Intake and eval

For bureaucratic, regulation, policy reasons I had to do a three hour intake eval yesterday......again.

It was good though
I took a 45 question test on the computer that spits out a number. I got 86. I thought great a B+, but on this test 86 is not so great. And then I saw a therapist for over two hours. She had some 1 to 5 test. I don't know how I did on that.

Come to find out her whole purpose was to determine if I still warranted services from them. Basically am I still sick enough. Well duh. My pdoc could have told them that in one second.

She had to find out all about how things are currently and the recent past so I got to talk about that a lot which was good for me so I got something out of it.
She talked me into getting a "case manager". I really wanted to get a therapist for awhile. Her reasoning was that since I have been to so much therapy and that all my past issues are resolved, I don't have a bunch of emotional baggage, that a case manager was a better idea. So I agreed. They will meet me outside the clinic, even come to my house. I don't want them coming to my house. But we can meet at the coffee shop or whatever. I am looking for support outside my family and is currently my biggest goal since I moved from CA to Michigan. I thought a therapist would be better even if they are current and recent past issues. But I agreed to her idea. I have an appointment with this person on the 13th.

I also have to get a thorough psych evaluation. I said what the hell, I have already done three intakes what more do you need. But she said I have never had an eval. I need to meet with a real psychiatrist for an hour and a half for a full evaluation. I don't think I need it. Me and my PA pdoc were doing fine. It will be good because we can get to the bottom of whether I am somewhere on the BP spectrum of just straight up MDD with anxiety. I don't know what else they can evaluate, they have my whole life history.

They also have a psyche nurse that helps with med issues and advises on physical issues. She wants me on a statin drug for cholesterol.

So they are quite thorough and for that I am grateful. So that is what is going on with me besides my upcoming trip to CA which I have posted about.

That sounds like it would be exhausting! It is good to the a thorough eval I'm sure. I've been hospitalized three times and never went through anything that extensive. Hope it all works out for you.

It wasn't bad because I am actually doing quite well on my current meds. (except for this annoying hypomania and mild anxiety) It is a miracle because meds have never been hugely effective for me.

I am actually going to go out on the deck and soak up some sunshine and vitamin D. This is highly unusual for me because usually the first signs of spring (late this year in northern michigan) send me into a bad depression. I would usually be hiding from the sun in my hole not wanting to come out.

If a case manager has access to the doc and the therapy it may be helpful. IOW, docs don't talk to their patients much so having somebody who does might be helpful. The only thing is if they aren't in your corner which seems to be the case with elevatedsoul. I would approach cautiously.

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IOW???

I have a very good relationship with my PA pdoc so I am not worried about that. This case manager will have full access to everything about me at this clinic. If she is not in my corner I will dump her. I have no problem with that. I wimped out and chose a women over a man cuz it easier for me to open up. I hope she is hot....just kidding. No transference, not good. I am capable of having intimate relationships with men but it is hard. Unemotional father, coming up in the construction industry.....still ingrained in some ways.

I cannot remember elevatedsouls situation. I am sure I knew at one time but keeping track of all these user names is tough.