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Psychiatrist asked me to leave the room for 10 Minutes to talk to Dd

93 replies

Nomoreicecreamnow · 17/10/2024 22:33

Dd is 6 and over the summer developed anger and ocd after being ill. I’ve taken her to numerous Drs and they advised a child psychiatrist. I took her to a really nice lady and we had a very thorough two hour appointment. Towards the end, she asked if I minded stepping into the waiting room for her to chat to her alone, I felt a bit strange about it, but did it.
I’m just curious if this is normal procedure and what she would have asked Dd, I haven’t asked Dd as don’t want her stressed out
Dr and Dd seemed fine when I came back in and carried on as usual.

OP posts:
Delphinium20 · 18/10/2024 01:06

It may be the norm for therapy, but that doesn't mean it's a good idea. Yes, it could be a way for a professional to rule out that parents are the problem, but also, as so many kids are in therapy these days, it does make me wonder if this practice harms healthy parent-child relationships by the suggestion that maybe your parents don't know better than other adults. FWIW, I would NEVER have allowed that without a third party chaperone. I think there's something critical about our mother's instincts and this is overriding yours, which you should listen to, IMO.

LockForMultiball · 18/10/2024 01:02

First time I saw a psychiatrist I was nine or ten, so a fair bit older, but I would assume there are similarities in why/how it's done.

My experience is that a good chunk of the no-parent conversation can consist of asking some of the same questions again, maybe worded a bit differently. I guess it's to see if the child gives the same kinds of answers when there's no parent there potentially cueing certain kinds of preferred responses, inhibiting what the child feels able to say just by being there, or even actively answering for the child.

They often seem to ask questions designed to get at a better understanding of how things generally are at home from the child's perspective, and questions aimed at understanding what relationships between family members are like, how the child perceives them and so on. Not necessarily just looking for signs of abuse — obviously a kid's understanding or experience of what's going on, expectations, etc. aren't necessarily the same as how the parent assumes the kid is seeing things, and that perspective might not be able to find through with the parent there.

Then there's questions about thoughts, feelings and actions that kids might not want to reveal in front of parents, maybe things they fear would upset or worry their parents, or embarrassing things.

The specifics would be different at different ages, but this is my experience of what actually happens when the parents are asked to step out for a few minutes.

Nomoreicecreamnow · 18/10/2024 00:30

@OrangeCarrot I don’t think I’d feel comfortable leaving her with a man, no. I think I would allow it but ask for someone else to be present, even if just the receptionist etc if no nurse available, is that weird? Just very hard to leave my 6 year old with a stranger basically and yes, it’s worse to me it it’s a man-just being honest

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Ambienteamber · 17/10/2024 23:56

It's normal. You can refuse if you want.
To be working as a child psychiatrist they will obviously have been dbs checked.
They will be looking to see if the child responds better without the parent.. not just to see if the parent is the problem but sometimes the child might not want to upset the parent by disclosing negative feelings or experiences etc
You can refuse it but I personally wouldn't as it might help your child open up. Children want to please their parents, sometimes they might not fully explain what's going on whilst the parent is present, or they might not be honest.

TashaTudor · 17/10/2024 23:42

Lots of children keep things from parents and it's standard to have time with the child at the end as they're comfortable having been there with the parent.
Its usually normal stuff like 'how's school?''what do you like doing at home?' Etc your child might be more likely to say she's being bullied (but doesn't want to worry you) or whatever. It's nothing to worry about

JFDIYOLO · 17/10/2024 23:41

Sadly in many cases the problem is the parent/s.

So it makes sense the psychiatrist should want to speak to your DC in private without you.

But also sadly, two of my #metoo moments in my 20s were at the hands of male HCPs; one GP, one optician.

I would insist on a chaperone being present.

Phenomendodododooby · 17/10/2024 23:40

I would do this if chaperoned no way in hell without chaperoning. 2 incidents in my own family of adults being inappropriately touched by medical professionals within the last 5 years not to mind the risk to children. In one instance the doctor was later fired (there had been more than one instance) no way a single child should be left alone at that age with a single adult, safeguarding in schools, sports, hobby activities etc tell adults not to be alone with a single child. Professionals should absolutely be at the same bar.

Dery · 17/10/2024 23:40

Agree with PP - this is good practice and to be encouraged.

Your DD is the patient and you being in the room will have an effect on your child and on the session.

Part of being a good parent is accepting that you sometimes need to step aside and let the professionals do their work without you there - which is what you did.

CrazyAndSagittarius · 17/10/2024 23:38

quarterofanonion · 17/10/2024 22:41

Please look into PANS PANDAS and consider posting in the PP UK charity Facebook support group

Yes this is exactly what I was going to say. OCD brought in after an illness is a classic sign of PANDAS.

izimbra · 17/10/2024 23:35

quarterofanonion · 17/10/2024 22:41

Please look into PANS PANDAS and consider posting in the PP UK charity Facebook support group

I was also about to say this.

ThatRareUmberJoker · 17/10/2024 23:26

FionnulaTheCooler · 17/10/2024 23:17

Its not just psychiatrists/counsellors that do this. I had to take my DD to A&E earlier this year and they asked me to leave the examination room for 5 minutes for the doctor to speak to her privately, I'm assuming to ask safeguarding questions.

