Never any pressure to respond by any timeframe @Chasingsunsets 😊 (or at all, really, if you didnt want to - but i know thats not what you're meaning, but just reminding it to you and anyone else that i dont have expectations/demands on people 🥰)
Tagging in @Flutterbug9 too to keep updated in things also 🥰.
I have friends, family and counsellor all wondering why I havent changed GP yet after the past 5 years of substandard gp response to things. I totally relate to you with your friend wondering too 😅. For me it is encouraging and supportive that these people think my expectations are not "too high" and that the gp really is not meeting reasonable requirement for care. I never know if my standards on other are too high, because I yes i have expectations of others that are consistent with (or lower than) expectations on myself - but my expectations on myself are realistic and i almost always achieve/behave to those standards (they are not perfectionistic!) . Yet so often i am disappointed by others behaviours because they are less than their professional role expectation. (Socially i have very few expectations of people, but when they are PAID for their work...)
I guess it gives you 3 months to find a good reliable GP to then also seek the GPs perspective and support in the pdoc transfering the management of meds to them? I wonder if there are restrictions on prescriptions/adjustments legally that require the pdoc. I know just recently my region has introduced new rules that allow GPs to re-prescribe restrictes meds that have been initially prescribed by a pdoc -- but i am guessing they wont be allowed to alter dosages, i suspect that would need to be done by a pdoc soon. But im not on those meds, so i havent read into it.
I have considered bouncing my feedback off my counsellor, but then i also dont want to "waste" a session either? But since I pay privately (no rebates) i could probably ask her if I can send her a draft copy for her feedback and pay for however long she spends reading/thinking/responding -- if she has time in addition to our weekly appointment. I think she often would have some time (esp when asynchronous) because she has said that if i need additional appointment during a week i can message to ask if there is a slot.
I need to sit down and type a draft. Im usually very good at writing measured and respectful and constructive feedback - it was noted to me by my head of workplace (equiv of CEO) when I gave feedback on the poor redaction of information released under Freedom of Information which left sensitive information highly identifiable to others in the workplace. Even my boss (who shared my concerns) could identify which quotes were from me even though there was no names -- just from context. And same with other employees too due to the content/context and style of writing/speaking. Our head of organisation shared it with the head exec for HR who asked if they could share it with their team as an example of really good feedback structure/style in a professional but personal way. I guess that feedback has boosted my confidence in my ability to write appropriate feedback.
Youre GP really stuffed you around! Even though it wasnt their intent. Yikes! That would be so frustrating. Were you able to still book back in for the mhcp appointment this week??
I get annoyed too when referrals have uncorrect/outdated info :face_with_rolling_eyes:. Its literally their job to update the medical record when you give them updates. My record still says that i'm on an anti-anxiety prn, but i havrnt taken it in over a year and only needed to use it prn for 4 weeks at that time! Its not that hard for them to "cease medication" in a clinical record :face_with_rolling_eyes:. The downside of the computer record system is the reliance of historical data and not checking its accuracy with the patient since they auto-fill it.
I'm so glad you have a good psych and theyre really helpful with coregulation 🥰. Having a re-usable timeline can be very handy to not have to rehash (even just with yourself) everything whenever seeing a new doctor, and as you say put together realisations of timeline that you didnt previous realise were related. I had this realisation on a few things too when i jotted down my MH timeline after hearing @Flutterbug9 doing one and thought it was a really good idea for giving to a new doctor. I never "connected the dots" of why i had an ED (of even that it would now have been diagnosable as an ED) and how it happened to align with ceasing a different maladaptive coping mechanism 😅.
Medicare MH are gov-funded (by run by private companies) centres that are meant to give referrals to suitable supports and also offer some support programs themselves. In this case, they run a peer support social group which I am on the waitlist for and had questions about. But they also referred me to a external program for something which they are meant to then followup with me to see if it was suitable (excellent, referral complete) or not suitable (ok, what else can we find instead?).
LAC = Local Area Coordinator for NDIS.
Counsellor gave me the name of another psych who does assessments to see if there is a shorter wait time. But until later in the arvo i didnt know that the NDIS assessment for eligibility is changing mid-year, so didnt discuss that with her.
The purpose of assessment and diagnosis is to support/explain why my MH is so significantly impacting my ability to live that it reaches the threshold of disability and permanent, even though depression is usually not regarded as a permanent disability. However fibromyalgia and autism as contributing permanent factors kinda helps make sense of the permance and treatment-resistant nature of it.
Pool-based exercise is the only exercise that does not cause me physical pain. So yes, i have done pool based before and i need to again. However aqua aerobics classes do leave me too tired afterwards and they're too crowded and noisy. But going to meet people i know there does help with the motivation/routine to go. But i really crash after. So i changed to doing my pool-walking and non-weight-bearing stretching, but then work and dogs got too exhausting and i couldnt do that anymore and havent returned. But i need to. Also it costs to go to the pool - whether per session or as a membership. But if i get a DSP it might be free? Not sure if the new pool management do that still or only the previous one (which was a NFP; the pool is funded by the Gov by contracted to other orgs to run). I feel i have too much happening at current to make a commited weekly time with a friend to go to the pool. We have identified a good timeslot we could both go each week though.
I also very much dislike swimming pools - the swimming clothes, the wetness, the effort, the showering, the sticky-damp skin even after toweling off... i've recently realised this emotional effort is in part a sensory overwhelm! But how do you swim without feeling wet and sticky?? Even loose tanktop style swimmers with biardshort and "clingy" when wet!
I have had hormone and thyroid testing in the past - normal levels. But i do have PCOS, however i have atypical pcos presentation. And ocos as a diagnisis...? Well its pretty meaningless. Its a cluster of symptoms that can be at either "too much" or "too little" from what is typical, and they dont know the cause. Did you know someone can be diagnosed with "polycyctic ovary syndrome" without having any of the "cysts"*? 😅 i kid you not. If they have a symtom from both the other 2 criteria groups, then they statisfy the diagnostic criteria (or at least they did when i saw the Endocrinologist 6 years ago).
*theyre not really cycts, theyre actually undeveloped egg folicles i think from memory?
I *do* have the "cycsts" but my physiological traits (one of the other 2 criteria groups, the 3rd being hormone tests.and 2/3 requred for diagnosis) are the complete opposite of typical PCOS - but because it is abnormal symptoms then it still meets criteria even though its the less common form.