I’ve never seen someone so horribly mismanaged before…

Patient referred to psych before establishing with me by old pcp and of course gets scheduled with the NP.

History of bipolar and seizure disorder. Reported to this provider that she had periods of feeling depressed and feeling really energetic.

NP decides to start Wellbutrin for depression at the highest dose immediately. Also puts patient on 3 different SSRIs for “synergistic effect…”

Patient was also started on trazodone for sleep at the highest dose immediately(notice the trend)?

Presents to clinic complaining of feeling hot and sweaty, anxious, tachycardic, with hyperreflexia and tells me she feels like she’s going to have a seizure… Immediately send her to the ED for evaluation

I just cannot believe we have now staffed incompetent people with this much power in a very hard specialty to manage. This kinda stuff scares the crap out of me.