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- #13
@Ragdoll Circus
reads to me as "let's not bother, nothing will work for this bloody woman"
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Help Me See A Positive To Focus On
- Post starter Sandstone
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I agree with the others interpretation. I would react exactly as you are reacting to this. To his credit he is basically saying that he doesn't know enough and that you are not getting enough. He is clearrly saying that those with more knowledge need to decide and therefore he is not closing the door for you!
I am guesssing the phrase that is most getting you is this: it would seem that having had at lest two periods of psychological therapy the likelihood of finding a particular psychological approach which would make a significant change is rather low. but you really do need to take note of the rest of that sentence and that he has clearly said others with more knowledge need to evaluate this.
Was that phrase about dissociation your words or his?
I am guesssing the phrase that is most getting you is this: it would seem that having had at lest two periods of psychological therapy the likelihood of finding a particular psychological approach which would make a significant change is rather low. but you really do need to take note of the rest of that sentence and that he has clearly said others with more knowledge need to evaluate this.
Was that phrase about dissociation your words or his?
- Post starter
- #15
no, by a Consultant Psychiatrist with 20 years experience with this Trust and a private practice.
- Post starter
- #16
I'm sorry, I can't find a phrase about dissociation. Can you point me at it?
- Post starter
- #17
Oh do you mean ?
The bit in brackets is from me, I was told that SCID-D would be done as part of the work for the response to my "complaint". It hasn't, and there hasbeen no appointment. But now they have this letter saying therapy won't work, why would they bother?
The bit in brackets is from me, I was told that SCID-D would be done as part of the work for the response to my "complaint". It hasn't, and there hasbeen no appointment. But now they have this letter saying therapy won't work, why would they bother?
scout86
VIP Member
He's a psychiatrist who lacks experience in psychological therapies? Even if what he mostly does is prescribe drugs, it seems like he should be up to date on what's available in the way of non-drug therapies.
I don't know how much good it does for all of us to play "I think that means...." But, that sounds like a statement of facts. You've had at least 2 periods of therapy that haven't helped. (I'm not sure that's actually true.) And it seems, to him, that puts you in the group of people for whom there are no easy solutions. That last part certainly seems to be true. If this was an easy fix, you wouldn't be where you are now. He doesn't say it's hopeless. What he says after that suggests to me that he thinks they ought to try to help you. That a system that would give up on you would be letting you down. I don't see anything there that says "Therapy won't work." What I see is "this hasn't been and probably won't be, an easy fix."
- Post starter
- #19
It stands in direct opposition to what T wrote five months ago."I believe x would benefit from further specialist treatment regarding trauma and dissociation. In my opinion x is now at a point where in addition to ongoing stabilisation work she needs specialist work to help her integrate her ANP and EPs"
T was saying a specific form of therapy would be beneficial, he is saying that there is little likelihood of benefit. He was inclined to discount T's report when I mentioned it, saying "I don't know her, and psychologists write their letters differently from Psychiatrists".
He also said in the assessment that he considers I dissociate, but don't have a dissociative condition, and pushed me very hard to say that I don't have multiple identities, which I agreed with, saying I have aspects.
So the managers who have to make a decision, unless they can continue to shelve it, have two conflicting reports. A Psychiatrist out ranks a psychologist, and they have a huge overspend to recoup.
T was saying a specific form of therapy would be beneficial, he is saying that there is little likelihood of benefit. He was inclined to discount T's report when I mentioned it, saying "I don't know her, and psychologists write their letters differently from Psychiatrists".
He also said in the assessment that he considers I dissociate, but don't have a dissociative condition, and pushed me very hard to say that I don't have multiple identities, which I agreed with, saying I have aspects.
So the managers who have to make a decision, unless they can continue to shelve it, have two conflicting reports. A Psychiatrist out ranks a psychologist, and they have a huge overspend to recoup.
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Justmehere
Sponsor
Can you take the letter with you to your regular psychologist that wrote a different finding 5 months ago?
A psychologist evaluated me once to deem I was untreatable and wouldn't benefit from treatment. I got others to disagree, and the government agency ended up taking more action to provide even better care.
This letter isn't stellar, but there is so much room for disagreement and even for others to make the recommendations about therapy. (If this evaluator isn't knowledgable about therapy then why the heck was he making any suggestions about that?)
Reading stuff like this without being able to talk to the person who wrote it is known for being destabilizing and upsetting for many people. I know how painful this can all be, but don't lose hope. :hug:
A psychologist evaluated me once to deem I was untreatable and wouldn't benefit from treatment. I got others to disagree, and the government agency ended up taking more action to provide even better care.
This letter isn't stellar, but there is so much room for disagreement and even for others to make the recommendations about therapy. (If this evaluator isn't knowledgable about therapy then why the heck was he making any suggestions about that?)
Reading stuff like this without being able to talk to the person who wrote it is known for being destabilizing and upsetting for many people. I know how painful this can all be, but don't lose hope. :hug:
Saria
Silver Member
This was written by a psychiatrist with 20 years experience?? The whole letter is him basically saying "I have no idea what I'm doing". When I read it I thought it was written by a 19 year old psych student who've just learned the art of writing vaguely, and is too inexperienced to do an evaluation.
I just don't understand why they needed a second report in the first place. Is the psychiatrist somehow associated with the managers who are to make the decision?
I don't know, I'm not so sure about this. Your psychologist clearly knows what she's talking about, and are making clear recommendations for future therapy, while the psychiatrist are saying "Whilst I do not claim expertise in psychological therapy" and "I must leave it to others (...) to decide" (because he has no idea what he's doing). I hope the managers can see that too.
I just don't understand why they needed a second report in the first place. Is the psychiatrist somehow associated with the managers who are to make the decision?
I don't know, I'm not so sure about this. Your psychologist clearly knows what she's talking about, and are making clear recommendations for future therapy, while the psychiatrist are saying "Whilst I do not claim expertise in psychological therapy" and "I must leave it to others (...) to decide" (because he has no idea what he's doing). I hope the managers can see that too.
- Post starter
- #22
@Justmehere The psychologist was writing because our sessions had come to an end. We were allocated 16 sessions, she fought to get them extended and we got 16 more, but they refused any further extension. She has intervened a couple of times to push for something to happen, but I got the impression last time we spoke, nearly 3 months ago, that she was experiencing difficulties as a result. I didn't want to push her into making waves, so it seemed best to accept we ahd finished our work and hope to move ahead with the next step.
- Post starter
- #23
He told me he had been asked by the manager investigating my "complaint" to do an assessment.
scout86
VIP Member
I don't know that those reports directly conflict. The second one, written by someone who admits he doesn't know much about therapy, says that it might SEEM like a third round wouldn't help. The other, written by someone who clearly DOES know about the available therapeutic options, is pretty specific.
What have the managers been like to deal with?
What have the managers been like to deal with?
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