,went to him,2wice,she asked him "come now,You know my daughter threatened your secretary!" You know my daughter!" You beleived her/They both,Barbara & the "new girl" put my daughter through an emotional hell,sitting back saying "can't find your check"then talking about her amongst the other women? Barbara defended her,saying,"how do you know they weren't talking to them re:another subject?'Mom said "oh come now,my daughter heard her,say "she's demanding her check "was" there,?was there?Now,it was "was?',forget it,because there was a man who just complained about the other sec,at another window,because she put him behind another person while he was waiting long,he[this man] raised his voice,& my mom agreed w/ him,mu mom told this to Mac,asked him “are you going to “ban” him from the premises too?because he’s a man,maybe,because he’ll sue your office?Why didn’t that apply to him too?{he was right,I was too]there’s more,but not enough time today..there’s no excuse for an obvious evil,that was done to me! There’s one sec.who knows the entire truth,heard the entire conversation!
Mac didn’t want the responsibility of taking care of me after my surgery..he left me w/ no refills,no thyroid test,& those 101 pages are the most shocking you’ll ever read,Where could I send them? They think I just forgot everything?Did nothing?But I’m not Sicilian for nothing..ha,I will tell the media,but he’ll never get away w/ what he & his 2 cohorts did in 2004!!!!Threats I never said,& if someone ever “did” say such a thing,& at a low voice,wouldn’t that sound a bit stupid?wouldn’t she have responded to that,out loud,perhaps asking me to leave,but it never happened!Someone w/ integrity must read these pages..a NY atty,not afraid,nor cowardly like the townspeople here,People “are” like their towns,as doctors are like their environment,where there’s a comfort level w/ patients who never have any intelligent issues to discuss,nor the knowledge to know the FDA hides the truth!He makes his money while he’s a Bad doctor?”Do No Harm”???Did harm,I’ll never give up,it took me 3months to find another doctor,& I’m disabled w/ bi-polar,disorder..this forsaken place,taking hours to get to nearest destination,only to get another doc- who also knows nothing,another story re: Amourthyroid,a natural thyroid rather than Synthroid,a troublesome med,he wouldn’t give them either..excuse was….{new doctor] said this 2007-9]in between I had another dr,but she left for NY practice,smart girl!Will continue later..stay w/ me,as I have Lithium questions[depression] to ask,I love this site..about.com & I tell everyone about it!
I had a pdoc in Mass once who said she would no longer treat me b/c I was obnoxious and some other things I can’t remember. I later found out that she too had bipolar. I then found another pdoc who specialized in PTSD, which was what I needed. She was absolutely great. However, when I told her that I had decided to try things for a while w/o meds she refused to treat me. I eventually went back on meds, and moved to Vermont. When I again tried to do things w/o meds my pdoc respected my wishes and stuck by me. When I went back on the meds he never said “I told you so”. I now have a psych nurse and a great therapist. My life is very peaceful now, I live in a beautiful house in a small country town, and the people are nice to me. When I decided to go off my meds I was completely supported, and I can’t remember the last time I did this well. It makes a huge difference when all elements are right in your life, including your psych team.
I has a PHD for 13 years. He helped in the beginning but toward the end there was no progress. A BIG part of the problem was that I met him while living in Chicago and kept having appointments by phone for 9 years. He never “saw” how depressed I was or manic (he just thought I was doing better). I would also drink while talking with him. It was a joke. Being a PHD he really didn’t believe in the meds.
I am living in Milwaukee now and a friend recommended a SW who I am seeing now. The pdoc is in the same group so the communication is good. During my time with her I have quit drinking, gotten on meds and diagnosed with BP. I have landed in the hospital 3 times and struggle but am doing better.
Recently I almost got “fired” by both the SW and the pdoc because I choose “die dates”. Because I am not very happy with life and this BP thing pretty much sucks I get relief from selecting a day to die if it doesn’t get any better. I have been doing this for decades this is not just a recent thing. Last week they both told me that unless I stop the “die date” thing they will no longer treat me and I would be flat out on my ass. But my SW compared it to AA for me. It’s not like you are NEVER going to think it…but you must adjust your thinking and regroup ASAP. I have a contract and “steps” to take when I have my when the “die date” gets in my head. This was a good comparission for me and has helped.
I am scared though of losing both my therapist and doc. I think they have helped me a GREAT deal in the last 3 years. Not that I didn’t like my PHD…I did…obviously…but this is working much better…day by day.
