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I Disagree With My Psychiatrist

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screen-name

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Ok. I don't respond to others on here as much as I should so I feel a little guilty posting my own problem again. But I would like open honest opinions. It's a little long. I'm sorry.

I was diagnosed with PTSD last year about July. I disassociate and have panis attacks. I have had some hallucinations of people in my house but that hasn't happened in a few months. I have always had trouble with relationships and issues but I didn't get diagnosed until I had a REALLY stressful year and basically had a break down. I started losing time where I think I was just sitting completely still for long periods of time and that's what led me to talk to someone.

Over the months since then I began to have other issues. There was a little girl in my head and she would yell when I was trying to fall asleep. I would hear her like I hear another real person's voice and she would be saying whatever I was thinking at the time. Hearing someone when I fall asleep still happens sometimes but never audibly voices when I'm fully awake.

Then I got more voices in my head. There are 3 people who talk to me and each other but I'm on a medication now that makes them less active. However, they still have opinions from time to time. I have also had major depressive episodes. I wrote suicide notes in Dec. before getting on meds and then decided that I might need more help.

I've gotten increasingly disorganized, I bathe less, I don't enjoy going out any more, I spend my weekends just sitting, I am not sleeping well, people are telling me that I am not responding to scenarios correctly (I get upset when there is nothing really wrong), small problems are very hard for me to handle and normally end with me crying all night and not knowing what to do and I cry randomly during the day. I cry a lot. I have also started doing odd things like saying the last word on my sentence multiple times without being able to stop.

I am not benefiting from any of this. No one is coming to help me clean my house or hang out with me when to make me feel better when I'm overly sad. No one is paying my bills or giving me time to lay around and avoid responsibility because I'm having issues.

This morning I went to my psychiatrist thinking that I would be told that I was depressed or that these are all part of PTSD. Something normal but that he could help me with so I can get back to things in life. Instead he told me that he thinks my brain is making connections where there are none. My sister told me to write things down so I know what to say. He told me that I could end up making endless list. He wants me to quit talking to my family, increase my anxiety meds to suppress the part of my brain that's creating problems when there are none and he thinks I will snap out of it. For those of you who like to Google, he called it Ganser Syndrome. I'm a middle aged woman (needed info if you Google).

I'm ok if I'm just an unstable person and my brain is doing something stupid like this. But I feel a little bit like I'm not being listened to. I am not gaining anything from this. Not even extra attention. The only people I talk to are my dad and my sister so I don't have a group of friends rallying around me and treating me like I'm ill. They all think I'm ok, just busy so I can't hang out much. I'm confused.

What do you think?
 
Hi @screen-name. Personally I would suggest that you listen to the psychiatrist and try to understand what he is suggesting. I hear you saying that you are all muddled, depressed and confused, but you have been able to post on here in a very clear and organised way. This makes me think that your symptoms could well be Ganser - but I'm not a psychologist or psychiatrist.

I think you could take the advice, increase the anxiety medication and see what helps. As the anxiety improves you may well find the associated other symptoms all improve also.

I remember when I was first diagnosed with CPTSD I thought I had every other symptom and diagnosis in the book too. However it is important to focus on what you have actually been diagnosed with and deal with that first. Don't worry too much about the why's and wherefore's - just make sure you look after yourself and do thinks that help you to relax and take time out.
 
I agree with @CrowFeather. I think that if you've had abuse/trauma then you need a qualified therapist. There are things that you can do to help bring yourself out of these just sitting phases. Exercise will help, and trying very hard to keep yourself busy. Scheduling is important and sticking to it. It's like being in the psych ward, they schedule your entire day to KEEP YOU BUSY!!!! It's done for a reason.

Breathing techniques to help reduce th anxiety. Ground exercises to help ground you when you feel you're starting to slip into that sitting phase, and then get moving.

As far as upping the anxiety meds..... That's something that you will have to decide upon, but remember they are addictive, and coming off of them is just one more thing that f*cks with our already f*ck up heads!!! JMHO!!!!
 
Hi @screen-name. Personally I would suggest that you listen to the psychiatrist and t...

Thank you. I am considering the idea that things would be better if I could just relax.

I want to clarify for the whole post that I'm not confused in the sense that I can't talk to people and make sense or that I'm not able to following simple instructions. I know 2+3=5 and what day it is. I don't feel like I have some extreme mental illness. I am just confused as in, when I get upset I feel like there really is a problem but people are telling me that I misunderstood the scenario. This makes me question whether I am wrong or if they are trying to make an excuse for something they did that I should be upset about. That type of confusion. I doubt myself.

My disorganization is in keeping appointments at work and filing things so I can find them later. These are two very important needs in my job and I feel like I'm constantly playing catch up lately. I used to be very on point with things and able to manage much more in my schedule than I can now.

I enjoy my job and I hope to start my own small business during this year. The last thing I want is some illness that requires me to take time in a hospital or lands me in the news for wondering down the street naked lol. The hallucinations that I had are very much a part of what got me the PTSD diagnosis and I know that they are common for everyone here.

I am really not trying to make more of this than it is. My family actually keeps telling me to stop minimizing things so I can ask for help like most people do. Maybe I am coming across to my doctor like I want a particular diagnosis so maybe that's where he is coming from. It's hard to explain some stuff but that's really not what I'm doing.
 
Can you get a second opinion from a different psychiatrist? I get psychotic episodes and I dissociate. Meds and therapy help me. I can't see why you would have a factitous disorder. There is no benefiting from it. All of these symptoms may be trauma related.
 
@screen-name - do you mind if I ask you, what was the trauma that caused your PTS...

Both my therapist and my psychiatrist think my trauma was growing up with an unstable mother. I've always had the symptoms I guess but it was really just a bunch of stuff that I didn't think about, nightmares, anger, etc. I just assumed that's how I was and I was on and off anxiety meds.

It wasn't until I started to disassociate badly last year and my nightmares got to where they would keep going when I woke up that I got diagnosed (July of last year). I really just went to the doctor because the extreme anxiety and nightmares had gone away for a while but then came back worse so I wanted medicine again. I went for a couple of years without meds though.
 
Can you get a second opinion from a different psychiatrist? I get psychotic episodes and I dissociat...

I am going to see someone else. It just takes time to get an appointment. I am not sure why I would be making things up either, though I am not ruling any options out. I try to stay open minded. I agree that it is not gainful, other than seeing this post as gain lol. But I don't post on here a lot so I feel like I'm using the forum appropriately.
 
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