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#1
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Hi, about a week ago I went for the first time to a psychiatrist (I've wanted to go for about 4 or 5 years now) and I got diagnosed with acute and transient psychotic disorder as a presumptive diagnosis. I really think that this is wrong, I've had hallucinations since kindergarten, but it never bothered me that much when I was little. I felt like the doc didn't believe me, or thought I was lying because when I told her about my first hallucination ( two cats which I constantly saw in the window or TV when it was off, plotting against me and laughing) she said it surely must have been hypnagogic or hypnopompic hallucinations, yet when I explained to her that it happened nowhere near sleep time, like right after sunset for example, she still believed what she said, not what I told her. Also, when I told her I'm paranoid she didn't really seem to believe me, neither when I said that the hallucinations have been going on more frequently over the last couple of months. She never asked if I was depressed and I forgot to tell her because I was very anxious and uncomfortable because she didn't believe me. Since I went to the doctor, I've felt really miserable, and the hallucinations have gotten worse. I usually had them more at night, when I got scared, but now they appear in the daytime too. I want to tell the doctor next time everything I think about what we discussed last time but I will probably panic and won't say anything, so please tell me if you have any idea as to what it looks like in case i will have the courage to tell my doc. I would also like to know if anyone here with major depressive disorder can answer : do hallucinations get worse (if they appear) the sadder you are?
Please respond kindly, I get really depressed and obsess over the slightest things. I will write all my symptoms below in case anyone decides to say something: -hallucinations (visual predominantly, but also olfactory, tactile and auditory but I rarely hear voices and when I do, they don't tell me to hurt myself or others, usually I can't decipher what they are telling) -severe anxiety -paranoia, but I would say mild to moderate -insomnia, sleepiness during the day -intrusive thoughts -sometimes the feeling that I'm not real or everything else isn't real -when someone laughs, I think they are laughing at me ( not random strangers on the street, students in my class) -depression -transient lack of emotion (sometimes I don't feel anything and sometimes it's like I feel too much) -inability to react normal in emotional situations ( such as show compassion for others when someone has died etc) And I am 18 years old if there is any significance to that. Thank you for taking the time to read and have a nice day ! |
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#2
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What do you think you have? Hallucinations can be considered normal if they don't interfere with your functionality----there is something called psychotic depression where you can hallucinate if you're really depressed. Did they give you any medicine? Normally you'd be started on an antipsychotic for any type of psychosis. If you're worried about schizophrenia usually your pdoc will want to see 6 months of recent continuous symptoms to make that diagnosis. They probably just don't know what you have or don't have yet and are waiting to make a more informed diagnosis this is generally the sign of a good doctor, others are far to quick to label. Also around 17% or preteens have hallucinations so it's not an entirely abnormal thing when you're young.
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#3
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Quote:
![]() Yes, the pdoc gave me Risperidone and Clonazepam, she said it was a small amount until we can figure out what I have. I haven't taken them yet, I wanted to start today (she said I should take them at night, before I go to sleep because thats when I have the most problems). I am pretty afraid of the side effects, especially the demotivation and apathia because I am already like that and I feel miserable that I don't do any activities. You are probably right, I think she is a good pdoc because my family doctor recommended her, saying that other patients really found her helpful. I just want the pdoc to take everything in consideration, I don't want to be misdiagnosed. The hallucinations aren't normal, and they do affect my functionality: I get little sleep and don't feel rested, I get scared most of the time because of them, and at night when they get worse I sometimes start crying because I can't stand them anymore. They affect the way I feel and they make me more depressed. They also generate in rare cases some type of delusion, for example if I see the shape of an alien, I will think that they want to abduct me. I said some type of delusion because I don't know if it is real, I guess I think there is a 50-50 chance of them being real if that makes any sense. Also, I don't always think the hallucinations are real, usually if I can prove to myself through any physical or scientifical way that they can't be true, I don't get scared by them and just ignore them. Maybe they were normal when I was younger, or caused simply by my imagination. Oh, I don't know what I have. It seems like nothing that has psychosis as a symptom fits. Bipolar disorder-from what I know, never had an episode of mania ; Schizophrenia-the auditory hallucinations are not as schizophrenics experience, don't really have delusions, don't have any speech difficulties or disorganised behaviour - same things apply to schizoaffective and schizophreniform disorder ; Brief psychotic disorder - the symptoms lasted more than a month and there wasn't more stress than usual ; Delusional disorder- no delusions So I guess that only leaves me with the depression caused hallucinations. Thats why I am afraid of being misdiagnosed, because nothing fits |
#4
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Anxiety can cause a lot of your symptoms, and stress can certainly make hallucinations worse. I'm curious though if you had the anxiety & depression when you were little and hallucinating, and if the hallucinations are related to your depressive symptoms being more severe? Do you always know you are hallucinating and paranoid etc ie can you rationalise to yourself or do you sometimes think it's real? Obviously we can't diagnose you online and it normally takes a few sessions for doctors to really understand what is going on. My concern is that it sounds as if the doc you've just seen doesn't listen to you and has already made their mind up about you. It might be worth trying another doctor? It's supposed to be a collaborative relationship, but if they don't listen properly, then it's not going to work.
All the best, *Willow* |
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