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Default May 08, 2021 at 12:52 PM
  #21
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Originally Posted by SarahSweden View Post
. . .I asked for someone else to talk to, just temporarely. . .

It´s kind of an unspoken "rule" that you can´t end it with the counselor or therapist you have been allocated, if you do you´ll risk being cut off from the facility as they then see it as the patient "said no to treatment".
From what you have written here, you have been having difficulties with this counselor for some time. If it were therapy, people could say you were "stuck". It also seem like this counselor hasn't had anything much to offer to help you -- or the two of you -- through these difficulties. Perhaps that is more than she is trained to do?

Nevertheless. . .I don't see you as saying "no" to treatment. You have asked for someone else to talk to, at least temporarily.

An "unspoken rule" is. . .confusing to people, to say the least. Since it is a public health facility, it seems to me like it is only fair that you have some explicit rules, from someone, if they are going to terminate you.

If you don't hear from them early next week, I would encourage you to follow up with your request to see somebody else temporarily. Or, if they terminate you, I would encourage you to ask to speak to your psychiatrist again or perhaps the director of the facility, to get an explicit reason why they are letting you go. It may be difficult to read or to hear, but especially if any of their reasons are NOT sound and if they did not make their rules explicit to you FROM THE BEGINNING (as it sounds like may be the case) then perhaps there may be some kind of recourse, somewhere, if you want it. Perhaps a government ombudsman somewhere in the system. Or maybe somewhere outside it.

Wishing you the best!! I hope, of course, that they do allocate you somebody else to talk to and that, eventually, they offer you some treatment that will actually help!
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Default May 08, 2021 at 12:55 PM
  #22
Were you not able to find any meds that helped?
Its common to have to try a few or several before finding one that is effective.
I went through possibly 6 over about 18 months. Some were just ineffective. Some were majorly awful.
Ive been pretty stable now on one for about 4 years.
My functionality would be much less without meds.

I hope you can find some relief.
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Default May 08, 2021 at 01:04 PM
  #23
This is an extremely tough and frustrating situation for you to be in Sarah. Divine has a good point about having a doctor. If you get a doctor, is it possible to get referred to a clinic/day program/therapist? You know a few pastors/priests/ministers also have training in therapy. Someone on this sight was seeing someone like this. Is this possible for the time being?
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Default May 09, 2021 at 03:55 PM
  #24
No, meds didn´t help and I´m not looking for just reducing symptoms but to get help with underlying causes.

The evaluation for ASD (and ADHD which was evaluated at the same time) showed I don´t suffer from any neuropsychiatric conditions.

I do attend an unemployment program but due to the pandemic the agency has a very hard time finding trainee jobs for their clients.

There are no proper goals as there are no resources to reach those. The only doctor I have is the psychiatrist at the same facility and she´s going through my records together with their head doctor to see if they can offer me something else.

It´s though highly likely that they´ll just cut me off from the facility.


Quote:
Originally Posted by divine1966 View Post
So meds didn’t help? Sometimes you need to try a couple of different ones.

What was the follow up on evaluation for ASD? You mentioned it awhile back. Or any other evaluations? I feel you need specialized support and treatment. You have been out of work and unable to work or even apply for a job for many years yet you aren’t on disability and aren’t getting vocational support/treatment/mental health help. Nothing except financial assistance.

What’s the goal? Game plan?

Where is your doctor in all this? You are eligible for having a doctor in Sweden.
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Default May 09, 2021 at 04:05 PM
  #25
Thanks for understanding, here today.

No, as you say my counselor couldn´t deal with me being disappointed and she didn´t want to talk about anything that concerned her and her actions. I think she perhaps was told to keep a distance to me so I wouldn´t get attached and she thought she perhaps could just cancel appointments, shift appointment times and so on without me reacting to that.

Yes, the unspoken "rule" about not being allowed to say no to treatment isn´t something they tell clients straight out. But a lot of people have experienced this and the facilities use this against you, as a way of cutting patients off from care.

I don´t know if my psychiatrist and her colleague have actually begun to look through my records so I´ll wait for some time to see what happens. Perhaps my counselor will call me to tell me what they have decided but I´m not sure I'll answer to her call.

There´s an ombudsman to whom you can file complaints but they can´t decide what treatment you get. They only help patients in writing complaints and getting an answer from the facility about what they think happened in the actual case.

Thanks, I appreciate you hoping this for me!


Quote:
Originally Posted by here today View Post
From what you have written here, you have been having difficulties with this counselor for some time. If it were therapy, people could say you were "stuck". It also seem like this counselor hasn't had anything much to offer to help you -- or the two of you -- through these difficulties. Perhaps that is more than she is trained to do?

Nevertheless. . .I don't see you as saying "no" to treatment. You have asked for someone else to talk to, at least temporarily.

An "unspoken rule" is. . .confusing to people, to say the least. Since it is a public health facility, it seems to me like it is only fair that you have some explicit rules, from someone, if they are going to terminate you.

