If I understand correctly, you don’t want to take medication and you want to know if you should ask for a psych evaluation. Yes, you have the right to ask for a psych evaluation or a second opinion.
If you haven’t already done so, inform your prescribing physician that you are no longer taking your medicine. Having all the facts helps him to make informed decisions about your treatment. The more he knows about your case, the better he can help you.
He wanted you to take medication to prevent a relapse. Relapse is a legitimate concern. Apparently, you experienced a psychotic episode triggered by stress. Antipsychotic medication can prevent future psychotic episodes.
Some people have one psychotic episode and never have another. Others go on to have multiple psychotic episodes. Repeated psychotic episodes are associated with disorders such as schizophrenia and bipolar disorder. You want to do everything in your power to avoid having another psychotic episode. You might want to reconsider your stance on antipsychotic medication. Even very low doses can protect against future psychotic episodes.
If you are unwilling to take medication, then try counseling. Stress has the potential to trigger a psychotic episode. Without treatment of any kind, your risk for relapse increases significantly. Having effective problem-solving and stress-reducing strategies is imperative for your psychological health. Counseling can help you to develop these important skills. Please take care.
Dr. Kristina Randle