HTT are handing me over

[EnpoTree]

Woop! Just got a call asking if I wanted to be visited today (er, no, ta) and telling me that they're about to call CMHT to hand me over to them. Finally getting off this daily checking up soon I hope

it was interesting, I wanted to know how often he suspected patients of lying about or omitting to disclose substance use and he said lots of things were obvious anyway (alcohol withdrawal, people who have meth for breakfast) but most of his patients cheerfully divulge the details (like me! To mine I mean, am not his patient. That would be fucked up)

Yeah! I have tiny keyfob things of the adult and paediatric ones, the children's one is weird, almost all the poo is food

talking of benzos apparently catnip works in a v similar way to diazepam

Mmmmmm. Stool.

ARGH DP JUST OFFERED ME A FESTIVE DRINK AND THAT IS THE WORST WORD IN THE WORLD.

Catnip?

People drug their pets with actual effective drugs?!

I think mine are hooked on it

just thought of it cos you were saying something about gabaergic drugs on your other thread I think

or this one maybe

Mmm its fascinating. Wonder if it works on rats.

I assumed catnip was herbal bullshit

But is there any good reason to divulge details?

um well if you are asked a direct question about it?

can imagine it would be difficult to strike up any kind of meaningful therapeutic alliance with someone who lies

is meant to be a collaborative thing, not some adversarial dance in which one party is positioned as an authority to be challenged or defied or whatever

mood altering substances are kind of pertinent to discussions about your moods and behaviours

but is just my opinion, you will have the best ideas about what you want to get out of your appointments

Well, no, I hate lying and am crap at it but am put off admitting to illegal stuff for obvious reasons.

And it's not that it's an adversarial thing, I just don't think that every asoect of my private life is necessarily relevant to every doctor -I wouldn't tell a dermatologist about my penchant for driving too fast (if I had one) or a rheumatologist about my shoplifting habit (ditto).

Which is why I asked.

Also you don't get therapeutic alliance on the NHS IME. You get ten minutes four tines a year to tweak your drugs. For therapeutic alliances, you gotta pay.

I've only ever seen NHS psychiatrists, although have been in private hospitals but paid for by NHS (when no beds)

am probably an over-sharer then

just if they asked about drug use I don't see any reason to lie (what do you think will happen? )

Because you're not just trusting the NHS, you're trusting everyone in it and everyone who will be in it in the future and every government we ever vote in in the future to respect your privacy and confidentiality, and with privatisation and massive data analysis and NHS SPINE and care.data and ancestry.org and Google and tesco and everyone else collecting data all the time, pseudonymous don't mean shit and I fear ramifications

but you don't have to share anything you don't want to

am good at saying: 'this is neither the time nor the place' if asked something that makes me uncomfortable, and currently working on: 'am not at liberty to discuss this right now'

I divulge valuable or potentially embarrassing or risky data when I can see the benefit to ME. So I wantedmto know if there was any benefit to ME of divulging this potentially life-damaging information.

Yes exactly, and this is what I would generally do if asked about drug use. I really really don't do lying well. Which is why I wanted to know if it was important to divulge this stuff.

I'm sure I should care more about what I say but am generally cursed with a level of disinhibition that has to be heard to be believed

don't understand how I have lived so long without any kind of respect for convention or impulse control!

Yeah I seem to tell everyone everything given half the chance is part of why scared about data sharing.

Well. Not all the time. Am very inhibited and socially anxious sometimes. But not right now.

I mean u tell people in my life every hug. Not officials. I am scared of their data.

I. And everything. Back on iOS after a night on android. Headfuck

Because I find it hard to lie, but I don't want the NHS to know anything it doesn't need to IYSWIM. And some things have to be kept secret (very hard).