[Victoria'smom]

So at intake it was decided my current gaf score was 50 at most. Really???

41 - 50 Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting) or any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job, cannot work).

This is as stable as I get people. So remembering this and a couple other things because of course I'm the one with the super long intake and the second opinion [my husband and son's intake was less then an hour long. Mine a good 4+ hours over multiple days.] when meeting my new T. After a run down of my childhood, teen years, up until now he ask "So you're the most functional in your family?" [GAF score 50 flashing in my head]...... "Yeah, I am." All I can think about is "Really, I'm the most stable...Really?" Each time it's yes. Which really confuses me. How can I have a GAF score of 50 and I'm the most functional?

So between now and next appointment I'm updating my stand in crisis plan, instead of every now and then safety plan and Psychiatric Advance directive. Guess who's reading the baker act rules and committing them to memory.... this girl. I have to think of two therapy goals for when I'm stable. Right now I'm stable so I have no idea.

I told him how I want to get back to trusting my husband to the point he's seen as "on my side" again when delusional. So we talked about fighting fair in relationships. Which my husband and I do.

So anyone have any idea's for therapy goals when stable?

[Crazy Hitch]

Yeah I don't know about these scoring things really.

I've been told by my pdoc that I'm a "high functioning" bpd individual.

And yet when I look at the two charts I fall slap bang in the "low functioning" bpd.

If im correct I see the GAF has been removed from the DSM? I wonder why that is and it begs the question then if one should be so reliant on the score? Over what time frame is this measured?

Sorry I don't have any therapy goals for when you're stable. My therapy goal is getting stable and getting a sense of self worth and meaning.

What is a GAF score, when are they given, why are they given, and etc. Man, I am like the pitcher who was supposed to show up to pitch, but instead I'm up in the stands selling hot dogs?

[gloamingone]

I've never been given a GAF score (that I know of). They sound like a way for providers to stick us in neat little categories. Each time I visit my T or pdoc, I have to fill out a short form that gives my mood a number. It's ridiculous!

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[Darvula]

I have never heard of this. What is it? How does it work?

[Victoria'smom]

If im correct I see the GAF has been removed from the DSM? Yes it was replaced with something else but I forget what.

Over what time frame is this measured? I think whenever you see a therapist or psychiatrist they measure it to see if your doing better or worse.

What is a GAF score, when are they given, why are they given, It's the global assessment of functioning. It use to be given in ER and I guess intake or when seeing a MH professional.

I've never been given a GAF score I don't think I was suppose to know but when two or more professionals are in the same room they seem to forget I'm there.

[~Christina]

It's a number , just a number, blow it off. A number isn't who you are . So they are shocked your the the most stable? Ok kinda proves that number isnt so very accurate now is it?

You , yes you! Masterminded a move that had a gazillion hiccups and road bumps and flat out brick walls you had to get through... So yes apparently you are very stable.

That number is just that a number from some kinda test or something that a scientist made up,, Its a number, Don't let it become a monster.

[Nammu]

The GAF is highly subjective, probably why it's no longer in the DSM. I once had three different GAFs on the same day from different people when I was in a hospital. What it really meant is how well I responded to the particular person interviewing me. I'm much more withdrawn with the more assertive and happy-happy person than I am with a serious all business person. I really dislike happy-happy people when I'm not doing well so they rank me lower.

[Justugh]

hi nice lady

ummmm they are right about the number thing and it being replaced .........it was one of the reason for over medication

as for your hubby and kid being a in and out one hour thing ........guys are simple and kids even more so .......reason u had to do the long one is u were hitting key words and thoughts but u were not going all the way in one category so they had to give u the same test reworded same thing ..........so they keep going until u passed tho all the test and they hit u with the 50 score

like the ppl keep telling me here u need a pdoc that has walked part of the way in your shoes .........that way they understand what u mean and not guess at it ...........i am sorry all mothers are crazy they have to be to deal with life a kid plus the pressures of this world if they were not crazy the stress and sheer weight of it all would crush them

so in the end my answer is to see a doctor that has been in your shoes as a mother/wife ........anyone else u will get this crap of a crazy score they can not understand it ......your thoughts and reasoning for doing things are alien to them so .and flips u out

before u go in and see the doctor take 20/30 mins spend time by yourself in a nice park or nature some place calm your mind destress then go in and talk to them ....all that crap they marked will go away with right person ............u have the right to see a doctor u feel has the best chance of helping u

[Victoria'smom]

So they are shocked your the the most stable? They didn't seemed shocked and I always knew. We joke about it all the time but having it flat out asked and confirmed kinda throws me.

I think that the number hit me hard because just normally I'm just above IP. They haven't seen when things get rough for me.

[HALLIEBETH87]

Its a number from an assessment...I mean really it isn't a big deal. they work with you and your symptoms..not the number. I have psych records where my number was lower than 40.

Focus on therapy goals and feeling better. Not a silly number.

[Victoria'smom]

Justugh, I have yet to meet my psychiatrist. My old pdoc was awesome. He only got concerned a couple of times. I don't think I could be over medicaided I flip out about slight changes in meds.

I was with my husband during his intake. It was painful to watch it was more like an interrogation where he did something wrong. With me I was in a way to good of a mood to deal with an accusatory tone.

The why are you here? What are your current symptoms? Why do you want therapy? ....

[~Christina]

Well hopefully you will soon be able to just shrug off the "number" and go about living.

You said your stable now and cant think of a goal? Well doesn't that go against there "number"
I guess that is why I see no positive purpose for a number

Goals? Sure work on self awareness, self esteem,coping skills,mindfulness, healthy boundaries with husband and extended family, ... Any of those are perfect starting points for anyone going into Therapy.

