Should I change psychiatrist?
I am diagnosed with severe depression and chronic anxiety, type c adhd, and severe OCD. I am not suicidal or want to hurt myself or anyone. I chronically obsess about things 24/7 usually a big topic then little things for days (arguments, things I said to people, things they said to me, situations that happened etc.) big topic things I have recently focused on are things like Cars (mechanic work), stocks, nutrition, muscle growth, guns. I spend most of my day research and learning every minute detail in 2-4 weeks that it takes years of learning to get all of it down. Then I swap to a different subject until all knowledge and things in that situation are purchased and pleases my brain.
Recently it's been guns. Especially pistols, I just turned 21, 3 weeks ago and spent 2-2.5k on the pistols and ammo and gear and a ton of unnecessary regretful impulsive buys that I now regret. I was obsessing for 3 months before learning all about the mechanics of it and how they work, finding what would work for me since I'm left handed, what's most reliable, what's the best add ons, best optics to put on and everything you could think of. My psychiatrist is kind of giving me the vibe that she thinks I am trying to hurt myself or others but really it's an obsessive hobby I love to do besides the gym. She has previously asked me if I optionally wanted to voluntarily put myself in a mental institution.
Which I said no it's not needed. Then a month later it was would you be into trying therapy. I said sure (never got a call from a therapist in the same company) I did not want to because my issues aren't with trying to hurt myself or ptsd or situational sadness and anxiety.
It's a huge deficiency in my brain for dopamine and serotonin. Today I talked to her told her that I have spent a butt load of money on guns and ammo and equipment and still giving me an off putting vibe that she thinks it isn't for a hobby. Then asked me if I wanted to take FMLA off work for 3 weeks and go to a mental health intensive program 5 days a week for 3 weeks 9am-3pm. I am not interested at all so | kind of didn't say anything and said that's always an option.
She isn't understanding really my issues and feels she's kinda made up in her mind what she thinks my problems are but they aren't that. She's been so stuck on me being on one antidepressant and reached max doseage. It was not enough to make a difference in anxiety or OCD. She hasn't tried suggesting a different antidepressant the last 7 months I have had her. I was diagnosed with type c adhd at 5. Didn't go well at all and had terrible side effects. I tried to get put on something again for it the last 7 months and it took 5 months to even have her add it. I'm honestly not sure if I should deal with her suggestions and blow them off or look for a different psychiatrist. What's your experience with psychiatrists that don't understand you? I have extensively sent 5k+ letter notes telling her how my brain things and the issues I have and they are pretty much blown off and taken out of the equation when she's trying to prescribe medication. I don't want to just come out and say I want to try something else (thinking she'd take it out of proportion and think I want to be on a certain one for some reason). I'm really stumped if I should stay with her or call around to a different place. I just want a psychiatrist who listens and genuinely understands me and doesn't jump to their own thoughts. Which I have explicitly stated to her multiple times.