For bureaucratic, regulation, policy reasons I had to do a three hour intake eval yesterday......again.

It was good though
I took a 45 question test on the computer that spits out a number. I got 86. I thought great a B+, but on this test 86 is not so great. And then I saw a therapist for over two hours. She had some 1 to 5 test. I don't know how I did on that.

Come to find out her whole purpose was to determine if I still warranted services from them. Basically am I still sick enough. Well duh. My pdoc could have told them that in one second.

She had to find out all about how things are currently and the recent past so I got to talk about that a lot which was good for me so I got something out of it.
She talked me into getting a "case manager". I really wanted to get a therapist for awhile. Her reasoning was that since I have been to so much therapy and that all my past issues are resolved, I don't have a bunch of emotional baggage, that a case manager was a better idea. So I agreed. They will meet me outside the clinic, even come to my house. I don't want them coming to my house. But we can meet at the coffee shop or whatever. I am looking for support outside my family and is currently my biggest goal since I moved from CA to Michigan. I thought a therapist would be better even if they are current and recent past issues. But I agreed to her idea. I have an appointment with this person on the 13th.

I also have to get a thorough psych evaluation. I said what the hell, I have already done three intakes what more do you need. But she said I have never had an eval. I need to meet with a real psychiatrist for an hour and a half for a full evaluation. I don't think I need it. Me and my PA pdoc were doing fine. It will be good because we can get to the bottom of whether I am somewhere on the BP spectrum of just straight up MDD with anxiety. I don't know what else they can evaluate, they have my whole life history.

They also have a psyche nurse that helps with med issues and advises on physical issues. She wants me on a statin drug for cholesterol.

So they are quite thorough and for that I am grateful. So that is what is going on with me besides my upcoming trip to CA which I have posted about.