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#1
May 25, 2010, 10:10 AM
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What are some of the topics you discuss with your psych dr?
I find myself struggling sometimes when I'm at the appointment with things to talk about. I have an appointment today and I'm trying to figure out what to talk about. I feel weird going in with a list b/c most of the time, I'll jot down a few notes and when I get in there my mind goes totally blank and I forget everything. Personally, I would like to just be like "Can you put me out of work on disability?" but then of course they always want to know why.....I mean I could tell her the truth, but I'd rather not be checked in to the closest mental ward. I have been having paranoid thoughts lately about how everyone is out to get me, but I know that's not true, but I still have them anyways. Also I've been having disturbing dreams that seem to follow me throughout the day. But then if I tell her I can't handle work, the people at work will be disappointed, and I HATE disappointing people. Mainly because my mom always said that I was a disappointment. There's just all these inappropriate thoughts that race through my head all day and I'm starting to have problems with determining what is real and what didn't really happen. I feel like such a loser. 
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#2
May 25, 2010, 10:17 AM
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I make a list throughout the month to discuss with my pdoc. Thats the ONLY way I can remember anything of importance. I tell him if my moods were up or down or both; I tell him about any anxiety I have had; and I tell him of the serious things that are impairing my life (like if I had a sui thought or extreme out of control anger). ANything that I think may be fixed by my meds. Also I did tell them about the working thing but for me I was out of work when I applied for disability. If it is impairing your mental health and well being at all then tell him. What he tells me is that he can only help me if I help myself, and that includes telling him what goes on in my life in between appts. good luck with your appt! Is this a new dr?
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#3
May 25, 2010, 10:18 AM
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oh, i know what your saying, i never know just what to reveal... i dont want to be put in hospital either, and am worried i sound disturbed as well, but feel i need help-just cant ask for it, im sorry your mother didnt show you the love you deserved, all children deserve, i too had a demanding great aunt who raised me and overlooked alot in taking care of me , always was the odd one, troubled one..it can be so hard , even now if i mention im getting off balanced she doesnt want to hear it or know... it is difficult to not have that support, is your mother still critical? if so, maybe she was raised by a mother who didnt show love, thats my aunts problem... but, i wish i had advise, but it would be hypocritical because i too struggle ... i wish you the best and do take care feel free to pm if you ever want to talk, 
__________________
In a mad world only the mad are sane--Akira Kurosawa The things we fear have already happened...Deepak Choppra |
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#4
May 25, 2010, 10:47 AM
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Quote:
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 Plus, I did get married and bought a house. But then again, her first reaction to the house we bought was "Why did you buy this house so close to low income apartments? You better make sure you lock your doors at night." 
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#5
May 25, 2010, 10:52 AM
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This is always so tough to figure out. You run the risk of saying too much and putting yourself in a position to end up in the hospital (as my little sister did once) or not saying enough and really working through or finding answers to what you need help with.
Could you say you tell her that you know you are having paranoid thoughts about people at work, you don't think it's severe but that what you feel would help you best is a break from work to see if this eliviates this trigger until you can adjust meds etc. Maybe if you come from the stand point of I know that feeling this way is wrong and you have a list of a few things that you need to help with them she would be less likely to recommend you go to the hospital. I'm so sorry you are feeling this way. I have been there too and ended up quitting my job because of it. It really is a catch 22. |
 Moreta
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#6
May 25, 2010, 10:54 AM
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Quote:
HUGGZZZ
__________________
 DXD BP1, BPD & OCPD  "The best way to make it through with hearts and wrists in tact, is to realise, two out of three aint bad" FOB...
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| Moreta
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#7
May 25, 2010, 11:08 AM
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im so sorry your mom is so critical. she sounds alot like mine. mine does the guilt trip thing also which just makes me a constant anxiety attack waiting to happen. I get all nervous before I even call her and I dont tell her anything thats going on in my life anymore because she will always have something negative to say. maybe if you just stress that this is your life and your happy living it this way and if she doesnt have anything positive to add then to just smile and nod. i could never tell my mom that myself though
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#8
May 25, 2010, 11:31 AM
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I think I'm just going to tell my psych everything and let her decide what to do. I just hope she doesn't up the Seroquel or replace it with a diff anti-psychotic/mood stabalizer since I have enough problems waking up with the 100 mgs I take at night. Plus I think I've been on all of them at some point or another. Zyprexa - weight gain Risperal - slept for days at a time Geodon - tics/seizures Depakote - word finding problems/too much sleep Trileptal - didn't work Neurontin - slept for days at a time Lamictal -Rash Lyrica - Slept forever, couldn't even get out of the bed Topamax - Made me retarded |
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#9
May 25, 2010, 01:54 PM
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I tell my pdoc everything. I worked with him professionally for 7 years so it was hard at first but I don't keep anything from him anymore. The more he knows the better he can care for me.
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#10
May 25, 2010, 02:08 PM
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For me it's depended on the pdoc I was seeing at the time. A couple of them I felt completely comfortable with so was not afraid to tell them any/all symptoms, but there were a couple of them that I only spoke up about a symptom when it got serious. I'll be starting with my new pdoc next month, and I've met him before so I already know I will be comfortable with him. The pdoc appointments are only 15 minutes though, so I do have to take a list and my mood chart along to make sure I don't forget anything.
As for therapy, I've just started with my new T, so I am still cautious as to what I discuss, but in the past I've had some wonderful therapists that I've been able to tell almost everything. Ack, I've gone on and rambled again, sorry...I guess in the end it's best to be as honest as you can in order to get the correct treatment. Good luck today!!! oh...wanted to add...my mom is the same way; although I get along better with her now than I used to, she still brings up everything I ever did wrong as a teenager and it bugs the living hello out of me. You're not alone with that one!
