Derealization & macropsia

Yes, yes, and yes. I actually had an argument with a friend yesterday about this. He kept insisting I should tell my pdoc EVERYTHING because I'm not in the position to know what's important for the doctor to know so I should just give them a good idea of everything that is going on in my head. Hahaha! Sorry, there is laughter in my head..!! As if one can say it ALL, as if the doctor can put it all in the right light and make the correct connections and assumptions, as if the doctor is some sort of saviour...Aaahhh...Unfortunately not, as a general rule anyway. One pdoc told me once that the patient becomes the best doctor for themselves with the help and knowledge of the pdoc. Filtering is necessary. That's when you have cooperation instead of handing yourself over to someone else completely. Especially if that someone (like the doctors in my clinic) have other 299 patients in their care. I don't see the doctors as a conspiracy but I do feel I should 'delegate' when I'm in the doctor's court.

You've captured it very well - we can't expect to get every detail out of our heads and onto the table - we have to be selective about what we talk about or we get nowhere fast.

Doctors probably don't conspire against everyone - just me. I have big problems with dreams and visions of people in white coats strapping me down and .... never mind. I just do what I can to avoid them.

the thing is when we speak we encode our thoughts... and the other party decodes it. Misunderstandings happen...

I am very bad in expressing something... especially thoughts and feelings. I know how I feel... but I cannot put it in words.

If only we could just link up hands, close eyes, and the pdoc could just sense exactly what the issues are...

there are shamans for that

what's that about? Reliving your circumcision? What else do doctors routinely strap people down for that would give such a terrified memory? Granted, I had my lip sewn up at 5 and was strapped down and terrified but it's a more concrete memory.

"Psychological conditions often arise from macropsia, but the general consensus is that they do not cause macropsia. Those afflicted may experience extreme anxiety both during and after episodes as a result of the overwhelming nature of his or her distorted visual field. Due to the fear and anxiety associated with the condition, those who have previously suffered an episode hesitate to recount the episode, although retain the ability to do so.

Psychologically, a person with macropsia may feel separation and dissociation from the outside world and even from immediate family. This feeling of dissociation has mostly been noted in child or adolescent patients. The patient may feel that he or she must unfairly contend with hostile and aggressive forces due to the gigantic nature of the surrounding environment."

From: http://en.wikipedia.org/wiki/Macropsia

ROTFLMAO Moose, you had me in stitches
I've had my fair share of hospitalisations for all sorts of things - you know what boys are like, and I was a regular in the ER section.

Sorry about your lip trauma - that must have been a really rough experience. At least I was put under general when I had my head stitched up.

No, I don't think I have ever been restrained other than via sedation or general anaesthetic, but I really don't trust hospitals with how I think they would handle psychotic episodes.
It is probably the one thing I fear the most about my manic episodes - I'm walking the razor's edge right now - what if the cops lock me up and I am forced to enjoy the hospitality of a locked ward and heavy sedation?

I'm really sorry your fear is so strong Tsunamisurfer. I hope you feel at least a bit safe with your doctor