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I feel like my therapist doesn't take me seriously and my psychiatrist is too conservative in my treatment.

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Black Despondency

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I know a diagnosis is basically just a treatment guidelines, there's a very large amount treatment of overlap in each mental disorder with similar root causes and symptoms. I have a plethora of psychological issues and many are rooted in trauma and almost constantly feeling like I was in a hostile environment for most of my life because I was. My psychologist has no real interest in trying to figure out a diagnosis. I have been seeing my psychologist for at least at least a month before the pandemic started in to spiral out of control in China I think. Maybe he still feels like he needs to know more before he gives a formal diagnosis if that's even possible. I guess I just need to forget about the subject of being diagnosed, I guess I'm too preoccupied with it.

My psychiatrist is very hesitant about making any changes to my medications. I need to call my psychiatrist, because my adderall XR has basically stopped working and I don't think I can raise the dosage any higher. I used to take dexedrine a couple of decades ago and it worked significantly better than ritalin and adderall but my psychiatrist has been unwilling to prescribe it. I will ask my psychiatrist at my next appointment what he wants to do, before I consider changing psychiatrist.
 
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Lizaje

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Psychologists don't make diagnoses, I think. In my experience, there usually isn't a hurry to make a diagnosis. The important thing is that you're there and tell them what's going on. If you tell them symptoms of depression etc. They are likely to prescribe antidepressants, if you describe what sounds like a lot of anxiety, they might prescribe different dosages or different meds based on that. If you have or get psychotic symptoms they'll prescribe antipsychotics, if you become suicidal, they may send you to a hospital. My point being that, the important thing is that you let them know of your symptoms and leave the diagnosing for them.

Where I am, they often don't even tell you the diagnosis if you don't ask about it.

Sometimes doctors kind of disagree. It's not uncommon that one gives you medicine x and y, for some reason, doesn't want to prescribe it, even if you ask him to. In general, it's best to trust the doctors. They have their reasons. And, you are asking for what can easily be misused and what can lead to an addiction.
 
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NoOne5

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I hate not being taken seriously. Not even medical doctors take you seriously when you complain about a physical illness or problem. They just accuse you of being a hypochondriac. :rolleyes::mad:
 
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Black Despondency

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Psychologists don't make diagnoses, I think. In my experience, there usually isn't a hurry to make a diagnosis. The important thing is that you're there and tell them what's going on. If you tell them symptoms of depression etc. They are likely to prescribe antidepressants, if you describe what sounds like a lot of anxiety, they might prescribe different dosages or different meds based on that. If you have or get psychotic symptoms they'll prescribe antipsychotics, if you become suicidal, they may send you to a hospital. My point being that, the important thing is that you let them know of your symptoms and leave the diagnosing for them.

Where I am, they often don't even tell you the diagnosis if you don't ask about it.

Sometimes doctors kind of disagree. It's not uncommon that one gives you medicine x and y, for some reason, doesn't want to prescribe it, even if you ask him to. In general, it's best to trust the doctors. They have their reasons. And, you are asking for what can easily be misused and what can lead to an addiction.
I'm the overly knowledgeable patient that lacks some wisdom and feel like humpty dumpty that never got to sit on the wall, started smashed in pieces, got trampled on and then got attempted to be put together for 30 years. I guess I'm just frustrated about falling apart again in another way, after making what seems to be significant progress to me.

I know a rather significant amount of information about choosing psychiatric medications. A medication being labeled as a certain "type" of medication has little bearing on its usefulness in other medical fields and is basically a guideline for usage based on the studies chosen by the developer based on the desired field of approval of use.

In the United states a registered psychologist can make a diagnosis and would probably have a significantly more personal patient information to work with than a psychiatrist for making a diagnosis of problems rooted in psychology. Becoming a registered psychologist isn't something that happens overnight. I talk to my psychologist for around 45 minutes usually every week compared to usually talking to my psychiatrist for 15 to 30 minutes once a month, unless I'm changing my medication regiment or I'm have a psychological meltdown.

It used to be common that psychiatrist/psychologist were one person that prescribed psychiatric medication and did psychological therapy, personally I think that was a superior system of treatment overall especially when someone needs both fields of treatment. I personally believe certain parts of psychiatri, psychology and neurology have become overly separated, specialization is important, but fracturing a field of treatment is not.
 
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Black Despondency

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I hate not being taken seriously. Not even medical doctors take you seriously when you complain about a physical illness or problem. They just accuse you of being a hypochondriac. :rolleyes::mad:
I think my psychologist is slightly blind to the links between my neurological problems and psychological problems affecting each others formation and existence.... He has said (Why are you telling me about this?) when I tried to explain my significant learning disabilities caused by the complications of me being born very prematurely. I don't remember what my response was to his questioning the relevance of part of what messed up my brain to my psychological functioning, I was surprised, confused and slightly annoyed by his response.
 
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Lizaje

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I think my psychologist is slightly blind to the links between my neurological problems and psychological problems affecting each others formation and existence.... He has said (Why are you telling me about this?) when I tried to explain my significant learning disabilities caused by the complications of me being born very prematurely. I don't remember what my response was to his questioning the relevance of part of what messed up my brain to my psychological functioning, I was surprised, confused and slightly annoyed by his response.
What is the goal of your appointments with the psychologist? If there is a particular goal, she may have asked you that question because she felt like you're supposed to be talking about something else — such as the present moment. I would be very upset about that response too, though I doubt anyone would say that to me during my appointments. I can talk about anything there — it's been made clear to me. Anything that is on my mind. Has anyone made you clear your purpose there?
 
