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Psychiatrist on Tuesday ... scared

7 replies

fuckfuckfuckitall · 07/07/2019 14:52

I’ve been referred to GP to see a psychiatrist due to long standing mental health issues , anxiety and OCD . Personality disorder was mentioned when I was 19/20 but I think I might actually be autistic . My sister is severely autistic so it wouldn’t surprise me , I have a diagnosis of dyspraxia and OCD already .

I’ve been told I’m seeing a professor ... who specialises in schizophrenia and psychosis . I’ve never been told I’ve either of them, I’ve never had hallucinations other than from medication in hospital . I don’t have delusions , I have very strong anxieties but I always know what’s real and what’s imagined - it’s just my imagination is very vivid .

I’m scared they think I’m psychotic somehow or something , although it’s never been mentioned before at all .

My cousin is coming with me and I’m concerned about that too (although I appreciate the lift and the company) , I’m worried she will do all the talking for me or they will expect me to talk about things (sexual assault mainly) that my family don’t know about and that I’m not comfortable talking about in front of men ... various other things too ... I’m just very worried about going and not sure how to handle it .

OP posts:
fuckfuckfuckitall · 07/07/2019 14:58

At the moment I’m virtually paralysed at times by fear , and hardly leave the house, so anything that helps is a blessing , but so scary too .

OP posts:
katewhinesalot · 07/07/2019 15:02

Ask your cousin to wait outside the actual consulting room.

He specialises in that, it doesn't mean that he doesn't deal with other things as well. Anyway if he feels you are speaking to the wrong person he will send you to another person.

Sunnysidegold · 07/07/2019 15:07

Your cousin can give you the lift but doesn't have to be in the appointment with you. Tell her to bring a book to keep her busy while she waits for you.

I've had psychiatric assessment before and was concerned about how I would be perceived. I had ideas about my own diagnosis and was concerned.

It is a stressful time. I think it's really important to recognise they are there to do a professional job. A specialist in one area is still able to assess other psychiatric issues.

I found making a list of important points helped me. I had an anxiety disorder at the time and this meant I could make sure I got answers to the questions that were really important to me. My main issue was thinking they would seek to remove my children from me because I had a mental health illness so once I had that all straightened out I felt I could address other things.

I had a significant life incident that other professionals linked my mental health to and I disagreed that this was the main factor so it was important I had organised my thoughts beforehand. Maybe this would be useful regarding your assault?

I'm sorry that you are worrying about this, please try to remember that this is to help you.

Interested in this thread?

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Gamorasgran · 07/07/2019 15:12

I saw one for post natal ocd. Game changer for me. It was a gentle and supportive environment and I was made to feel able to be honest and not judged. Lots of difficult questions as you'd expect but never felt like I couldn't tell the truth.

This guy wasn't a post natal or ocd expert btw but I was in a really bad way (couldn't go near the kids) and he had the first appointment free.

I would maybe get cousin to stay outside tbh.

DC3dilemma · 07/07/2019 15:20

Hi. I’m a Consultant Psychiatrist. A few thoughts:

Don’t worry about what the Professor is a specialist in...a Professor is someone who is both a Consultant Psychiatrist and has a special research interest/expertise. They tend to be very good diagnosticians, as they will spend a lot of their clinical time doing new assessments (a long interview to reach a diagnosis) as second opinions for other consultants. They will do these for the whole range of mental health problems. Schizophrenia/psychosis may simply be their research interest and not indicative of the range of their clinical work.

It is helpful to see people on their own first, then with someone else. BUT it is now really hard as a doctor and psychiatrist to ask people to allow this. Leaves us open to complaints, criticisms and accusations. I think you will get the best assessment you can by going in alone, but you are (likely) going to have to be the one to ask your cousin to wait in the waiting room.

When you are in assessment you’ll be asked a LOT of questions. I would recommend going with the flow. Try to wait till they say they have no more questions, and ask if there’s anything you want to add, to bring other stuff up. Many people don’t realise we have a route plan in our heads, they we have spent years training to use. We start using it instinctively and deductively to reach a diagnosis and plan, so please allow the psychiatrist to do this. It is a question and answer session rather than counselling or therapy, and understanding this and going with this is what will take you to the clearest diagnosis and treatment plan. Psychiatrists are just a type of doctor, but we have our hands tied behind our backs a bit by a lack of blood tests etc that other doctors rely on -instead we ask LOADS of questions to get all the info we need. Even when you are saying “no” “never” “nothing like that” this is useful, and not a waste of time as some people seem to feel.

This is going to sound harsh, but just to be completely honest and up front...don’t get hung up on how you’ll talk about your sexual assault. Psychiatrists aren’t (usually) therapists, or counsellors. We’re not psychologists either. We make medical diagnoses and gather info for that. So yes, we want to know about the things that may have shaped your personality, traumas etc but in a “I was assaulted by a stranger/my relative/my teacher in 1999, it happened once/many times over x years” kind of way. A long detailed discussion is not necessary -it is not likely to help you (or the psychiatrist use their time sensibly to reach a diagnosis). I say this because often people will feel they have talked about these things in great detail only to realise at the end that they won’t see that doctor again, or they’ll have to go through that all over again with the person who is actually going to offer the therapy.

If you have tried lots of medications, make a list before hand and jot down your thoughts about how useful or not you found them, including side effects.

Similarity, if you have had lots of mental health input, write every encounter you can remember down -dates, who you saw, what treatment.

Try not to blow this encounter up in your mind. It’s a Q&A on you, and you are an expert in you. There are no wrong answers. And it shouldn’t be too emotionally invasive, as it isn’t therapy, it’s an assessment.

Hope that helps a bit.

fuckfuckfuckitall · 07/07/2019 21:58

Thank you all so much (especially DC3, you have no idea how much that’s reassured me)... I’ve tried to make a bit of a list of the mental health input I’ve had before , hopefully that helps a bit - and will definitely ask cousin to stay in the waiting room, I think if I talk she will possibly say I’m exaggerating/lying or try to talk for me and I really don’t need that at all .

OP posts:
TeaForTheWin · 07/07/2019 22:03

Ask your cousin to wait outside the actual consulting room.
He specialises in that, it doesn't mean that he doesn't deal with other things as well.

Just seconding this.
Sending hugs, hopefully this will be the start of the journey to you having a much better quality of life OP.

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