Two endocrinologists from two different cities were probably the most difficult doctors I ever endured. The first felt uncomfortable with me because I went online and read everything available to me about my pituitary tumor – almost to the point where he discounted or ridiculed some of the information I read because it didn’t come from him. I have learned more about this disorder from PNA than from any doctor or specialist I’ve ever seen. The other “endo” wanted me on statins, anti-depressants, as well as the cabergoline to treat the tumor. I felt terrible on all these meds and discontinued against his orders – he turned me over to his physician assistant and no longer wanted me as his patient. A couple of years later and I found the PNA, which informed me that the tumor was the cause for all the other problems. My primary care physician took care of me, and the tumor has been gone for 6 years. I am now off the meds and feeling great! I still go in for blood work to ensure that my prolactin levels remain in a normal healthy range, but its great to be prescription drug free.
I was fired by a psychiatrist because the medication she had me on wasn’t working and I had a panic attack. I called to tell her I was running late due to an accident in traffic. I arrived THREE minutes after closing and was in a full blown panic attack. I pounded on her door and she refused to open it. I called the office and she turned me away and told me that was the consequence for not being on time. I had NEVER been late before. Still in full blown panic attack, I drove all the way across town to my counselor’s office. Even though she was in the middle of seeing another client, she saw that I was in dire straits and had me sit in a quiet room at the back of her office and checked on me in between clients all day. I filed a complaint with the state licensing board. Later, I found out she had pulled some other bone headed stunts and two peers — other psychiatrists filed complaints against her. She now runs the local psych ward at the hospital and my doctor has told me to drive to the nearest town outside of mine rather than be under her care again. I don’t understand why she still has a license.
I have had a pdoc fire me also. I had been seeing my GP for sleep problems due to situational anxiety. He tried numerous antidepressants refusing to give me a referral to a pdoc. After being on Lexapro as the last resort, I ended up not sleeping more than 1 1/2 hours a night for over 10 months. I was seeing things that were not real and nearly had an accident driving. At that time, the GP decided to give me a referral. I had a hard time finding a pdoc that was on my insurance. My frist session was 15 minutes and the pdoc declared that I was bipolar and put me on Lamoctal. The Lamoctal didn’t help me so I called her to say that I still had not slept a few days later. She kept telling me to keep with the therapy, because it takes time to work. After a month, she saw me for 15 more minutes and increased the dosage. There was still no result. After the 3rd month, she prescribed Lexapro along with the Lamoctal. I told her that Lexapro caused me to see things. She got very angry with my objections. I went back to my GP for a second opinion. He called the pdoc to tell her that I was not making up my reaction to Lexapro. At our next meeting, she told me never to come back since she did not like having to explain herself to another doctor and did not like being second guessed. I now see a pdoc that will not take insurance. He listens and calls back if I leave a message…even Sunday evenings. He also works with vitamins and natural approches. It is sad that I pay nearly $400 a month for insurance and the only Doctors worthwhile in my area don’t accept insurance. He charges $80 an hour.
I was painfully “fired” by my counselor when I showed up for an appointment and was met by a closed office. He never did return my calls. When I told my tale to my present dr. she was shocked that someone who was supposed to be a professional would treat me that way.
Yes…I’ve been fired by a pdoc. I felt badly, as in the letter he sent discontinuing my treatment, he didn’t specify why. My assumption is that I was experiencing side effects from the medication regimen that he prescribed, and couldn’t afford to come in…and he wouldn’t do anything over the phone, which was understandable. Worked out for the best as he was pretty adamant about doing things his way without regard for applicable consequences. I found a great pdoc that is personable, up on the latest, informative and kind.
I was “fired by a psychiatrist” after I became extremely upset that he kept urging me to keep a dog I was having a very difficult time coping with.
A psychologist refused to continue treatment on discovering I had a disorder with which she was unable to cope, as her father had suffered from the same.
However, she very kindly and in detail explained her decision to discontinue treatment. An understandable “rejection”. We are all human
I worked for a PCP and his wife as the nanny for the four children. After over 3 years, I finally up and quit. The events that led up to this would take me days to include, so let me get down to my point.
My 86 year old mother is in the hospital (and has been there for 4 days). The wife left a message on my voice mail stating that her husband would not be coming to see my mother at the hospital (would send someone else) and that everyone related to me could just go and find another doctor. She even went as far as to cancel an appointment that my nephew had TODAY and told him he need to find another PCP. Is she legally allowed to just up and fire patients because she’s mad at someone?