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Poohbah
Member Since Dec 2015
Location: Phoenix
Posts: 1,283
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#41
You could start a group and use a workbook, setting goals. Its amazing how good the workbooks on Amazon are. I have been tempted to do that many times. Mine often gives useless advice like take the dosage that makes me calm, but Often causes me to be unable to finish sentences. Great.
__________________ Bipolar 2 with anxious distress mixed states & rapid cycling under severe stress tegretol 200 mg wellbutrin 75 mg, cut in half or higher dose as needed Regular aerobic exercise SKILLSET/KNOWLEDGE BASE: Family Medical Advocate Masters in Library Science Multiple Subject Teaching Credential-15 yrs in public schools |
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SarahSweden
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Grand Poohbah
Member Since Jun 2014
Location: Sweden
Posts: 1,700
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#42
Thanks here today. My psychiatrist whoīs the one who signs my sick leave hasnīt told me straight out that I need to stick to the therapist they offer me or else Iīll donīt get my sick leave. But my sick leave though goes hand in hand with the treatment Iīm in, regardless of if I find that treatment helpful or not.
So if I say no to a certain therapist, counselor or other and the facility canīt offer anyone else, then Iīm "out of treatment" and in the sick leave the current treatment is always specified. That is, you canīt get sick leave without attending some kind of treatment. At least in theory they can cut me off, thereīs no obligation for them to search for therapists or counsellors only because I didnīt find the one they offered me helpful. Iīm now back with my temporary counselor but I already know sheīs not qualified enough to work with me. We talk like colleagues or acquaintances and when I mention something more serious about my issues the canīt meet that. She isnīt a therapist but more of a case manager who helps people with practical stuff like telephone numbers to authorities and similar. Quote:
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LonesomeTonight
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Anonymous45127
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#43
We've reopened the thread. Please try to keep the discussion on topic.
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Grand Magnate
Member Since Jun 2012
Location: USA
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#44
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Based on my frustrating experience, I think even if you know what you need, it may just not be out there, or else very difficult to to find. Or, who knows, they may come up with some other suggestions even if it sounds like the psychiatrist isn't very open to it at the moment. And It's not much, maybe, but we'll continue to be here, so please continue to keep us updated. |
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Anonymous45127, feileacan, LonesomeTonight, SarahSweden
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Grand Magnate
Member Since Jun 2018
Location: Somewhere
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#45
Does seeing your psychiatrist not count at all as treatment?
__________________ Life is hard. Then you die. Then they throw dirt in your face. -David Gerrold |
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LonesomeTonight, SarahSweden
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Member Since Dec 2014
Location: US
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#46
Are you officially on disability? You refer to it as sick leave but you havent worked for a long time and your expenses are paid by government assistance. Is it not considered a disability in Sweden? As sick leave typically wont last over 5 years. Is there a disability agency of sorts where you can ask what you need to continue qualifying. Or can you ask your doc or pdoc? You might not even need therapy to keep your disability payments. Your pdoc visits might be enough
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Anonymous45127
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Grand Poohbah
Member Since Jun 2014
Location: Sweden
Posts: 1,700
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#47
Thanks. Yes, I agree. The thing is though that Iīve already seen this counsellor/case manager for almost a year and even if the chats with her are nice, they donīt offer any treatment.
She told me I could write a suggestion for a care plan and we could talk that through and I did do that. Sheīll read it and weīll continue our contact after the holidays. But so far the chats with her has been a lot about talking in general about "problems within society and psychiatry" and she shares a lot about herself. The sharing is fine in a situation when I see her as a case manager but highly inappropriate if Iīm Iīm going to see her for treatment. Yes, I appreciate this forum and the support I get from you and some of the other members. :-) Quote:
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Anonymous45127, Fuzzybear, here today
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Grand Poohbah
Member Since Jun 2014
Location: Sweden
Posts: 1,700
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#48
No, it doesnīt as I only see her to get extended sick leave and sometimes she prescribes sleeping pills but nothing else. Itīs not that I see her regularly and my visits to her isnīt seen as treatment.
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Anonymous45127, susannahsays
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Grand Poohbah
Member Since Jun 2014
Location: Sweden
Posts: 1,700
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#49
No, Iīm not disabled, Iīm on sick leave because of depression and anxiety and because I havenīt gotten access to treatment (therapy) I havenīt gotten better. I need the sick leave or else the unemployment agency demands I join different kinds of programs and Iīm not well enough for that. Also, Iīm have sick leave for 75% of the workweek and I currently see a case worker at my unemployment agency to see if she can help me to some kind of work during those other 25%.
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Anonymous45127
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Member Since Dec 2014
Location: US
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#50
Have they ever suggested some medication or something. If you are unwell enough to the point of unable to work for years at your young age, it didnt occur to your doctor to look closely into it? Have you ever tried any meds? Sometimes people do have to go on meds if they cannot function. Therapy seemed to be totally unhelpful from what you described over the years and yet no doctors suggested other treatments? No meds? Some supplements? Group therapy? I find it neglectful on your doctors part to just do nothing. Not just pdoc. What about your internist? .
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Anonymous45127, LonesomeTonight
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#51
Is it possible that you were never properly diagnosed? Diagnosis often isnt of any use. But often times proper diagnosis could ensure proper specialized treatment or at least good understanding of what is happening. Some things you mentioned sounded as maybe doctors and therapists are missing something.
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Anonymous45127
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#52
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I now have the care I need but that's because I'm relatively privileged financially despite other marginalisations. My T moved to private practice and took many of her clients with her, including me. She has a heavily discounted rate for her most low income clients. I pay full fee but it's capped at a fixed fee even though she could charge more. Back to you, what kind of therapist do you feel you could work with? Eg a more openly warm therapist who's been through poverty during a tough season of their life? Last edited by Anonymous45127; Dec 20, 2019 at 12:05 AM.. |
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Grand Poohbah
Member Since Jun 2014
Location: Sweden
Posts: 1,700
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#53
The problem in all this isnīt that I havenīt been properly diagnosed, I have been through several kinds of screenings and test for all kinds of diagnoses, neuropsychiatric disorders and personality disorders included. We have way better access to different kinds of tests and evaluations but many people who get diagnosed donīt get access to proper treatment.
The thing is that what I need to talk about and what keeps me depressed and anxious donīt fall into any specific diagnoses and by that itīs more difficult to get proper care. As Iīve mentioned in several posts I canīt get access to a public health care therapist who works with me on all kinds of issues and problems but they instead focus on specific care programs for depression, for anxiety and so on. Quote:
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here today, LonesomeTonight, SlumberKitty
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Threadtastic Postaholic
Member Since Dec 2018
Location: New Jersey
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#54
Hey @SarahSweden I am curious: In an ideal situation if everything worked out perfectly and were exactly what you need- what would that look like? Can you describe it?
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__________________ "I carried a watermelon?" President of the no F's given society. |
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Grand Poohbah
Member Since Jun 2014
Location: Sweden
Posts: 1,700
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#55
Yes, in such a situation I had met with a therapist who could both be kind and sharing some little things about herself but at the same time be able to work through transference issue and not give up as soon as I told her I was in love with her (romantic transference) or I didnīt like something she did or said.
It had been a therapist who could give me compliments from time to time and could still keep good boundaries and have the qualifications to work with a broad spectrum of issues. Quote:
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