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Lizaje

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It used to be common that psychiatrist/psychologist were one person that prescribed psychiatric medication and did psychological therapy, personally I think that was a superior system of treatment overall especially when someone needs both fields of treatment. I personally believe certain parts of psychiatri, psychology and neurology have become overly separated, specialization is important, but fracturing a field of treatment is not.
I don't think that would be practical at all for the public sector because there just aren't that many psychiatrists and what institution can afford only psychiatrists? Then there are much milder cases of depression, for instance, which are easy to diagnose and they don't need a doctor's attention — a few months of appointments with a nurse may be enough.

As far as I have seen, where I am, the treatment teams they make and the way each communicates with each other and the way they operate as a team with any outsider (like the police or social worker) when necessary, is excellent. 😊 But I am sorry that it hasn't been working out for you.

Have you brought these concerns to them as directly as you have here?
 
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Black Despondency

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I don't think that would be practical at all for the public sector because there just aren't that many psychiatrists and what institution can afford only psychiatrists? Then there are much milder cases of depression, for instance, which are easy to diagnose and they don't need a doctor's attention — a few months of appointments with a nurse may be enough.

As far as I have seen, where I am, the treatment teams they make and the way each communicates with each other and the way they operate as a team with any outsider (like the police or social worker) when necessary, is excellent. 😊 But I am sorry that it hasn't been working out for you.

Have you brought these concerns to them as directly as you have here?
I have mentioned that I thought the mental health treatment field was overly separated. I think having a specialist position that covered psychological, neurological and psychiatric problems, with an attempt to focus on the field of mental health effected by each field. A lot of information in each of those areas is overlapping/related. I don't know if my psychiatrist and psychologist communicate enough.
 
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Black Despondency

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What is the goal of your appointments with the psychologist? If there is a particular goal, she may have asked you that question because she felt like you're supposed to be talking about something else — such as the present moment. I would be very upset about that response too, though I doubt anyone would say that to me during my appointments. I can talk about anything there — it's been made clear to me. Anything that is on my mind. Has anyone made you clear your purpose there?
The only thing I can think of is it might of been during symptom screening check or something, but I was not aware of any screening being done. Information comes out of my longterm memory to the surface and falls back into it for potentially years if I don' timmediately mention it in a conversation or write it down. Can only hold onto many thoughts for a second or two during many conversations, trying to focus solely on what I'm thinking about and trying to ignore everything else works sometimes, but isn't practical.
 
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Lizaje

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Information comes out of my longterm memory to the surface and falls back into it for potentially years if I don' timmediately mention it in a conversation or write it down. Can only hold onto many thoughts for a second or two during many conversations, trying to focus solely on what I'm thinking about and trying to ignore everything else works sometimes, but isn't practical.
That sounds serious.


The only thing I can think of is it might of been during symptom screening check or something, but I was not aware of any screening being done.
I wouldn't have known if it hadn't been stated. It was just appointments with condescending female nurses who didn't seem to get anything right. The doctor was the same. Without going to details, it was a nightmare for me, but eventually I got to proper treatment. I hope that happens to you as well. Meanwhile I would really encourage you to try everything with them. You can write, for instance. Write like a letter and maybe you can give it to them face to face or sometimes you can email them or leave mail at the clinic etc. That is — if you can't see them face to face. I don't know where I'd be if I hadn't done that. I was pretty much unable to speak at the appointments. Writing felt stupid sometimes, but I had things to say. I'm glad I did.
 
SunnyDaze

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Hi @Black Despondency

A month with a psychologist isn't very long at all. And surely not long enough to give a trauma related diagnosis since it's such a complex thing.

Im sure he probably wants to get to know you better before diagnosing, anything sooner would just be guessing.

Hugs
 
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Black Despondency

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Hi @Black Despondency

A month with a psychologist isn't very long at all. And surely not long enough to give a trauma related diagnosis since it's such a complex thing.

Im sure he probably wants to get to know you better before diagnosing, anything sooner would just be guessing.

Hugs
I have been seeing my psychologist for over 10 months. I had 2 or 3 psychologist appointments each week for at least first 6 weeks and normally 1 appointment each week after that. I think I have had around 56 appointments with my psychologist in total. I usually have 1 appointment each month with my psychiatrist that I have been seeing for about 4 years.
 
SunnyDaze

SunnyDaze

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I have been seeing my psychologist for over 10 months. I had 2 or 3 psychologist appointments each week for at least first 6 weeks and normally 1 appointment each week after that. I think I have had around 56 appointments with my psychologist in total. I usually have 1 appointment each month with my psychiatrist that I have been seeing for about 4 years.
Oh, I'm sorry,I guess I musta misunderstood.

Yeah,you should definitely have a diagnosis in that amount of time.

Have you discussed how you feel about wanting one and why?
 
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Black Despondency

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Oh, I'm sorry,I guess I musta misunderstood.

Yeah,you should definitely have a diagnosis in that amount of time.

Have you discussed how you feel about wanting one and why?
I think he isn't anymore more sure than I am about what diagnosis I would and or wouldn't meet the criteria for..... I have been trying to figure out what is making me so dysfunctional for about the past 10+ years and still don't have a clear picture. I think I need to make a Neurologist appointment to possibly shed some light on some of my problems. I guess for now I will stick with being diagnosed as being f☆<63d Not Otherwise Specified....
 
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Lizaje

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I think he isn't anymore more sure than I am about what diagnosis I would and or wouldn't meet the criteria for..... I have been trying to figure out what is making me so dysfunctional for about the past 10+ years and still don't have a clear picture. I think I need to make a Neurologist appointment to possibly shed some light on some of my problems. I guess for now I will stick with being diagnosed as being f☆<63d Not Otherwise Specified....
I think too you should see a neurologist and your doctor should have sent you to one.
 
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