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The mighty pen

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anonymous

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Do you agree with your psychiatrist? Do you agree with their diagnosis and hunches? Does it seem like the world gives them too much credit? A therapist spends hours with a client working through emotional baggage and getting to know them. They generally are calm, and patient, and offer words of encouragement. They spend time thinking about the client as a person, and sort through details that may not have been obvious before the process began.

For the unfortunate ones who are emotionally guarded or perhaps have volatile responses, they might be sent to be "evaluated" for a possible drug intervention. The therapist might be on the fence, or may feel strongly that it is the best way forward.

Do you feel a sense of impending doom as the psyciatrist opens his mouth? Is the sense of hope suddenly erased whn you realize that you are no longer in Kansas? As questions are hurdled at you at 100 miles per hour, do you get the impression that you are nothing more than a check in a box? Does it seem like the black and white thinking that your cognative behavioral therapist has preached against each and every week is alive and well in the psyciatrists office?

Does the apparent lack of empathy and the unfamiliarity with the doctor cause you to cut your answers short? Does it seem like they are so arrogant, or "confident" as your therapist likes to call them, that in a matter of 50 minutes they think they know everything there is to know about you?

Now your life is in their hands. They give you a pill that makes you crazier than before, and tell you not to stop taking it. More importantly, they jot some capital letters down on your chart that really misrepresent what you were trying to say? The thing is, once those letters are sent to your insurance company, and once they are e-filed in your medical records, you may never escape them. Right or wrong, how come their pen gets to be mightier than the one of the therapist who has spent hours piecing together the puzzle of your broken self?
 
To the OP - I don't have a psychiatrist only a therapist and I don't take medication, so I'm not in the same situation as you. It sounds like you are feeling really frustrated.

Just to check my understanding of your current situation - are you saying that there a conflict between what your psychiatrist thinks (in terms of diagnosis/treatment) and what your therapist thinks? And that you agree with your therapist's view/approach but your psychiatrist is the one with more authority (in terms of diagnosing for insurance purposes etc)? Are you wanting to say any more about your current circumstances to see whether anyone here might have some useful insight/input about how you move forward with this situation?

@ the other anonymous (not the OP) - I don't think I've ever seen David Ike quoted here before! I had forgotten all about him and his "New Age Conspiracism". Personally, I find the idea that all mental disorders are hoaxes because there are no lab tests (e.g. no blood test) to back them up too extreme to find the article credible. And the whole point of the article is to reveal this huge conspiracy that psychiatry is a massive lie and hoax, so it's not in any way a balanced piece (and it isn't pretending to be, of course).
But that's just my opinion - as someone who is not a conspiracy theorist! :-)
 
The power of the pen took my sister down a heartbreaking and life changing road many decades ago when she was 17. She was sexually abused by a family member but no one would believe her and she was placed in a psychiatric hospital and given meds and electroshock therapy for a "chemical imbalance" and things went downhill for her from there. She was later raped on the job and once again was not believed and hospitalized yet again.

Also, as a former employee in the mental health arena, it was pretty eye opening to see behind the scenes at how lax so many different professionals were in their report writing and such. I witnessed many students lives being both blessed and cursed by the documentation that followed them.

I also witnessed many highly respected professionals noting things purely out of emotional reactions rather than professional observation that greatly altered lives in not so good ways, yet I was chastised for speaking up. A copy and paste world created by the need for their numbers to grow via an ever increasing census count.

Having read through so many records in my past professional life, as well as helping my sister through a hospitalization and requesting hers and seeing the major difference in what they were documenting vs. what was really going down at the time leaves no doubt in my mind that the power of that pen is indeed a mighty one.
 
Thats a mighty lot of questions in one post, so I will stick with the last one:
how come their pen gets to be mightier than the one of the therapist who has spent hours piecing together the puzzle of your broken self?
Because they have a medical degree. That's it. Six more years of study and interning than your standard masters qualified psychologist. That is the only deciding factor. A Ph.D psychologist is honestly your best bet, as they have a similar duration of education and interning as a psychiatrist. A psychiatrist is usually a requirement for legal / insurance aspects, due to that M.D. If you find a psychologist that works with psychiatrist, and is listened to on their recommendation, that approach can work to ease all interaction with a psychiatrist.

There are good psychiatrists out there though... you just have to find them, and really no harder than finding a good psychologist.
 
A Ph.D psychologist is honestly your best bet, as they have a similar duration of education and interning as a psychiatrist.

I'm not sure that it matters at this juncture, because it is what it is, but the therapist is a PhD clinical psychologist who specialized in PTSD.

If you find a psychologist that works with psychiatrist, and is listened to on their recommendation, that approach can work to ease all interaction with a psychiatrist.

....and they are partners in the same office....

Maybe the disappointment comes from my faith in the therapist to "ease the interaction" and at least attempt to summarize the past who-knows-how-many sessions we have spent together. Is it a failure on the part of the therapist to send a person in there cold? It seems that after spending that much time with a client, he would have some idea that sending them into a session where questions would be barked at them in rapid succession, would not end well. Wouldn't a good trauma therapist understand this? Is it wrong for them to do that intentionally and to admit they wanted you to "practice interacting with somebody else?", and then turn around and admit that at least a third of the other patients consider him to be an asshole?

On top of the capital letters and the drugs, would the entire scenario have you questioning if you placed your trust in the wrong therapist and that maybe therapy does more harm than good?
 
Normally a psychologist would send a summary report to a psychatrist for just this reason. They will have their own questions, but hey, that's just part of the process. Reconfirm as required, they will boot you out super fast because they want high turnover clients. Not enough money for psychiatrists in hour sessions.
 
I might get over it, but I think I might just be done with therapy altogether
I had declared that myself after my less than desirable harm inducing experiences in the mental health arena, until I later found the shelter for sexual and domestic violence.

Their free services have far surpassed the quality all of the professional arenas I tried and observed through the years, both as a patient and a professional.

Sometimes knowing when to walk away can be one of the most therapeutic moves we make, as long as we're continuing to work on building our self-care skills along the way.

Therapeutic ventures don't always have to be "by the book" and delivered by an expert to be effective.
 
Maybe the disappointment comes from my faith in the therapist to "ease the interaction" and at least attempt to summarize the past who-knows-how-many sessions we have spent together
Did you explicitly ask for this, and sign a release? If you did not - then it couldn't legally happen.

Co-ordination of care is incredibly helpful. Your therapist and the psych being in the same office doesn't automatically create co-ordination of care, though.

Often, the second clinician - in this case, the psychiatrist - will purposefully not want too much info from the first clinician until they have done their evaluation. This also lets the client decide if they even want to sign releases for doctor 2 to talk to doctor 1 - after they've met with doctor 2.

You might hate Dr 2. In which case, you'd not have wanted your doctor 1 to have done a ton of disclosure.
 
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