Quick Question...I think

So, for those of you who don't know, at the end of October I terminated with my old therapist and as a result, (long story) Pdoc terminated me but in his letter he put "at this time" to me meaning currently and used other wording that made me think it maybe could be short term.

Since that time I have made tremendous progress and significant amounts of work. I have kept detailed records of my work, mostly DBT related, for my own benefit. Ie: see my progress, tweak the usage of skills, help stay focused on NOW, etc.

So here is my question: do you think that when I write my letter to him at the end of January pointing out the work I have done and the progress I have made, that I should send him some copies of such documents which further detail my DBT and therapy work? It would be to give him as much of the whole picture with which to make a decision.

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FYI: The letter to pdoc would be to ask him to open my case again.

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Did your Pdoc tell you that taking you back was a possibility? I am worried you might me reading into the situation.

Are you actually meeting with your Pdoc again or would you be sending this out of the blue, so to speak?

First never came right and said either way the termination was permanent or temporary so to speak. I would send the letter...out of the blue.

Here's the catch: I kinda suspect he will say no but I just need to know for sure from him that's the case, so I can even better move on either way.

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I hate to say this, but termination means ending. I think expecting something otherwise is putting yourself at risk. It's obviously completely your decision. If you want to know for sure, why don't you call your Pdoc and get an immediate answer vs. mailing and hoping to hear?

Can you try another Pdoc if you need to go for meds?

Maybe just a quick call to pdoc would be easier to clarify whether you can return to his care or not. If a receptionist answers you can ask him/her to pass on that you have made a lot of progress in your DBT group since termination. It seems like this would be faster than sending a letter (and then expecting a letter back?), and you would want to know soon so you can establish care with another provider to prescribe your medication.

Are you attached to this pdoc and that's the reason you want to go back? Isn't it easier just to see someone else? I just read sunrise's post and I agree that calling may be a better way. I know pdocs are very busy and you may be waiting for a response that never comes.

Rain: I got very attached to this pdoc the only reason I want to send a letter is to be better able to state my case for him opening my case again and I often seem to fumble for words on the phone. and I am afraid just telling receptionist to pass along the question and have him call me I will be less likely to be able to state my case because he will just answer the question and have a receptionist call me back...which leaves a lot less room for a yes to him reopening my case assuming there is that possibility, if not at least I know I gave it my best shot.

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What does your new T think about it? If your new T is for it, why not ask them to go through the channel and to state their/your case for you? If your T isn't supportive of it, then who do they recommend?

That is probably how I would go.

Based on how the relationship ended, you may want to get your T to contact him and fill him in instead, if you still want to see him.

Is your motivation for working really hard in DBT for him to take you back as a patient? ...Wouldn´t it be better to meet a new Pdoc and get a " new beginning" instead of going back, to someone who terminated you ( read hurt you alot and whom you were really angry with constantly)

You feel like you have made progress. Why risk it?

First, I really am not "risking" anything, the work will continue regardless of his decision.

Second, I will be asking my T on Monday to write him a letter laying out the progress she sees me making. That is...only if she is comfortable given their pre-established professional relationship. She works very closely with, possibly under him in a hospital setting and I do not want to interfere with that working relationship. This is also why I am not asking her to ask him directly for me because I don't think that is her job to find me a psychiatrist...be it previously had or new. However, I don't think it unreasonable to ask her lay out the progress she sees in a letter and seal it in an envelope for his eyes only. Then we will send both letters and possibly supporting documents together. This way I don't feel as though I am asking her to do my work but merely I am asking her support in a very concrete way.

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I dont see what you have to lose if you are committed to continuing your therapy anyway and getting through even if he does reject you. But Im not sure you should involve the therapist unless she is honestly seeing progress and happy to put in a good word for you, it might be a very uncomfortable situation for her to be put in given their work relationship. I suppose there is no harm in asking but be aware that its not a betrayal if she disagrees. Im so pleased to hear you are going so well though, keep up the good work

I really didn't like that pdoc can you try to find another that will work closely with your current therapist since you have a good relationship with her?

So now you guys got me wondering if I should ask. Yesterday I was just going to say it is not about the letter being sent and that it is about whether I should send supporting documents but now that I have such good momentum with the work I am doing...it is a matter of whether I want to be on pin and needles about it for up to a month(the time I am giving him to respond) waiting for his response? Ugh! Decisions...decisions! Guess I need to really think this through.

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Can you go back and read your op in the thread " is it possible"

Is going back and being on pin and needles while waiting for him to respond, really worth it?...What happend to that new beginning?

I think it really is possible...I just don't know how possible until I ask. The more I think about it this new beginning seems really good. The question is do I want to bog down this fantastic new start with the "drama" of waiting for him to answer. The more I think about it...the less I want to do it. I asked my mom what she thought and her main concern is all this good work stops if he says no...which I really don't see happening but really anything is possible I guess. Just thinking...I guess that maybe it is NOT worth the "risk". Maybe...it really is just time to move on. I kinda feel bad for the way things ended and I kinda feel like I "owe" him the opportunity, if just this once, to jump back on as my pdoc. But is guilt really a reason to do something? Not really! Haven't made a final decision but I think it's leaning more towards just moving on without giving him the opportunity to be my pdoc again! I don't want to be in knots waiting for one big MAYBE. It just doesn't seem like a healthy thing for me to do.

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