Linz A.

I had been under the office care for a little over a year. Met with you for medication management and ADHD testing after being diagnosed with severe CFS. After a handful of sessions (a month apart for each), and a mention to my therapist, Lisa Robinson, how Vyvanse was making me so anxious that it caused me to pick to the point I bled you insisted on trying another month. You, Dr. Joel L. Young, even explained to me how it's a dopamine release for me and did responded to my requests for medication adjustment to help with anxiety. In fact our 30 minute sessions you never actually fully engaged in listening. Anytime I needed adjustment for medication I had to go to my Primary Care Provider. Lisa Robinson was a great person to talk to, and when I expressed I was needing a different modality she encouraged me to seek it. She agreed that with the waitlist that I seek outside the RCBM office. Glad did. Then I was placed with Olivia Marougi, which I was fine with, and actually felt like she listened to me. Matthew Barsenas was an awesome couples therapist and I have high hopes for his endeavors for licensing in being an EMDR therapist. Dr. Joel L. Young and Didi Nuculaj on several occasions mismanaged medication. Especially after a dose change. In-between my incredibly invasive, life saving, cancer preventing surgeries I didn't notice for a multitude of reason the initial error. Although, I am absolutely positive in patient therapy notes between you, Dr. Joel L. Young, and myself there would be the exact and appropriate dosage information. In fact I know that Lisa Robinson and Olivia Marougi would have an account of my correct prescription as well since we reviewed them often. As I became stronger, more active and had the ability to pay attention to my medication on a regular basis. I was noticing often times left with anywhere between one to four days between refills. I decided to titrate myself off of Vyvanse after I had spent two to three months passing a kidney stone measuring 4.5mm. So I told, Lisa Robinson and Olivia Marougi, I was removing myself from Vyvanse back to the Adderall 2x a day instead (which was the schedule and dosage I took prior to Vyvanse). That was one hell of weaning and withdrawal. Which again made pay attention more closely to how often I was being left with little to no antidepressants between refills. On June 5th I did request a refill of my antidepressants and Adderall. And I did pick those up. I had gone a week later to see about a refill on my Ven since it seemed by June 16th I only had 2 weeks left, when I actually had less. The pharmacy asked me to have send it in closer to the next date. Now comes the time where I see I have only 1 Ven (since I was taking it just before bed it meant I was out). So at 12:03am on June 26th I made a request for a refill with urgency because I knew that, had I not I would be in an inevitable state of mental crisis. At 3:18pm Didi Nuculaj (See attached image). Now after a recent EMDR session and already more than 12 hours post my last dose. I was emotionally vulnerable and exhausted. So imaging me in my fragile state when I received this dismissive, uncaring, emotionless, even down right trauma inducing message. I responded with frustration, exhibited, and exclaimed through flavorful, powerful, hard hitting word choices. I don't feel I have to have a degree to see that I am in an obvious state of distress. Interesting, no true explanation as to what behavior was inappropriate from me. The distressed, crying, literally suffering patient. One may assume Didi Nuculaj, was offended by either my desire to no longer have them manage my medication, or because I swore. I didn't even type in all CAPS which is a clear signal of yelling frustration. There was zero attempt by any of my therapy team to reach out, Olivia Marougi or Lisa Robinson before the termination of my services. This incident reinforced, and compounded emotional, mental abuse and trauma I have endured in my life. Realizing then how harshly, inconsiderately, and dare I say unethically, my therapeutic services were terminated. Then I saw the email, lacking signatory of a person of authority to terminate all of my treatment (assumption would be that, you, Dr. Joel L. Young had the courage, and integrity and that you are in fact the head of office clinician that your signature line would be as clear as day) of an email and accompanied PDF. See attached photos for sources. Now, Lisa Robinson, did respond to me for a moment to ensure I had support. She did express that she was shocked to have received a notice. As to what reasoning of my termination of service was. I suppose I will never truly know. Lisa Robinson, Matthew Barsenas, and Olivia Marougi do yourselves a career salvaging move. You three are worth more than the poor reputation, Dr. Joel L Young and Didi Nuculaj, are curating within that office.