If you don't hear from them early next week, I would encourage you to follow up with your request to see somebody else temporarily. Or, if they terminate you, I would encourage you to ask to speak to your psychiatrist again or perhaps the director of the facility, to get an explicit reason why they are letting you go. It may be difficult to read or to hear, but especially if any of their reasons are NOT sound and if they did not make their rules explicit to you FROM THE BEGINNING (as it sounds like may be the case) then perhaps there may be some kind of recourse, somewhere, if you want it. Perhaps a government ombudsman somewhere in the system. Or maybe somewhere outside it.

Wishing you the best!! I hope, of course, that they do allocate you somebody else to talk to and that, eventually, they offer you some treatment that will actually help!
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Default May 09, 2021 at 04:08 PM
  #26
Thanks. The problem is that they most often don´t to referalls, it´s up to the patient to find someone else or some other facility. As our priests, even if they have training in psychotherapy, don´t offer treatment within church I can´t get treatment that way.


Quote:
Originally Posted by Shotokan View Post
This is an extremely tough and frustrating situation for you to be in Sarah. Divine has a good point about having a doctor. If you get a doctor, is it possible to get referred to a clinic/day program/therapist? You know a few pastors/priests/ministers also have training in therapy. Someone on this sight was seeing someone like this. Is this possible for the time being?
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Default May 09, 2021 at 08:58 PM
  #27
Maybe I’m misinterpreting what you said, Sarah, but you said there weren’t any goals. Did you mean specific treatment goals or personal goals? While they might not be explicit, I’m sure your counselor and the agencies you work with have a treatment plan for you. Secure work, assist in financial independence, etc.

I hope that you have more goals for yourself than this though. As hard as it may be to accept, counseling, therapy, doctors, meds, and the like are only going to get you so far. Ultimately it’s what you put into the situation that’s going to change or improve it. You don’t talk often of your life outside of these counseling sessions, so I don’t want to suppose what you’re doing or not. I would highly encourage you to really dive into some extensive reflective work going forward. It’s hard because we as humans don’t want to acknowledge our faults and unhealthy behaviors. But I think it’s necessary.
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Default May 10, 2021 at 01:47 AM
  #28
Quote:
Originally Posted by SarahSweden View Post
Thanks for understanding, here today.

Yes, the unspoken "rule" about not being allowed to say no to treatment isn´t something they tell clients straight out. But a lot of people have experienced this and the facilities use this against you, as a way of cutting patients
I agree with you. I have a friend who was admitted and got ECT-treatment. Afterwards she was offered meds and therapy with a therapist whom she didn’t like to work with. She got cut off from the facility. This also happened in Sweden. So she’s on her own now, they only prescribe her medicin and don’t even see her for evaluation of the medical treatment.

Could you try to explore yourself without help from a therapist? Like, read a lot about your issues and try to change some of it on your own? Of course it’s hard but perhaps you could try? Or do you have any other options right now? I don’t mean to sound hard on you, I understand that you’re in a difficult position...
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Default May 10, 2021 at 02:20 PM
  #29
Thanks. I live in Sweden and I don´t have that option you describe. What´s offered here when it comes to psychoanalysis is five sessions to a reduced fee, then you have to pay full price which makes it out of question.

Quote:
Originally Posted by Salmon77 View Post
Sarah, I don't know if this is possible, but if there is a psychoanalysis training institute in your area, sometimes it is possible to work with someone who is training to be an analyst for low or no cost. It seems like that kind of frequent contact and deep work might help you.

I wonder what other kind of mental health practices you have? I know a lot of studies show regular exercise, spending time in nature, things like that can improve mental health.

I know from your posts you have struggled for a long time, and it sounded like this last counselor was not helping you. I hope you can find something or someone that does help.
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Default May 10, 2021 at 02:27 PM
  #30
Thanks. I´m sorry your friend has to go through that. It seems a lot of patients are within our psychiatric care. They indirectly blame patients for failed treatments and they get away with it, at least it´s how it seems.

Did your friend get any clear explanation to why she was cut off from the facility? There should be medical reasons, not just stating the patient didn´t see a certain therapist.

She could really file a complaint against her doctor as it´s malpractise to not even follow up on her medication.

I´ve already read a lot about different conditions, about psychotherapy methods and so on but not even a therapist him-/herself can treat themselves and by that I can´t solve my situation even if I do know a lot concerning my situation.

I don´t have any options but to wait for my doctor to go through my records and see if they can offer something else. I though think they´ll cut me off from the facility and as I now ended my contact with my counselor, they´ll have another reason for doing so.

Quote:
Originally Posted by Amandae8787 View Post
I agree with you. I have a friend who was admitted and got ECT-treatment. Afterwards she was offered meds and therapy with a therapist whom she didn’t like to work with. She got cut off from the facility. This also happened in Sweden. So she’s on her own now, they only prescribe her medicin and don’t even see her for evaluation of the medical treatment.

Could you try to explore yourself without help from a therapist? Like, read a lot about your issues and try to change some of it on your own? Of course it’s hard but perhaps you could try? Or do you have any other options right now? I don’t mean to sound hard on you, I understand that you’re in a difficult position...
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