This is new they didn't do that 12 years ago. I had to wait with my dd in a&e for 2 hours. They probably contacted the school to confirm it was their play equipment and not me who hurt her.

FionnulaTheCooler · 17/10/2024 23:17

Its not just psychiatrists/counsellors that do this. I had to take my DD to A&E earlier this year and they asked me to leave the examination room for 5 minutes for the doctor to speak to her privately, I'm assuming to ask safeguarding questions.

Changeagain3 · 17/10/2024 23:13

Nomoreicecreamnow · 17/10/2024 22:33

Dd is 6 and over the summer developed anger and ocd after being ill. I’ve taken her to numerous Drs and they advised a child psychiatrist. I took her to a really nice lady and we had a very thorough two hour appointment. Towards the end, she asked if I minded stepping into the waiting room for her to chat to her alone, I felt a bit strange about it, but did it.
I’m just curious if this is normal procedure and what she would have asked Dd, I haven’t asked Dd as don’t want her stressed out
Dr and Dd seemed fine when I came back in and carried on as usual.

I'm not sure if this has been mentioned by others but have your considered PANS / PANDAS

DinosaurMunch · 17/10/2024 23:13

I think they should always speak to the child alone. Collectively a lot of children's psychiatric problems are due to abuse from parents or family or issues that a child might not want parents to know about. This is a lot more likely than a psychiatrist doing anything to a child.

Twototwo15 · 17/10/2024 23:12

quarterofanonion · 17/10/2024 22:41

Please look into PANS PANDAS and consider posting in the PP UK charity Facebook support group

Was just coming to say this.

NeverDropYourMooncup · 17/10/2024 23:08

Nomoreicecreamnow · 17/10/2024 22:41

@NeverDropYourMooncup What do they ask? So curious but don’t want to ask Dd
Never been through this before, I was surprised I suppose

Don't know. I left the room so they could ask her the questions.

Wish it had been a thing when I was a kid.

quarterofanonion · 17/10/2024 23:05

Nomoreicecreamnow · 17/10/2024 22:45

@quarterofanonion Thank you 🙏 yes I’m in all the groups, psychiatrist was great and suspects post illness inflammation too, we just have to have further blood tests to rule things out

Really glad to hear that and hope you get the much needed help.
For both our children the psychiatrist has spoken to each child individually without parents (one child it was the psychiatrist and a colleague training as well and we gave consent for that too).

User37482 · 17/10/2024 23:04

I think there are some things a child may not be able to share infront of a parent. No it’s never comfortable leaving your child like that but then you aren’t the patient, she is. I would probably always choose a female psychiatrist to see my DD though.

OrangeCarrot · 17/10/2024 23:04

Very normal. Questions they may ask can be about thoughts of violence or aggression towards themselves, others or if they feel unsafe at all.

Basically they ask things that a child may not want to be open about in front of their parent.

I’m interested to hear you would have not allowed it if it was a male. Are you insinuating that you think a male psychiatrist may harm your child while a female one would not?

saraclara · 17/10/2024 22:50

Absolutely normal, as it should be. Not all parents are good people. The psychiatrist has no idea where you fit into the spectrum. So there are questions they need to sensitively ask, in conditions where the child is not influenced by the parent's presence.

I remember seeing a child psychologist when I was about 12. My mum was asked to leave after five minutes, and the rest of the appointment was just the psych and me.
My mum was desperate to know what he'd asked, when it was over. I played dumb.

KrisAkabusi · 17/10/2024 22:47

My daughter had severe school anxiety. She was seen by a therapist recommended by the school and the council. She came to our house and met us all. After that, all sessions were just her and my daughter. We waited in the car and went in after 20 minutes. Whatever she did worked. She was back to her normal self after 6 weeks of play therapy.

CrazyGoatLady · 17/10/2024 22:47

Ex psychologist here.

Yes, it's normal with primary age kids and older, and is partly safeguarding. A parent refusing or kicking off about the child being spoken to without the parent present can be a red flag. The child not wanting the parent to leave would be different, of course - we would find a different way of managing it so as not to cause undue distress.

It can also help a professional as part of the assessment process to see how a child is with and without a parent, how they react to the parent leaving the room, how they interact with someone they don't know. If you only ever see the child with a parent, you can't see how they might be in other contexts.

Createausername1970 · 17/10/2024 22:47

DS saw a counsellor from about 7 onwards and for the first couple of sessions I went in with him to allow him to settle, then I left the room after about 10 minutes or so. After the first few sessions I just went in for the last 5 minutes or so for a quick handover. Even at that age, there was a degree of confidentiality.

Nomoreicecreamnow · 17/10/2024 22:46

@Lougle Yes, Dd was ok with it and I was close by, but yes if she didn’t want to, I’d support her in that too. I honestly wonder though if it was a male how I’d feel leaving Dd so young

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Nomoreicecreamnow · 17/10/2024 22:45

@quarterofanonion Thank you 🙏 yes I’m in all the groups, psychiatrist was great and suspects post illness inflammation too, we just have to have further blood tests to rule things out

OP posts: