Psychiatric prescription rules?

[max87]

Surely there are patients receiving benzodiazepines for "anxiety" or other psychiatric disorders.

Is that statement not true?

I am particularly seeking the law and VA rules, which must be written and available, if they state otherwise or who gets prescribed what by rule, I want to see that.  Please help me find the info. For example, I'm pretty sure you can google "VA weening PTSD benzodiazepines" or something similar and find that info. I AM NOT referring to PTSD patients.

For example: Where is it WRITTEN in VA rules/law that, eg: All VA patients (or all mental patients) are being weened from these drugs?

I need to see where in VA that is on the books, if it is. 

Any and all other comments are welcome. All clues wanted.

 

please do not badger me with questions and not answers or data. if you don't know what i'm talking about, move on.

[max87]

On December 8, 2018 at 11:45 AM, seminoles said:

WOW, that is ridiculous  I don't put up with the VA's crap.  I always use secure messaging and as bat crap crazy as I can be at times.........not literally but when I get frustrated and mad, I cry and ramble, and even with a Mensa level IQ it is incredibly difficult to talk to those jerks when they aren't treating you with common decency.  SO, I use secure messaging so that there is a record.  There is a rule that requires them to get back to you within so many business days, I believe it is 3.  I use that against them if/when they are behaving inappropriately.  They do it to us every single day so damn straight I will use it against them.  I am within 25 miles of a VA facility but I have community based care for both my primary and multiple other things.  I do not see a psychiatrist at my local VA because they got caught NOT providing me care and had and IG as well as Congressional Inquiry that they got busted, so I have telehealth but still with a VA provider for psychology and the last almost year a non va community based care psychiatrist.  His office has now closed and they are trying to get me to go back to that clinic and I refuse,  the head of that Psychiatry department called me Thursday because he has had the request for a new provider for community based care or telehealth approval waiting on HIM since October which he hasn't signed (electronically of course) and I know that it keeps popping up in his daily "not take care of crap" and he just ignores it.  SO, I called on him Monday or Tuesday last week and low and behold........I get a phone call, WOW shocking!!  He insists there is no telehealth in the entire country for psychiatry??  BS  He did renew all my meds, including my benzos and someone called from that clinic and was trying to schedule and appointment for me yesterday and I refused.  I said there is a reason I was given outside care and/or telehealth.  I am not setting foot in that clinic. Of course they are all freaking out about me not having care NOW..........but the head of psychiatry wasn't concerned for the 2 MONTHS plus that the sign off was sitting in his in box waiting on him.  I don't play their games.  I may have a ton of mh issues as well as physical ones but I am not dealing with incompetent providers nor ones that dismiss me and treat me like crap.  The woman was asking me, "so you don't want to use the VA at all?" I told her, "not at all, I have some really great providers at the VA and I named the many great specialists that I do have........and said it is the mental health clinic HERE that I have an issue with since my psychiatrist that I had for over 8 years left in 2015!"   I am not playing their game in that clinic because I know playing silly games, you will win silly prizes and I have had enough of those for a lifetime with crap care, once I let them be my provider again I will NEVER get outside care again that the VA pays for, I am no fool.  I hope you find better care.  I know there are great providers out there, my psycholigist is amazing via telehealth.  They stopped utilizing here at my local VA, even though there are so many  veterans waiting on individual therapy and now she is seeing me via telemed at HOME.  That is how the VA should work!  

Thsnk you, Seminoles. Hope you're doing ok. 

[Buck52]

seminoles

what VAMC MH Clinic was that?

if you don't mind letting me know?

I use the Dallas VAMC MH Diamond Team Clinic And they all are great, I never had any problems , I been using them once a week for therapy since 2013  My L.C.S.W.-SW-4 is wonderful and she has A Master Degree  but she said her calling was helping Veterans get their life back.

My Psychiatrist is pretty cool too  She wrote me a excuse letter  to not have to go to Jury Duty   when I ask her if she would she said Sure. ect,,,ect,,, 

[seminoles]

5 hours ago, Buck52 said:

seminoles

what VAMC MH Clinic was that?

if you don't mind letting me know?

I use the Dallas VAMC MH Diamond Team Clinic And they all are great, I never had any problems , I been using them once a week for therapy since 2013  My L.C.S.W.-SW-4 is wonderful and she has A Master Degree  but she said her calling was helping Veterans get their life back.

My Psychiatrist is pretty cool too  She wrote me a excuse letter  to not have to go to Jury Duty   when I ask her if she would she said Sure. ect,,,ect,,, 

The crappy VA mh CLINIC?  Tallahassee, I had an amazing psychiatrist here for almost a decade and then horrible care.  Now, I have a psychologist who is in Pittsburgh, she is amazing.  I have no psychiatrist right now, I have been renewing my meds by having my outside provider write my prescriptions until I figure out what to do.  I just won't go into the Tallahassee mh clinic period.  I had provider after provider dismiss me, treat me like crap and even tell me that MST doesn't happen.  Once I even told my psychiatrist I needed my meds adjusted that I wasn't doing okay, and her response was, well are you suicidal?  okay, no?  then knock on wood, literally she knocked on her desk and said see you in 3 months and changed nothing........I was in horrible shape.  The clinical pharmacist was the ONLY person I trusted in that clinic at she no longer works there.  So, I have a choice now, be drive 6 hours round trip to another VA or nothing.  Right now, I have nothing.  Even though I had fee basis care and was recommeded for telehealth when that provider closed and they couldn't find another provider who would accept VA payment.    I was even given non va primary care..........when I live 25 miles from the VA which was processed and there is an authorization in the system but I never received a letter for, since October.  MY VA system SUCKS.   I know why veterans kill themselves in VA parking lots.  Not that I would, give them the satisfaction.  They want us to kill ourselves so they don't have to pay us anymore.