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Assembling The 'team'

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desiderata310

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So..This isn't exactly about therapy but it's not exactly NOT about therapy.

I had my psychiatrist appointment today. I don't mind admitting that I was a nervous wreck. I knew she was going to take a complete history and the thought of delving to everything again felt daunting. At one point while I was in the waiting room I almost bailed.

The Dr was nice enough. We sat down and I smiled and said, "so what do you want to know?"

She began asking me about my childhood and started furiously scribbling notes. I shrugged the whole thing off. She would ask questions to get a clearer picture every so often but I basically gave her the "cliff notes" version of Desi. We made it to my first husband and she stopped and looked at me and said, 'wait, that wasn't what caused your PTSD?'

"Oh I'm certain it was a contributing factor but we haven't gotten there yet"

It wasn't until that point that I realized that what she was writing of the Traumas which had contributed to my PTSD. She filled up her large note pad.
*sigh*

At the end of it all we talked about the falling out with my therapist and she seemed confused as to why he didn't want me to see a psychiatrist. I still don't know!

We talked about my feelings about psychiatrists and the like and I told her that she seemed like an awful nice person but I really didn't feel like starting over with someone new and dragging all my traumas out again for someone to look at. I just wanted help sleeping.

We talked about my depression. That yes, I know I have it and it's there and I still manage to drag my ass out of bed in the morning. I don't want to be medicated for it. Not right now at least.

We talked over what I had taken, what had worked and had not. What I hoped to gain. The frustration with not being able to wake out of nightmares when I took something for sleep. The frustration with my therapist and how he fit into my seeking medication in the first place.

In the end she prescribed a blood pressure medication. Not because I have high blood pressure (though she noted that it was elevated in the waiting room- yeah, I told her- I wasn't the LEAST bit anxious about having to come see her. AH! she said. I see.) And suggested chamomile tea. heh.. ok... So we are going to try this route instead of aggressive medications.


She said that it was often useful to help patients who had night terrors and nightmares.

So.. now I have a 'team' even if my therapist doesn't necessarily approve.

Oh and my therapist has now cancelled on me three times in a row. I am supposed to meet him tomorrow.
 
I wish I had your psychiatrist. My last one couldn't get me out his office fast enough. I even remembered to shower that morning. lol.

Out of curiosity, if you don't mind me asking. Was the blood pressure med you were prescribed Prazosin?
 
Clonidine is what she prescribed me.
*shrug*
I've never taken a high blood pressure med before so my knowledge of them is limited.
 
@WildMermaid I... don't know what to think about my therapist right now.
he had a legitimate reason to cancel Monday and almost legit reason on Tuesday... *almost*

I'm still very hurt by his actions. I don't know if i am going to continue to work with him.
 
I'm just a stranger and an outsider, but from reading your posts your therapist seems to have trouble being and staying professionally supportive. Honestly, I think he needs therapy. On the positive side you psychiatrist sounds like she "gets" you and wishes to help within the parameters you've set up. :)
 
Clonidine is what they give to ADHD kids to knock them out in the evening ie to counteract the stimulating effects of certain ADHD medications. It works well for some, but half of the smallest pill made me stagger around like I was drunk a full 18 hours after taking it. They give larger doses to kids that are 1/3 my size! Sigh. I am such a medication lightweight!

Therapists WAAAAAY too often overstep their bounds on the medication issue. They think that some master's degree in social work or even a PhD in psychology gives them license to comment on medical issues. IT DOES NOT! Sorry to scream but yeah, this is a HUGE peeve of mine! I had one new age hippy dippy therapist tell me that medications are poison and that everyone can heal without them just by using neurofeedback. (Ok, so neurofeedback worked wonders for me, but it was in no way, shape or form a cure or even a substitution for medication.) Therapy was terminated because I chose to go back to my psychiatrist and get medication as I knew I was hitting bottom again and I knew that medication was the last resort in an attempt to prevent myself from doing something stupid and ending up hospitalized.

Maybe some people can do ok without medication. I don't doubt it. BUT, I think it really is unethical for a therapist to comment about medications given that they have little to no training in pharmaceuticals. That is, commenting one way or another about if medications are necessary or unnecessary and going so far as to dissuade a client from seeking out a psychiatrist.

