Quote:
Originally Posted by The_little_didgee
Another reason has to do with how you present. If you are coherent, calm and willing to discuss suicidal feelings you are seen as being in control. Hospitalization isn't the first option if you have a PD diagnosis, because psychiatrists believe it will make the PD worse. They'll try discussing those feelings first, since they tend to think they are due to some kind of interpersonal conflict that can easily be resolved. Doctors are very limited in how they can help with issues like that. If they can't cure the problem with medication they don't really want to deal with you. Apparently it is too hard.
|
I don't have a PD, but it's definitely a damned if you do, damned if you don't scenario when it comes to how you present. Because of my upbringing, I don't present like the average depressed person (so I've been told). My T has worked with me for six years and so he knows this about me and he listens to what I say. My PDoc is good at that too although he had to reach out to my T to really get a full picture because I was "laughing and engaged" which created a conflict in his mind of how I was doing.
When my T and PDoc had me put IP earlier this year, my T admitted that he was unnerved at how easily I could get myself checked out because no one would recognize the severity of my depression. In fact, the first day I was there, I was told by one aid that I was "the bright spot in their day". I'm not faking, I'm not covering, it's just... me in some weird way.