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How can a psychiatrist help me?

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Faaaaaaaark. You ever get that feeling that you want to take EVERYTHING back that you said? Told my psydoc about the very worst of the parts voices and the flashbacks to match. Horrible. I’m kinda numb. She said I’m in shock. She said she’s angry at the people who hurt me because I can’t be. I told her I’m terrified I’m making shit up. f*ck but she can hold the space. She just kept saying the more I can tell her the more it will help. And that she and my equine T will be there for me. And that I’ve chosen my team pretty well.

And somewhere in there I found myself terrified as I saw some drops of water dissolve into the carpet. I admitted I’d spilled some water. And she said so calmly “that’s ok, it’s only water. I spilt some myself earlier.” f*ck. Where does this shit come from.
 
And equine T today after some very necessary recovery time. She had me connect with the horses then select one to halter and groom. Being active and connecting with the horses seems to help me stay in the moment and thus manage the flashbacks.

Stuff we laughed about:
- my psydoc makes going to the dentist every week look an attractive option
- you know it’s been a rough 2 weeks when I say yoga has been saving my @r$e

Stuff that came up:
- I said I’d finally told my psydoc about the flashbacks but didn’t think I could voice them twice in one week.
- I’m in the habit of catastrophic thinking. This surprised me because it felt logical and true. Need to work on softening my language because what I’m saying reflects exactly how I feel but it’s not helpful.
- I’m struggling to accept where I’m at, symptom wise - not a new struggle by any means. Avoidance much.
- Deep down I know I’ve been bullshitting myself and the world for years about how I’m doing. It’s my normal.
- I can’t control the flashbacks but I can control how I manage and respond to them.
- I need to remind the young me that despite the fact I had no control over my childhood I now have a successful career and a nice partner and home. I always feel like she’s talking about someone else lol
- I cannot recall the last true holiday I took....years...
- I can take a break from T if I need to...be aware of my habit of going 110% at everything until I crash.
- I’m always restless and have difficulty recognizing when I’m calm vs anxious. The horse was reflecting back and his responses constantly surprised me.

I’m surprised at how drained and emotional I feel tonight. I didn’t think we’d covered all that much.
 
Having frightening experiences in a safe place is a strange part of having a good psydoc.

I turned up yesterday having had several flashbacks during the week that were all unintentionally triggered by my partner. My normal ability to “present well” could not conceal the feeling that I’d been hit by a bus. My psydoc went gently and corrected some of my thinking. Yes whilst I possibly had overreacted to the present I hadn’t “overreacted” given my past. That was a helpful way of reframing and softening the self-talk. I noted that I was so wired this week that I failed to feel muscle pain during a Pilates class and could barely walk the next day. She said it’s likely that’s not the first time.

My psydoc wants me to take some leave from work. 3 months is her ideal but gets that she is dreaming lol and said 3 weeks at a minimum. She said I’m heading towards a breakdown. Ignore the signs at my peril.

After 30 min I was actually feeling much better - a bit lighter and she commented that my colour was better too.

I’m not quite sure what we talked about or what happened next but I must have been staring, glazy eyed all of a sudden because she asked me what I needed, if I needed to stand up, always a good sign that I’ve dissociated. I could not think and the next moment I was crying and crying. She reassured me that crying was a good choice, an appropriate response. Unfortunately one word she said triggered the living shit out of me - it was like it was up in neon lights. It took me an age to figure out what was happening but every muscle from head to toe was like a rock, I was shuddering and shaking violently, breathing like I was running and I felt small and young. My psydoc was so calm and accepting, just asked if I could notice my body, reassured me that it was just releasing following a trigger. She kept repeating “you are safe” and that was such a helpful phrase to hook on to. Finally I managed to open and shut my hands and felt for the recent scar that would mean I’m an adult. I felt for my hair but it didn’t feel as long as my adult hair is. I told her I didn’t feel like my adult self and she reassured me I would in time.

She apologised for triggering me and said she was glad she was there. I was glad she was there too. We were at the end of the session so she asked if I needed to sit quietly in a room. She asked me not to drive for a while. I said I’d just go for a walk....my body didn’t like that and the shaking and tears started. So I said yes maybe I needed to sit for a while. Her office is in specialist suites so she organised the room next door - said she was free in an hour if I needed to talk, I could stay as long as I liked and leave whenever I wanted to. One of the receptionists brought me iced water and a blanket and hot tea. It took about an hour for the shaking to stop so I just sat until it passed. When I finally went out to pay my psydoc was there to touch base. I think it says something that I wasn’t filled with shame like I normally would be.

I’ve pretty much slept the last 24 hours. I’m not fighting the exhaustion but rolling with it. Again that’s novel.

She called last night and left a message saying I was free to call her as needed and she hoped I was resting. I only just saw the message because clearly I was asleep. She is a good balance of empathy and empowerment.
 
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And today I talked to my boss (CEO) about taking some leave. I’m in a difficult place in that no-one in the world is doing my job. We have a really good relationship and he wanted to understand what was going on. I gave him the “MyWillow Lite” version and he did his best to understand. I was in tears and so was he. My psydoc wanted 3 months, 3 weeks minimum. I suggested 3 weeks, my boss suggested 5 weeks. Possibly start next week. I’m on top of all my work and have plans on how to hand stuff over (and it’s close to Christmas so easier). I’m also going to speak personally with my senior colleagues and the team leaders I interact with. We are a very close, intense group and I have a hand in nearly everything. They won’t get details but an assurance that it’s purely personal and here’s who they can talk to if they need assistance.

As hard as it was, I knew it was the right decision when I voiced to someone I know that I was considering some leave and tears just started streaming. Not to mention that I looked like complete crap today after last weeks effort. There are some things make up just can’t hide lol
 
If you already have a diagnosis and you don’t want meds, seeing a psychiatrist is a waste of time. Their primary function is medication management, and if you want to handle things without meds, there’s not really anything they can do to help you.
I agree with @EveHarrington. The main focus of a psychiatrist is to dish out medication, (irresponsibly sometimes). I don't see how that would really help. All the best @MyWillow.

Yes I’m still walking up in a panic but I go back to sleep more quickly. And I’m definitely drinking much less alcohol. Yeah I know alcohol’s not helpful but that’s the choice I made in an attempt to drown the symptoms.
I'm not preaching to anyone but alcohol will mess up a person's sleep patterns.
 
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