Geesh. I'm not so sure about this guy!
 
@Solara
I honestly don't know what to think about this guy anymore.

After the last several weeks of misery, I've lost a lot of faith in him. It was nice to be heard by someone who listened to me when I said, and (it seems unlike my therapist) believed me when I explained that my suicidal stint was due to the Trazadone I had been taking. She got it. She also seemed to really understand why I was hesitant to go back to the GP after all was said and done and couldn't, for the life of her, understand why my therapist didn't want me working with a psychatrist.

She understood that I SHOULD NEVER take psychotropic drugs (like ambien and trazadone) because they are just terrible for me and that they can be bad news for PTSD sufferers. She immediatly ruled out a whole host of medications and LISTENED to what I need: I either need to not dream or I need to be able to calm down enough after a nightmare to go back to sleep.

She said that I was probably anxious about GOING to sleep at this point so she went with something that would help my sympathetic nervous system calm the eff down. It would help me come back down off the ceiling when I wake from a nightmare so I can calm down sooner and sleep.
Hopefully that works.

She looked at it as me getting caught in the cross fire.

To me there only seems to be "friendly fire" coming from my therapist.

We signed an agreement that she is going to send to my therapist naming her as my psychatrist and that I gave them both permission to talk to eachother about my treatment.

I've not told my therapist that I've gone to see her yet. Hell, I didn't tell him that I had an appointment.

Not that would have had the chance since Friday marks two weeks since I last saw him.


13 hours till my next appointment....
 
I don't understand why your therapist didn't want you seeing a psychiatrist either? That's very counter-intuitive.

My GP besides trying to get me to go to a therapist again (It's a five minute argument every time I see her. I can't fault her on that as it is what a good doctor should do.) She also insisted I see a psychiatrist. Her reasons being that "It is always best to get a specialist opinion."

I would understand (sort of) if your therapist was qualified to write prescriptions. As it would be less running around for you. But even then he should not be discouraging you from seeking the opinion of someone in a field he's not qualified in. Hmm, bloody strange.

Thank you for answering my question. I was also prescribed a hypertension medication for sleep (Prazosin). Seems to work ok.

Trying very hard not to into rant mode, lol. I also am glad the psychiatrist listened to you about the trazadone. it's not terribly common for it to react poorly with some people. But when it does it is quite bad. Glad you are ok.
 
@desiderata310, you're handling this whole thing like a boss. I don't even mean that as a complement (because I know you don't like those), but just as a fact. It's such a strong example of what taking charge of your own treatment can and should look like, for anyone.

I like the sound of your psych, personally. She's going for a really targeted, minimalist approach, which is (I think) always a good sign in a psychiatrist. She's treating your actual symptom, not some general idea of symptoms.

I's suspect that your therapist honestly just got a little proprietary about your treatment, which is not appropriate. It might have become meaningful to him to get you over the finish line (whatever that would be, in his mind) as your primary and sole clinician. I could also be projecting - I cannot remember who it was on the board who diagnosed my therapist has having some ego/hero issues, but yours reminds me of mine sometimes.

About the med thing - just a story, really. Early on in therapy, my therapist (when I would talk about my frustration with medications giving out on me) would say some version of "I've seen many clients who have ultimately been able to go off their medication entirely". He clearly has a bias about medication, that's fine, he's allowed.

But the day he said, "we might be able to get you off of that stuff someday" I looked him square in the eye and told him that if the criteria for me doing well was going to be I stop taking medication for depression, then I would need to find a new therapist - because I just don't see it that way, nor did I expect that to be a result of our work together. So if that was his actual goal, we would not be suited to continue. He acknowledged his bias, apologized for bringing it to bear, and it's never been an issue again.

Personally, I like having both a psych and a therapist. They deal with different things, and I think they each can do their own job better by sharing information. Also, when I'm having a problem with one of them, I can ask the other one for help with it (since my psych also is a practicing therapist). So I feel like I have options, instead of just only one mental health person who I'm relying on for all things. In the end, I think it keeps me more in charge of my treatment.

Edit to add: I've always asked them to let me know when they have talked to one another, and to tell me what they talked about. They respect that.
 
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