tag:blogger.com,1999:blog-26666124.post2368488036572324526..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: You May Go Now.Unknownnoreply@blogger.comBlogger9125tag:blogger.com,1999:blog-26666124.post-78028770541702044292009-10-13T12:27:59.767-04:002009-10-13T12:27:59.767-04:00Dinah,
I look forward to reading your post re: tr...Dinah,<br /><br />I look forward to reading your post re: transference. I just came back from my appointment and we went through the same old song and dance this morning. I feel like it's deja vu!! We've had the exact same conversation 50x. I think she's asking valid questions but I just don't understand the repetitiveness or why she dismisses my responses.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-53338970434774032822009-10-12T21:22:54.470-04:002009-10-12T21:22:54.470-04:00I've had doctors dismiss my side effects a cou...I've had doctors dismiss my side effects a couple of times. Once was a combination of doctor frustration and email communication; she wanted me to stay on the drug longer to see if it worked, and I refused because I just couldn't tolerate the side effects any longer. Another instance was when I had a very unusual reaction to a sub-therapeutic dose of Paxil. Looking back, I don't think the doctor was really as dismissive as it felt; probably a bigger part of the problem was that I was severely depressed, so my perceptions were more than a little skewed. <br /><br />And then there's the situation I'm in now; everybody (psychiatrist, therapist, husband) agrees that my side effects suck, but everybody's also in agreement that I need to stay on the meds. Most of the time I agree with them, but periodically I get so tired and frustrated with the side effects that I JUST WANT OFF RIGHT NOW!WritingMomhttps://www.blogger.com/profile/02442261562695746933noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-9883946898029544582009-10-12T19:17:12.376-04:002009-10-12T19:17:12.376-04:00JJ, Rach, and Tigermom, thanks for stopping by.
A...JJ, Rach, and Tigermom, thanks for stopping by.<br /><br />Anon with the therapist focused on transference issues: this may be my next post.<br /><br />Moviedoc: I still don't get it. Maybe if you could use the word in a few sentences>?<br /><br />Anon2: Hmmm...I've said some shrinks are dumb and egotistical. I'm not sure how that defends the "species." Maybe some psychiatrists are condescending. I don't believe that all shrinks necessarily are.Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-27338649328651325322009-10-12T16:26:41.129-04:002009-10-12T16:26:41.129-04:00Dinah, I think you took the easy way out, though, ...Dinah, I think you took the easy way out, though, as a psychiatrist, you have little choice but to defend your....species. ;) <br /><br />I think you missed something though, something that maybe you aren't even fully aware of - the fact that psychiatrists all too often have a bit (or more) of a sense of the patient being <i>mentally</i> ill, and therefore, perhaps not as smart/intelligent/thinking/understanding/aware. <br /><br />Granted, there are thousands of psych patients who fit that bill. But. There are also thousands of us who don't....and we are aware enough to know we're being humored, patronized, or condescended to -- even when hidden behind the clearest facial expressions and kindest words.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-35178340843385404982009-10-12T15:36:37.281-04:002009-10-12T15:36:37.281-04:00Homeopathic: My understanding is that you start wi...Homeopathic: My understanding is that you start with the stuff that causes the problem, then you dilute it maybe 10:1 with water, shake it (succussion) and repeat the process until what you have left is pretty much pure water. If it does anything other than quench your thirst or reverse dehydration, I suspect it's the placebo effect.<br /><br />Another reason we should never assume any phenomenon is caused by the medication is because it might signify something serious that demands diagnosis and treatment rather than reassurance.moviedochttps://www.blogger.com/profile/03617061594621924756noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-31151318990431041762009-10-12T11:40:33.134-04:002009-10-12T11:40:33.134-04:00I’ve been fortunate as far as medications/side eff...I’ve been fortunate as far as medications/side effects go. The first meds my pdoc prescribed have worked out well and I’ve been on them for a little over a year now w/o any side effects. My problem is that she dismisses my true feelings. When I answer her questions, such as when she had a cancel an appointment a while back for personal reasons, she asked me if I felt that she was rejecting me. I told her that I didn’t and that she was just taking care of personal business like we all need to do sometimes. She has a life outside of the office just like I have a life outside of my job. Her response was, “That is a logical explanation but is that how you really feel?” YES!!! She does this all the time and it frustrates me so much. I completely understand her asking the question but I can’t comprehend why she won’t accept my answer. She’s going on vacation in a few weeks and she keeps asking me how I feel about it and if I think she’s abandoning me. Every time she brings it up, I say, “I hope you have a good time. You’ll be gone for 1 week. So, no, I don’t feel that you’re abandoning me. You’re simply taking a vacation like everybody else does. It has nothing to do with me.” She has the same response about explanation vs. feelings. I feel like maybe I should just lie to her and say, “Please don’t leave me!!!” I won’t do that but I’m curious if that would make those questions stop. Also, almost everything I talk about, she asks how it applies to our relationship or if I am doing something because of how I feel about her. NO!! Which, of course, she doesn’t buy. This is my foray into therapy but all my issues; I’ve had for a long time (WAY before I ever met her). I’m seeing her to work out those issues. She has absolutely nothing to do with them and I can’t seem to convince her of that. Don’t get me wrong, she has helped me a lot but sometimes I feel that we’re just running in circles because she keeps dismissing my answers because it seem they aren’t what she wants to hear even thought they are my true feelingsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-7979803603926307222009-10-12T10:57:55.951-04:002009-10-12T10:57:55.951-04:00Been there w
hen a patient and I are working with ...Been there w<br />hen a patient and I are working with a medication that works great for the prescribed purpose but may be producing an unusual but untoward side effect. I really wish and hope that the potential side effect is not from the medication I prescribe.Tigermomhttps://www.blogger.com/profile/15525962425980447155noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-76639270986239352692009-10-12T07:17:16.149-04:002009-10-12T07:17:16.149-04:00I like the "suggestible paragraph" and a...I like the "suggestible paragraph" and asking patients if their hair hurts when they pee. It makes me think of right now with my just-barely two year-old. He knows his body parts, he knows what boo-boos are... and so we are starting to ask him if something hurts when he isn't acting right. It often ends up, of course, that he just says "yes" to EVERYTHING... so we are now asking questions about hair hurting and other impossibilities to weed out if he just feels like saying "yes" at the moment.Jackiehttps://www.blogger.com/profile/17472517428832152273noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-12841396549804830342009-10-12T01:32:51.040-04:002009-10-12T01:32:51.040-04:00I think in psychiatry, we're all still just fi...<b><i><br />I think in psychiatry, we're all still just finding ourselves. </i></b><br /><br />I haven't been replying to your posts lately, Dinah, but I have been reading. <br />I do agree that unlike other areas of clinical medicine that use lab tests to discern exact levels of medication, vitamins, chemicals in the blood stream, psychiatry is as much about having a gut instinct as it is having the knowledge to prescribe appropriately.<br /><br />Furthermore, I think the statement I just made applies not only to the docs, but to the patients too. <br />In my own experience, I'm moving towards a model of "informed consumer" and away from "taking the word of God (or my shrink) as is", though sometimes being ignorant is just so much easier!Rachhttps://www.blogger.com/profile/11897760883997811787noreply@blogger.com