Knowing the Baker act rules is all fine and good, if you hit a point where you need IP always always sign yourself in.

Have you gone to the beach yet to watch the sunset?

[Victoria'smom]

Have you gone to the beach yet to watch the sunset? We get our car back Monday night. It broke the day we moved into our apartment. I want to go to the pier and watch the sunset, Monday. Being stuck has been no fun but we're mostly moved in

[~Christina]

I use to watch the sunset and then drive across the state to watch the sun come up... Did that few times every year.

Glad your mostly moved in, that always helps calm everyone down.

[Victoria'smom]

I use to watch the sunset and then drive across the state to watch the sun come up

That is an awesome idea! My sister lives on the other side of the coast too.

[~Christina]

There ya go , perfect deal.. My daughter loved it, was a great adventure , even once she got older.

[Justugh]

well good luck with the new doctor

as for the ?s for hubby rem he is a guy we do not like talking about feelings or even understand what they are half the time

the score means nothing ...............i can not tell u how many test i have taken for this stuff over the years they never come out the same ........the person scoring it always tweaks the results one way or the other from own byists they might know it but it is human nature

hospital rules are simple .............never admit u want to hurt self or others ......sign yourself in (never let them sign u in) ......and if u do get signed in u have the right to write the medical director and they have to response to u with in 3 days (they give u the reason they are keeping u ....u can argue against them .......then sign a form getting yourself out ) unless they get a court order to keep u in .....but that takes more then 3 days u can be out and in the wind before they have the paperwork filed (take them 3 weeks at least in this court system ) .......the rest of it is jail rules protect your food .....keep to yourself and work the programs ...........oh and if u act out expect to be tackled and shot with something or strait jacketed into rubber room

You fine ladies tickle me.

[Justugh]

and a penny will take a flat head screw out of the frame ..........if it is a magnet lock u need a pencil and a power socket

[unlived]

^im pretty sure what you're saying isn't appropriate

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[~Christina]

Originally Posted by Justugh

well good luck with the new doctor

as for the ?s for hubby rem he is a guy we do not like talking about feelings or even understand what they are half the time

the score means nothing ...............i can not tell u how many test i have taken for this stuff over the years they never come out the same ........the person scoring it always tweaks the results one way or the other from own byists they might know it but it is human nature

hospital rules are simple .............never admit u want to hurt self or others ......sign yourself in (never let them sign u in) ......and if u do get signed in u have the right to write the medical director and they have to response to u with in 3 days (they give u the reason they are keeping u ....u can argue against them .......then sign a form getting yourself out ) unless they get a court order to keep u in .....but that takes more then 3 days u can be out and in the wind before they have the paperwork filed (take them 3 weeks at least in this court system ) .......the rest of it is jail rules protect your food .....keep to yourself and work the programs ...........oh and if u act out expect to be tackled and shot with something or strait jacketed into rubber room

*Administrative edit*

I'm sorry if you were in a hospital like that, no one should be treated that way, I hope Therapy has helped you process it all.

IP in general is a good expeirence , You don't have to protect your food there is usually way to much to eat or fight with others? No doesn't really happen. It's typically a great place to be if you need it. Safe place with staff that will help you and just want you to feel better.

Of course this is my opinion and how I have been treated

[HALLIEBETH87]

Originally Posted by Justugh

well good luck with the new doctor

as for the ?s for hubby rem he is a guy we do not like talking about feelings or even understand what they are half the time

the score means nothing ...............i can not tell u how many test i have taken for this stuff over the years they never come out the same ........the person scoring it always tweaks the results one way or the other from own byists they might know it but it is human nature

hospital rules are simple .............never admit u want to hurt self or others ......sign yourself in (never let them sign u in) ......and if u do get signed in u have the right to write the medical director and they have to response to u with in 3 days (they give u the reason they are keeping u ....u can argue against them .......then sign a form getting yourself out ) unless they get a court order to keep u in .....but that takes more then 3 days u can be out and in the wind before they have the paperwork filed (take them 3 weeks at least in this court system ) .......the rest of it is jail rules protect your food .....keep to yourself and work the programs ...........oh and if u act out expect to be tackled and shot with something or strait jacketed into rubber room

*Administrative edit*

Im not sure I understand why you are posting this?

[Justugh]

it is the hospital rules i learned

it was only for a worst case for them ..........but the info is valid and would make it easier in there ......allow to leave when want too by one means or other

hospital lvl 2 is basicaly drugged up lock down ....hospital lvl 1 drugged up but free to go in common room/ dining hall clinic lvl 2 u are drugged less common and dining plus personal items like mp3 player ....clinic 1 u are on your release drugs plus all that stuff and u have contact with outside world email access

she was learning the laws incase .........what i added was just extra info i picked up from my time ........been in good and bad places ........if it is good u have no need for that info if it is bad well it got me out .....i was able to get to a pay phone at a 7/11 and a hold of my parents after 4 months of no contact (they had me out of there in 22 hours after that call)....i went back so they could not report me as a runaway escaped person i know the laws ......but i did what i wanted to do

[Victoria'smom]

I don't ever plan to be more drugged then I have to. I'll out right refuse to take the meds if need be. I have a feeling this therapist has BP also. He says that he won't be concerned unless I'm impulsive or have a plan. This last set of doctors were really good at letting me decide my treatment for better or worse, even when delusional. So being in a new state, with a new team is scary.

I would not try to run. I wouldn't mind no food. I'm female so it's less likely for outright fights more likely for cattiness. I'm currently trying to find the best treatment place so that I am not placed in state hospitals.