...is like letting an 4-year old-drive an 18-wheeler. Unfortunately many psychiatrists and psych NP's aren't much better, but at least when letting a 14 year-old drive they can at least reach the pedals. There's often still an element of experimentation but they can operate the basic machinery.
I cannot be strong enough in my opposition to GP's prescribing psych meds. GP's are not specialists. As such, they are more likely to rely on "guidelines" from the FDA to prescribe psych meds.
The FDA often says it's just dandy to give a 100 lb woman the same dosages of medications as a 200 lb man. Which in my experience is about as subtle as a stroke.
Additionally, GP's are not generally sitting around reading the latest psychiatry journals, and unfortunately for women with ADHD, whose participation as subjects in research studies is only very recent, that's very bad. We have not been studied, and are treated according to guidelines based on male subjects. Anecdotal evidence seems to suggest that at the very least, female hormones make the experience of ADHD far different at times for men than for women, and that taking that into account may make treatment more effective. However, if even baseline prescribing is clumsy, such subtleties are unlikely to be taken into account.
So not only is allowing GP's to prescribe psych meds just plain crazy, it's also just plain sexist. And by sexist, indeed, I mean institutionally-sanctioned policy that favors one gender over another, passively or otherwise.
Yeah...I went there. And I'm not sorry, because frankly I'm sick and tired of watching people (of both genders) around me get fucked by inelegant prescribers, and watch useful medications get a bad reputation over it.
Medications, prescribed by a psychiatric professional who conscientiously tries to stay current on the subtleties of modern practice, and takes my opinion and knowledge into account, has been an adventure for sure (because of my own biological quirks) but has given me invaluable perspective on what drugs can and can't do, and the ability to make decisions about when and where to use them, to improve the quality of my life.
I will never allow a GP to prescribe psych meds to me without first referring me to a psych provider. Never.