Are treatment plans supposed to make you want to off yourself?

Treatment plan made mostly by therapist, assisted by CM

Some of those fields were just ridiculous. You're really going to put that my "messy" hair and having stains on my shirt "extremely impacts functioning,"??? Maybe I wouldn't have stains on my shirt if my hands didn't have a severe tremor because y'all put me on high doses of lithium and first gen APs.

But yeah, I can laugh at that.

Every single field of assessment--three pages worth of "taking care of finances," "substance use," "social support," "nutrition," "behaviors causing risk to self," etc.--was either a 1 or a 2. One is the worst (extreme impact on functioning) and 6 is no impact.

I don't want to share a comment they wrote in there, but it was something that really tore me. It hit an emotional pressure point, and I just want to completely give up. I want to hate them, but I just hate myself that much more.

"Solutions" to all these problems were pretty much "use healthy coping skills." All I do is cope. I'm sorry if I'm only coping "healthily" 90% of the time.

What even is "functioning?"

Typical for a treatment plan (the plan itself and my reaction)?

I wish you the best. Maybe you and the therapist can work it out.

Its always hard to hear. I asked a t to write a "recommendation" for my disability application, and made the mistake of reading it. It still stings like it was yesterday, not twenty years later. We like to think that yes we have these quirks, but we are handling our considerable burdens with aplomb and should be honored for that.

Answering the question, "Are treatment plans supposed to make you want to off yourself?"

No that's the Billing Department's role.

Hmm, I don't have a treatment plan. My T and I just sit around BSing. Well, not really. He is helping me grow.

I don't have treatment plans. I don't think long-term therapy really has an outline to make a plan? I do have a realistic list of coping skills and a safety plan that I actually use.

I think if you're just starting to invest in your therapy journey, then treatment plans could be useful especially to learn skills.

Maybe this could be the wake up call you you to make better choices when faced with acting out? When faced with having $5 instead of buying bingable food, choose the healthy option, instead of taking that first drink, say no. Raise the 1and 2s to 3and 4s by choosing to remember how it felt to see the 1s and change the action? I remember that seeing the report that was sent to the court that committed me to a state hospital I definitely learned to clean up before I saw any social worker or doctor. Before seeing that in black and white I didn’t care how I looked to them. But to them it’s an indication that you don’t care. I still didn’t care much if I lived or died but I cared what they wrote on those reports. And slowly it changed me into choosing the better options.

I guess they do these once a year where they do a three page assessment in how different fields affect your functioning regardless of how long you're in therapy.

It's not like I don't shower or go in with ripped clothes with anything more than a faded stain or small blots (but that's pretty much all my clothes when I have trouble drinking out of a water bottle). Have I probably showed up covered in sweat probably smelling like so? Yeah, but they don't always schedule appointments when it's not 90+F out. Did I see my case manager after going for a little hike last week and decide not to waste clothes I'd wear for three hours and go straight into my PJs? Yeah. I guess I have to avoid the park the day of my appointments too. Wouldn't want to get any dirt on me so I don't look like I go out in the community and spend some time in the ******* sun. I seriously have no clue how to put my hair in a way that satisfies them though. I'll mow as many lawns as I can this week so I can get clothes that make me "look like I care."

This was far from a wake up call. This was "you know you're a shyt show and we know you can't do shyt to care for yourself."

I swear I haven't been making choices as bad as I used to. I'm trying not to go full force into recovering because stopping drinking, b/p, self harm, causing conflict, etc and going into full time education or work, never sweating or getting dirt/mud on me in between daily showers, buying clothes every time I spill tomato sauce and with weight fluctuations, etc. all at once is overwhelming, and it seems like that's what they want. I'm finding things that work for me and what doesn't work--with no help from them.

I guarantee the two of them come here (got up to my mom's today), they wouldn't last a fccking day keeping up with me when I'm in my element (or just plain old the elements). Two skill sets (dealing with bears and power outages leading to no water or ways to keep your basement from flooding vs. not looking homeless when you are homeless).

If this is supposed to be a functioning analysis, I don't care about their stupid interpretations. I'm going to stay up here, help my mom out, and spend a crap load of time in the lakes and mountains.

@MuddyBoots When that kind of assessment is done they always go for the lower number so it looks worse than it probably actually is. You are probably borderline on some 3s but if there's a question of where to go it's always going to be the lower number. It's just the way that kind of assessment is done. It's what I had to do when I was working. The good part was always reviewing it later with the patients and sharing that they'd jumped from a 2 to a 4 or whatever.

Don't worry too much about it. I remembered being so upset when I read a report my therapist did that said had an unkempt appearance. I was seeing him after work, in scrubs, and I have wildly curly hair. It wasn't my best look and not my fault but he prioritized that over the times he saw me in casual street clothes with my hair somewhat contained because I hadn't been sweating all day.

Treatment plan : "use your skills". If I had more " skills" , maybe that would work. That comment feels empty, as though my T has nothing else to say. That does make me want to off myself.

I haven't had a formal treatment plan written up, but about 20 years ago, I got a DWI. On the report they read in court, they mentioned my "disheveled" appearance, including a description. It made me feel awful. Plus their detailed description of how i failed the field sobriety test (which, incidentally, I've read are set up for people to fail--even if someone is completely sober). So I can understand how hearing that would make you feel.

But I wonder if it's in some ways like my autistic daughter's IEP, individualized education program, for school. Where if skills/abilities are rated lower, then she qualifies for more services. It's very painful to hear at the meetings, but I know it benefits her in the end. I wonder if it's something like this here, where you would only qualify for certain programs or support if you rate a certain level?