Tag: psych issues


Essentially Shook Up

16
March

My mom went to the psychiatrist today. Normally, I don’t discuss her trips to the nutty place, but this one was kind of an interesting/important one. She thought she was reacting to one of her many psych meds, and she wanted to figure out which one the doctor thought it might be.

The psychiatrist, who also happens to be my psychiatrist, asked her if any family member had been diagnosed with an essential tremor.  My mom told her that I had been diagnosed with one at one point.  Well, the psychiatrist told my mom that she was meaning a parent or grandparent.  Basically, she wanted to know if it was something that my mom could have inherited from someone.  She said that there was typically a genetic reason for the tremor, and that it must not be there if no ancestor had been diagnosed with it.

Now, I don’t know if the psychiatrist was having a brain fart or thought that maybe I’m not the biological offspring of my parents, but I’m fairly certain that if I have it, then there still might be a genetic link.  I know my mom couldn’t get it from me, but I could’ve inherited it from her.

Since my mother couldn’t have possibly inherited it from me, and having a child with the condition isn’t a good reason to say that my mom might have it, the doctor settled on my mom’s Risperdal.  She then tried to figure out if she could give my mom a beta blocker.  She couldn’t, since my mom is already on one.  She looked for a calcium channel blocker, but my mom’s on one of those, too.  So, she told my mom that this side effect is to be expected for anyone who has been on Risperdal for over two years (my mom’s taken it for at least 10 years–it was one of the ones she OD’d on in 2001) and that she should come back if it got worse or if she ended up having some kind of seizure-like reaction.

 

2 comments » | Family, Mental Health

Might Like You Better

11
October

I had to go to see the nurse at the Mental Health Center today. Apparently, I missed some appointments, ran out of meds, etc. Whenever I run out of Effexor, withdrawals ensue. So, I went to the nurse to keep from going through the massive withdrawals. When the nurse called me back, she didn’t close the door. That should’ve been clue #1 that something was up. The nurse said that I needed to make an appointment with the doctor before she could get a prescription for me. I went to make the appointment, but it wasn’t made because the therapist needed to be seen first. I went back to the nurse’s office and told her this. She said that I needed to go make an appointment with the therapist then.

I would have done that, except that the therapist is no longer in the same building as the doctor. She’s over in the area where they see the addicts and people like that. I wasn’t going to another building when the nurse could call the therapist’s receptionist for the appointment. (Call me lazy, if you want, but you haven’t see the mess that is the building complex.) When I snapped at her for this, she acted offended and more uppity than she was already acting. She said she couldn’t make a call. I laughed and told her, “That’s funny. Other people can call.” She asked, “Who can call?” I told her, “The doctors can call the therapists and therapists can call the doctor. You’re a nurse and you have to work with both of them, so you should be able to make the calls. Well, she didn’t like this, but she did make the call. The therapist’s receptionists put her on hold. After five or six minutes, maybe longer, she started acting offended and like they were being rude to her because she’s the nurse. I muttered, “Now you understand what it’s like to be a patient.” She kept acting offended. I muttered, “This is why we don’t call this place.” I eventually apologized for my snapping, which was a big mistake, because the bitchy nurse decided that she needed to lecture me.

This next part should be read with the sound of a snippity woman. First of all, she’s 62 and has 3 children older than me. They never spoke to her the way I spoke to her. (Probably not to her face.) I’m 26 and I should know a little something called “control”. By the time someone is 26, they should know better than to snap at people in public, especially people who are older than them and in positions of authority. And she’d worked there 19 years, so she knew a little something about this kind of thing.

This would be about the time that (if this were on the internet), someone would say, “O rly?” I almost asked her if any of her wonderful 3 children had any kind of history of mental illness or if they had ever been told that they had to jump through hoops to get medicine that is required for them to take. I didn’t, though. I let her lecture me, while I internally mocked her. And as for the lack of control, I don’t think she understood how controlled my response was. If I had been either of my parents, I would have jumped across the desk after her. I think that calling her a bitch and saying that the system is stupid is relatively restrained. Anyone who goes to that center for any period of time and is forced to make appointments before they get their prescription gets angry. Most of them show it. Some threaten the people. If she’s so upset because some 26 year old who has been crazy the same length of time that she has been a psychiatric nurse (assuming she’s even a full-fledged psych nurse), then maybe she needs to get a new job or retire a few years early. I’m sure that if she’s worth her salt in her field, then she could get a job. Nursing isn’t usually a job that lacks demand, plus it’s one where they like experience. And, given the way that a lot of local nurses have acted lately, you don’t actually have to have any level of competence.

So, I have therapy scheduled for tomorrow and a psychiatrist appointment scheduled for mid-November. I will probably make the therapy appointment. I will try to get to the psychiatrist. Typically, psychiatrist appointments that get missed are due to a lack of communication. (The MHC has a history of rescheduling appointments without informing patients.)

When I got home, my family doctor told me that she needed to do a biopsy on the endometrial tissue. She wanted to do it tomorrow if possible. So, tomorrow afternoon, I get to go in and have that done to, according to her, “rule out uterine cancers”. I didn’t like to hear that. Of course, since the biopsy could also confirm fibroids, which run in my family, I’m going to try to keep my emotions in check. BTW – if I do have uterine fibroids, I may donate my DNA to medical science to see why I inherit every disease that runs in the family.