__________________
From the movie The Hours: "If I were thinking clearly, Leonard, I would tell you that I wrestle alone in the dark, in the deep dark, and that only I can know. Only I can understand my condition. You live with the threat, you tell me you live with the threat of my extinction. Leonard, I live with it too." My blog, "Life and Other Annoyances": http://jennikj.blogspot.com/  |
| Moreta
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#11
May 25, 2010, 05:48 PM
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The appointment went well today. I think it's because she moved to a different office in the building, and all that was in there were 3 chairs in front of her massive desk, and then her chair behind that. She's only like 4'10" and with her sitting behind her desk made her look so tiny. It was slightly funny. I also think with the desk in between I didn't feel as exposed, so I was able to open up more. I don't know why I'm like that.....
Anyways, I ended up talking to her for like 30 mins about everything. She did up my dose of Seroquel >.< to take 50 mg in the morning, 50 mg at lunch, and 200 mg at bedtime. Currently I only take 100 mg, but apparently she forgot that when she writes me prescriptions I usually get 100 mg x 60 so I have enough for 2 months, so I think I'm gonna go with an extra 50 mg a night for a couple nights, then up to 200 mg @ night, see how that goes for a while then add the day time doses if I need too. I see my T tomorrow, so he can find out if that's ok for me. I'm just nervous about taking more Seroquel because it just knocks the crap out of me, and I can't be late for work. Since I was late all last week, the week before that, and today....heh. |
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#12
May 25, 2010, 06:02 PM
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Quote:
__________________
From the movie The Hours: "If I were thinking clearly, Leonard, I would tell you that I wrestle alone in the dark, in the deep dark, and that only I can know. Only I can understand my condition. You live with the threat, you tell me you live with the threat of my extinction. Leonard, I live with it too." My blog, "Life and Other Annoyances": http://jennikj.blogspot.com/ |
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#13
May 25, 2010, 08:54 PM
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I'm glad you were honest and opened up to you Pdoc. I have come to a place where I can trust my Pdoc with anything--even if it's hard I will tell him.
I suggest that if the Seroquel is still causing issues for you after giving it 2 weeks, call your doctor and tell her what is happening. Tell her you want to reduce your dose. If you are a person who is sensitive to meds, it is important that your doctor know that. My Pdoc continually gave me what were normal theraputic doses and I kept having problems. Finally, it dawned on me that I have, most of my life, very rarely taken meds (until 3 yrs ago). When I did, I only needed half of what most people take--I'm sensitive to meds. He's eased down my dose quite a bit on an important med and he's a bit worried for me but we're both pleased it's working so far. We're working together on this. Please work with your doctor. I wish you wellness. |
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#14
May 25, 2010, 09:30 PM
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QueenAccountant, I understand where you are coming from. Last year, I started seeing a T, but after about 6 appts I canceled all visits. Understand this, there was not a problem with the T. The problem was with me. I was uncomfortable discussing myself and/or my problems. It's hard for me to talk about myself. I think I felt that if I talked too much about myself I would have been admitted to a mental hospital and I was afraid of that.
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brephi |
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#15
May 26, 2010, 09:42 AM
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I'm glad your appt went well. Its awlays a good idea to open up with the pdoc. I dont see how any one could take seroquel during the day. It used to really konk me out. and make me ssooo hungry. good luck with the med changes!
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#16
May 26, 2010, 10:02 AM
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I took the 200 mg last night and amazingly I woke up this morning, on time and everything. The only downside is that I sat on the couch for 30 mins trying to wake up enough to come to work, so I was 30 mins late this morning...heh. It's not that critical if I show up late, the only bad thing is that I have to make up the time. I so wish I was salaired (don't punch the time clock), then I could come and go whenever I pleased like everyone else that is a salaried employee.
Grizmom - The Seroquel that I get come in 100mg. I remember when I first took Seroquel about 4 years ago, and I only took 25mg then. I took the 200mg of the XR flavor for a while, but instead of making me sleepy, it made me hyper and I would be up all night... |
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#17
May 26, 2010, 02:26 PM
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I'm glad you were able to get up on time...I am usually "hung over" from my sleep meds in the morning also. I am not able to function well without some coffee. It does increase my anxiety if I drink too much, so I try to be careful to stick to 2 cups. I hope this new dosing schedule will work for you!!
__________________
From the movie The Hours: "If I were thinking clearly, Leonard, I would tell you that I wrestle alone in the dark, in the deep dark, and that only I can know. Only I can understand my condition. You live with the threat, you tell me you live with the threat of my extinction. Leonard, I live with it too." My blog, "Life and Other Annoyances": http://jennikj.blogspot.com/ |
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#18
May 26, 2010, 03:23 PM
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I'm very happy for you that the Seroquel worked better than expected at the 200 mg dose. Hopefully after a week or 2 to adjust you'll lose that 30 minute groggy period.
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#19
May 31, 2010, 03:55 AM
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I tell him little.
He thinks my tattoos are self-injury even though they are years old. He thinks my desire for more is self-injury which it is not. When I went through a not so good patch he said he wanted to change my meds. I expressed concern and he said we would taper off one as we introduced the other. I agreed but wasn't sure. Next appt when it was due to be prescribed he said that he had never said that and I would need to stop my meds, be drug-free and then go on the new one. He did not seem to care that doing so would have a colossal impact, that I would lose my job, stress my family and probably be sectioned. So I refused to change. He didn't push that. So I think whatever I talk to him about he will twist it to someone he wants/needs. That said, if he decided to diagnose me himself and not rely on years on written notes from docs in training through to a consultant with fixed ideas then I might trust him more. But until then I answer what he asks and am careful how I elaborate. I'm not entirely okay but I function enough he can stay at arm's reach. |
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