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Please help - really angry
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<blockquote data-quote="Hound dog" data-source="post: 104677" data-attributes="member: 84"><p>Welcome to the board.</p><p></p><p>My first question is Why is a nurse practiioner prescribing medications for this child and not a psychiatrist?? I know they can write scripts, but if she isn't getting instructions directly from the psychiatrist on what medications and doses to prescribe for difficult child, she's working outside of her scope of care.</p><p></p><p>Only a psychiatrist should be deciding on what medications and doses difficult child should be taking. NP has no authority to diagnosis anything. What you're getting is her opinion. (although it might mesh with psychiatrists opinion)</p><p></p><p>Dealing with a teen with bipolar and borderline is NOT what I'd wish on anyone. Especially one that isn't stable.</p><p></p><p>What sort of evaluations established that difficult child has these dxes? Do you and aunt think they "fit" with difficult child?</p><p></p><p>If it were me, the first thing I'd do is complain to psychiatrist about his NP. Then I'd be going for a second opinion and maybe a new psychiatrist.</p><p></p><p>As for the alcohol thing. Well, he could just have a weird sense of humor. I mean, my son Travis would do something like that, and it wouldn't be intended to hurt. He has trouble understanding "funny".</p><p></p><p>Hugs</p></blockquote><p></p>
[QUOTE="Hound dog, post: 104677, member: 84"] Welcome to the board. My first question is Why is a nurse practiioner prescribing medications for this child and not a psychiatrist?? I know they can write scripts, but if she isn't getting instructions directly from the psychiatrist on what medications and doses to prescribe for difficult child, she's working outside of her scope of care. Only a psychiatrist should be deciding on what medications and doses difficult child should be taking. NP has no authority to diagnosis anything. What you're getting is her opinion. (although it might mesh with psychiatrists opinion) Dealing with a teen with bipolar and borderline is NOT what I'd wish on anyone. Especially one that isn't stable. What sort of evaluations established that difficult child has these dxes? Do you and aunt think they "fit" with difficult child? If it were me, the first thing I'd do is complain to psychiatrist about his NP. Then I'd be going for a second opinion and maybe a new psychiatrist. As for the alcohol thing. Well, he could just have a weird sense of humor. I mean, my son Travis would do something like that, and it wouldn't be intended to hurt. He has trouble understanding "funny". Hugs [/QUOTE]
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