Quote:
Originally Posted by cashart10
I just got my medical records. For the most part, they were to be expected but there were surprises at times. For instance, my former pdoc most often noted my hypo mania through inappropriate laughter. There are time she said I was hypo and I have no idea. Also, everyone always tells me I have great insight into my illness. My pdoc? She said my insight was limited about 80% of our visits. Hmmm... I guess I don't know as much as I think I know.  |
I think that a lot of pdocs view their patients as though everything they do, say, and feel is the result of Bipolar. I don't have much confidence in any doctor's ability to figure out whether I have insight into my illness and usually take what they write in the records with a grain of salt.
I had one pdoc who thought I was ALWAYS mixed -- even when I felt fine -- and always claimed that I have very poor insight. Here's from the last mental status exam he ever gave me:
psychomotor: hyperactive
speech: rapid
mood: depressed, anxious, euphoric/elevated (MIXED)
Affect: labile
Thought Process: flight of ideas
Thought Content: Clear
Concentration: Mild Impairment
Judgment: Mild Impairment
Insight: poor/lacking
General Knowledge: somewhat intact
This is from the mental status exam his replacement gave me a few weeks later:
psychomotor: calm
speech: normal
mood: neutral
Affect: appropriate
Thought Process: organized intact
Thought Content: Clear
Concentration: WNL
Judgment: intact
Insight: excellent
General Knowledge: intact
Nothing about my behavior or mood had changed between those exams. It's kind of scary that they came up with such different conclusions (the second pdoc was right -- I felt fine).