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Something’s not right

Overkill

Overkill

Life is not slowing down any time soon, I have an unrelated medical condition that, go figure, is easiest treated with a type of anti-depressant. I noted quite a lot of questions to my partner and myself about how we were in general before he offered that this medication might work.

I later went to the GP who prescribed the anti-depressant (he's awesome, great with my kids too), and disclosed my MI history, the most I know is a diagnosis of schizoaffective disorder at around about 18/19/20. GP reassured me the dosage of my medication is not enough to be relevant to any MI therapeutic value or concern. But all the same, the side effects read suicidal ideation, and are known so well for this side effect that newer anti-depressants for years have been better favoured.

So I asked that I get a referral to a psychiatrist (because, they specialise in medicinal/chemical mental illness therapy and the interactions meds have with disorders/illnesses). I thought this a responsible and relevant thing to do. Even if just to ease my mind from the paranoia that this could all go wrong, or is going wrong. At least if I'm being seen by someone or have a plan in place that my partner is involved in, I can relax and take these meds without fear of it all going wrong and it being so out of the blue and misunderstood that I'll be divorced and have my girls taken away from me before I finally end up in crisis care and by then the context is too late and too much damage done before I can even hope for help.

I immediately got the feeling the GP was leaning more towards a psychologist, if I'd like, but wrote out referrals for both.

I have since had the session I booked with the psychiatrist, and fark me, what an obnoxious Fruedian ick. I came away after half an hour having only discussed my parents, having him dismiss my previous diagnosis and replace it with 'you have a personality disorder', the details of which weren't offered, which had me sat bewildered wondering if I was being analyzed for asking/not asking into it. Should anyone ever have to ask? It was awful! Other things I remember are being told it is my ambivalence that is the problem, not knowing who I am, a conflict between being me as a child and me as an adult, and me as half mum and me as half dad. Whaaaaaaaaaat. I came away feeling victim blamed, dismissed, not safe. Mostly the not safe thing. I don't want to discredit this guy's potential genius in diagnostics, but what logic gives him reason to have half an hour with me and have that be more powerful evidence/observation than the work of others over the course of 4 years? Surely, if he considered the diagnosis wrong, he'd be best to thoroughly test that? Isn't psychiatry meant to be a science these days? Because this felt more like being jabbed in the dark as he just randomly tossed jousting sticks about.

My problem is this. He passed me a card to a psychologist, "if you want", he says (so you're the dr, do I need this or not? In any other illness a dr gives referrals as he sees benefit! What the hell is 'if you want'?). I asked how do I know she won't just abuse me for not knowing answers to questions (as I experienced so often as a teen). He laughed (?) and said 'she won't, I assure you'.

So I have this business card, and I have my gp's psychologist referral, I have yet to check to see thay they're not the same person. What do I do? Like I said, while no doubt there are benefits to exploring my past and diagnoses and the like, I have not yet been actually listened to or acknowledged for being here, now.

I have a medication that significantly diminishes debilitating headaches. But I fear the medication because it is medication and because I fear my MI's and have no one currently in my life, professional or otherwise, that knows me as an unwell or has insight into how this manifests, and certainly not equipped to know how to help.

Am I looking for something that doesn't exist? Does anyone have any insights as to how I get what seems such a simple, logical, arguably necessary action plan/monitoring in place? Why isn't it a priority of GP/psychiatrist in first place? Do people need us to get unwell before they can help? I am too tired and draining in life at the present that I really truly can't find time or strength for this confusion and bullshite. How much of it is me being paranoid and/or OTT and how much is legitamate. How do I feel safe??

How do I use my remaining 9 medicare covered visits effectively?

5 replies

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In response to: Overkill

Re: Overkill

*I noted a lot of questions before GP offered what medication might work for headaches.

In response to: Overkill

Re: Overkill

@Sehnsucht. What a truly shit experience youhave had to go through.
Afted 4 Workcover psychiatric assessments and 1 workplace psychiatric assessment, I finally decided to go and find my own psychiatrist (very hard in country region & not associated with the health care network I worked for. Finally found one. Waited 3 & 1/2 months to see him. Had a 1 hr appointment where first up he argued witg me oved my choice of psychologist. Then he spent the whole session talking about my childhood. Mine is a work place inflicted injury. Then he says it will take another 3 or 4 appointments until he has a diagnosis for me. He then says see you in 6 weeks!. 4 weeks after that I'm suicidal. My gp & psychologist xalled him, but he wiuld not see me earlier as he stated "she did not present that way to me. Luckily I got into hospital & there I was assigned my own psychiatrist. And this one is good. He listens, he understands, he's empathetic & he clearly explains my illness and medication and therapy.
So yes, in the end I got lucky. But it is really my psychologist and gp who really look after me.
Again I'm sorry you had to go through that. Hopefully you will find the strength to find a new psychiatrist & this one will be the right one.
In the meantime, speak to your gp about your experiences and what you need. Do you have a good family member or friend who could go with you and act as your advocate?
Rest up to this weekend and re gather your strength.
All the best

In response to: Overkill

Re: Overkill

Hi @Sehnsucht

it does sound like a tricky situation, and what a furstrating psychiatrist!! so he didnt provide any advice about the suitibility of the medication despite that being your reason for attending?

it sounds like you need that for your own confidence so it might be worth pursuing another psychiatrist...? but as Utopia said to bring someone trusted with you to make sure they stay on track and can provide you the answer you need. Although i will say that many psychiatrists that i have met ask for multiple meetings before they will validate a diagnosis and confirm the suitibility of medication. if this were the case it would take a few more of your sessions so you may be left with 5 or 6 medicare sessions left.

then thinking about psychological treatment after that it may be helpful given that your trusted GP suggested it, so perhaps you could contact the one he referred you to and the one the psychiatrist referred you to and find out costs assuming you need more than just 5-6 (I only say this as CBT treatment is usually at least 12). Is it possible to pay within your budget? If not you could also contact local community centres as they often offer low cost counselling or universities often offer free long term therapy as they are training institutions (the psychologists there are heavily supervised).

all this may not be the answer for you but I wanted to let you know that there are other options

In response to: Overkill

Re: Overkill

Hi @Sehnsucht. A thought on what @Fancy_Pants was saying. If your therapist / psychologist think you need more than the 6 sessions given, he will request a second referral from your gp. This is possible, even under the reduced visits the government has set. So if you are financially worried, this should help. There are always ways around rules. And there are always exceptions to the rules.
How are you feeling today?

In response to: Re: Overkill

Re: Overkill

One of the earlier psychiatrsits I saw was big on - different horses for different courses - or the individual match between client and MH professional. Sometimes it may be the doctoring one or the counsellor one ... you do have to try them a bit to find out. But dont give up on your right to get some kind of a match.

The psychiatric appointment wont be taken out of your medicare ... that should be separate anyway. I'd recommend to see the psychologist ... I see many GPs are trying not to buy into labelling people as sick and giving them options more than refusing to go down the apporiate treatment path.

You can also request an appointment to a different psychiatrist, and simply say it didnt seem to work out. Better that than submit to a situation which left you distraught.

At the moment I have a referral to go see a psychiatrist but as I have had so much on ... I have put it off til I can give it the attention it deserves. I think it is very wise of you to try and establish a medical team .. not OTT ... just try and get the best fit for you in your area.

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