Comment » | Family, Mental Health, Sickness and Health

You Stink!

15
June

I had a psychiatrist appointment today. I need to start off by stating that I do not particularly like this woman. I do not want to be her patient, but I don’t really have a choice. There are only a few psychiatrists at the clinic I go to, and it is the only clinic that I know of that takes my insurance (and my problems).

It was a rainy day, and crazy people don’t usually go to the MHC during rainstorms. It’s pretty much a given that if the ground is wet, the waiting room will be empty. I got there 15 minutes prior to my appointment. I was in her office within 5 minutes. She asked me if I was bathing regularly. This was kind of an odd question. I told her that I had been. She asked if I realized that I had a body odor. I said no. She asked if I’d had any discharge. (I was getting pissed off.) When I told her no, she acted like I must either be stupid or just didn’t care that I smelled bad. I told her again that I thought this was odd because I take at least 1 shower a day, sometimes more. She asked again about the discharge. I replied that I take multiple showers because it has a calming effect on me. She let the body odor thing go. (Apparently, it was no longer a “serious” issue.)

Next, she started on my weight. This is our general skirmish. She saw in my chart that I’d had gastric bypass surgery. She looked at me and asked when. I told her, and she asked, “Is it normal to weigh as much as you do afterward?” I told her that after 7 years, sometimes things like that happened when the body adjusts and the stoma extends.

The next issue? Why hadn’t I been in so long? I avoided my usual complaints that they don’t call to tell me about my once every 3-6 months appointments because those fall on deaf ears. I stated instead that it had to do with mom’s ankle break. She didn’t understand since her appointments take such a little amount of time. I told her that I had to be driven by my dad.

Why don’t you drive? became the next point of contention. I explained the dizziness when I would drive. She said that was anxiety. I explained that the dizziness happened when I would turn the car. She said that it was anxiety. Um, no. (I have the same issue if I turn when I’m standing, so I think it’s something else.)

She finally got to the point of the appointment where we review the actual psychiatric issues. I told her my mood is relatively stable, which is true as long as I don’t have a headache. She was going to breeze past the psychosis issues, and I stopped her. I told her that I was having issues with thought processing and that I was repeating words and phrases said by me and by others. I was going to tell her that I was mixing up words again, but she just pushed past it. I didn’t particularly appreciate that.

She wrote my prescription and asked if I had had a physical recently. I told her 6 months ago, but that I had blood work that needed to be done. (I still haven’t had my blood work done from the neurologist. I know, I’m all chicken-shit right now.) She asked what for, and I told her that it was for various vitamins and things to evaluate what might cause neuropathy. This is when she made a snarky comment about why she hated how doctors did the surgery, after she first made sure that I actually take my vitamins.

When I got my next appointment scheduled, I went out to the car and asked my dad if I smelled bad. I was a bit concerned. I have certain issues with body image, including the tendency to think that I smell. Now, I know that sometimes people won’t tell you that you smell bad, but if I smelled bad, my parents would tell me. Last time I saw her, she spent so much time harping on my weight that I went home and ate every chance I could.

Either this woman is really one of the most ignorant people in the world, or she’s just some evil bitch.

4 comments » | General, Mental Health, Rants, Sickness and Health

Anger Issues?

6
May

I found out a gem of a comment that my (former) psychiatrist wrote in my chart after my first visit with him. Apparently, in that one session where he was supposed to do a quite long and intensive psychiatric evaluation, he spent 5 minutes with me and determined I had anger issues and severe anxiety. Given that I have a pretty good memory of the session, since this was before I was on Risperdal, all I can really recall is me giving a brief rundown of how bad my depressive symptoms were, telling him I needed a better anti-psychotic, and that I was wanting to come off of the Depakote since I had gained so much weight on it. He had put me on Effexor and Risperdal, then told me I could come off the Depakote because I was “on too much medicine”. (I was on the Depakote, Klonopin, Effexor, and Risperdal.) He then sent me on my way, only billing for a med check.

According to my therapist, in the next session he claimed to do a psych evaluation, which is crap because he never spends more than 5 minutes with me. He always tells me I’m on too much medicine. He ignores me when I tell him which symptoms are worse, and tries to get me to up my Klonopin, even though I’ve told him that I can no longer take it because it knocks me out. (Besides that, I don’t feel I need it because I haven’t had a full-blown panic attack in almost a year.)

He also said that I had the symptoms for Borderline Personality Disorder (which I had previously been diagnosed for, but I did not tell him I was experiencing any of the symptoms for it at the time of any of the appointments) and I guess this is his justification for not paying attention to my ACTUAL problems. Ugh. I didn’t really have any anger issues towards him until I found out about him going through my old parts of my chart to come up with his present diagnosis. Hasn’t he ever heard of actually doing the work himself? Yes, it takes a while to do a psych eval, but it was in his schedule and he would have been somewhat compensated for it.

2 comments » | Mental Health, Rants

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