[gloamingone]

I see my new therapist for our second session today. It's been two weeks since our first session. Unfortunately, since I saw her last I tried to end things. I'm doing better now, but I know I need to tell her, and I'm so scared to bring it up. Is she obligated to tell my prescriber, who works in the same practice?

I HATE my prescriber. My prescriber is a judgmental know-it-all who scares the crap out of me. Luckily I only see her a few times a year (and with my boyfriend present).

So how do I bring all this deeply personal stuff up to a brand new person I've only spent 45 minutes with?

Thanks in advance!

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[HazelGirl]

Legally, she cannot tell anyone else what you tell her. It's against the law unless you are threatening to kill yourself or harm someone else.

[gloamingone]

That's comforting. I'm a little worried, however, because she's just an intern and not licensed yet. But I'll make it clear I don't want my prescriber to be told. Thank you!

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[HazelGirl]

She would need a signed disclosure letter from you before she told anyone.

[gloamingone]

Oh, good. :-)

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[precaryous]

Originally Posted by gloamingone

That's comforting. I'm a little worried, however, because she's just an intern and not licensed yet. But I'll make it clear I don't want my prescriber to be told. Thank you!

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Wait, if she is still an intern and under supervision, she may be obligated to tell someone. Also, if you are admitted to the hospital for a suicide attempt..it will be known by your caregivers.

Please don't take your life.

[gloamingone]

Originally Posted by precaryous

Wait, if she is still an intern and under supervision, she may be obligated to tell someone. Also, if you are admitted to the hospital for a suicide attempt..it will be known by your caregivers.


Please don't take your life.

Thank you!

I wasn't admitted, though I should have been. I actually didn't even tell anyone until days later. Doing much better now, but I do struggle a lot with this.

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[HazelGirl]

Originally Posted by gloamingone

Thank you!

I wasn't admitted, though I should have been. I actually didn't even tell anyone until days later. Doing much better now, but I do struggle a lot with this.

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If you're not in any imminent danger, she might only tell her supervisor and go over the details with that person (anonymously).

[Leah123]

Honestly, I think it's fairly likely for her to feel the need to disclose a recent suicide attempt. She's inexperienced, you're in severe trouble or were, she's in supervision, and she doesn't know you well enough to evaluate your stability. I don't know that it would be the prescriber she'd tell, because I'm not sure what the hierarchy is in her practice, but the odds seem decent that she would tell someone, and I don't want to guess at how that would go.

[gloamingone]

That's exactly what I'm worried about. I wish the psychiatric nurse practitioner who prescribes my meds wasn't such an idiot. She tells me things like "if you don't get better fast, all your loved ones will leave you and you'll be completely alone."

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[Leah123]

I still think it's critically important you talk to someone about this, and she seems likely to be the best resource for you. No matter who gets told, the fact remains you need and deserve help. I just don't want you to go in unaware and be blindsided.

It's certainly possible the prescriber would not be told, but there are too many variables for me to feel at all confident they wouldn't be. Perhaps you could ask her hypothetically, who her chain of command is, who she has to go to, with difficult disclosures and how that would happen.

[HazelGirl]

Originally Posted by gloamingone

That's exactly what I'm worried about. I wish the psychiatric nurse practitioner who prescribes my meds wasn't such an idiot. She tells me things like "if you don't get better fast, all your loved ones will leave you and you'll be completely alone."

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Wow. Can you switch? That's abusive. Report her, complain...something. Also, make sure to tell your T that she says things like that.

[unaluna]

Originally Posted by Leah123

Honestly, I think it's fairly likely for her to feel the need to disclose a recent suicide attempt. She's inexperienced, you're in severe trouble or were, she's in supervision, and she doesn't know you well enough to evaluate your stability.

I agree. I think you need different people, period - a different prescriber, a different t. You're acting out, and you're kind of asking us to help you sneak things past these people. And we are NOBODY, really - just marks on a screen. Idk - you need somebody to depend on, but not somebody you can fool?

[gloamingone]

The thing that's stopped me from requesting a different prescriber is that they ask you to put the request through your current one. And explain why you think the relationship isn't working. Yikes!

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[gloamingone]

Originally Posted by hankster

I agree. I think you need different people, period - a different prescriber, a different t. You're acting out, and you're kind of asking us to help you sneak things past these people. And we are NOBODY, really - just marks on a screen. Idk - you need somebody to depend on, but not somebody you can fool?

Wow. I don't know what to say. Acting out? Being sneaky? Wow. I don't care who else at the practice knows--I just don't feel comfortable with this one person knowing because of inappropriate statements she's made in the past to me. And acting out? I don't even know how to respond to that.

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[unaluna]

Originally Posted by gloamingone

The thing that's stopped me from requesting a different prescriber is that they ask you to put the request through your current one. And explain why you think the relationship isn't working. Yikes!

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Just say she is negative. Some ts are and think thats a legitimate way to be. So you wouldnt really be saying anything negative, just that her way doesnt suit you. I once told my t i had enough yelling to last me a lifetime.

[HazelGirl]

Originally Posted by gloamingone

The thing that's stopped me from requesting a different prescriber is that they ask you to put the request through your current one. And explain why you think the relationship isn't working. Yikes!

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They're there to serve you. Complain to someone. You're not stuck with anyone. If you make enough noise, they will do something.

[unaluna]

Originally Posted by gloamingone

Wow. I don't know what to say. Acting out? Being sneaky? Wow. I don't care who else at the practice knows--I just don't feel comfortable with this one person knowing because of inappropriate statements she's made in the past to me. And acting out? I don't even know how to respond to that.

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Sorry - your next post and my next post kind of explains. I just noticed dodging and couldnt figure out why. Now i get it. Really, i apologize. I can see why you felt backed into a corner. Im sorry.

[precaryous]

Say you don't feel you're a good match.