i notice with my last psychiatrist i just rambled on and on about whatever came into my head i didnt think there was anything wrong with it because im being honest but i realized some of the things i would say werent relevant to my real condition (whatever i have) ya know when your in a conversation and you just go on and on complain about this and that. i think i have ocd or add or something i dont know but he diagnosed me with schizoaffective and then prescribed me a bunch of different medications that arent really working and i honestly think that was a little extreme but it was my own fault. So what is the proper way to talk to a psychiatrist? i have a new one so its a fresh start.
I have alot of mh issues, also have a neuro issue, and like u, God we sound so much alike, cause I do have OCD, and panic/agoraphobia to name a few, what I have learned do to my neuro problem, and the fact that I can't seem to shut up... lol... What I found the most effective is, a week or even longer, I get a piece of paper, and write on it things to say and ask psychiatrist, no mind u because of my neuro issues I can't put everything down at one time for I have problems with remembering etc... so that is why I allow at least a week to a week and a half, I have this paper sitting were I no that I will see it everyday, and I sit there and try to stay come and say to myself okay, what is going on with me, what r my symptoms, is my meds he put me on working properly, once u see u start writing everything u want to say to this doctor will fall into place meaning by the time u get there u will have written all the ? u want to ask him etc... I find this very beneficial to me... hope it might work for u... been there done that, when u get there u start to panic and u forget everything u wanted to say, this is why it is best to get everything on paper and put the paper were u no when u go u will have it with u, for instance, the day before my appt. I put my ? paper on top of my purse for I no I have to bring my purse with me, I will not put it inside, cause if I do, then I will forget it's there and it was all a waste of my time... hope u understand..and I think u do... good luck and please try what I am saying for it really works...
Dear johncoo6, Hello, and thanks for writing in with a very valid question, and a common one at that. You have already recieved a lot of great advice. I just want to add a little bit. When I go to a new Psychiatrist, I immediately tell him/her that when I see a new dr. at first that "I'll be honest, I'm really very nervous when I see a new dr. for the first time". Very honest statement. That usually helps at the beginning, because if their halfway decent, they will say or do something to make you feel at ease. If they ask why, just say something like "I don't know, I've just always been like that" or I'll say..because I've went to some that were not very caring or good at meeting my needs. I'm not telling you to say that, but I have. Don't neccesarely blame yourself for being taken wrong. I have ADHD, and I tell them that right up front.
That I have a hard time communicating because I'm ADHD and bare with me, because I don't want to be misunderstood. The more honest you are, the better help you will get. This is my own personal experience and my own opinion. I have been in you're shoes, and have been misdiagnosed and let them prescribe me something and not say anything. You cannot let them do that. Ask specifecly what you're being prescribed, and what for. If they say it's for something you don't have like before, tell him/her that you don't think you have that at all, and don't want something for something you don't have. This may sound all simple and stuff, and I'm not suggesting you go in beating you're chest and saying by gosh here is how it's gonna go. lol. But you shouldn't be prescribed something you don't need either. It can be so difficult to deal with them, and especially communicate when you're nervous. I've had the best luck though when I tell them a little bit of what's been going on in my life lately, and what symptoms I'm having and what I think may be wrong. Allow them to suggest what they think, but you have a say too. I'm not disagreeing at all with the other's. They give the best answers on the site. but I have been so nervous before that I forget to get out the paper I wrote the questions on. lol. This isn't funny, but I have done that. If you do write it down, which is a great suggestion, don't forget, like me, and have the questions already out. And say first I want to talk about this and so forth. I wish you the very best of luck, because I've been in you're shoes. But once you have made a connection and a relationship with him or her, it will get better, and will be very easy... hopefully. Try not to be uncomfortable the best you can. Try not to show you're extremely nervous, or they may think something else like has happened to me too. Take care, and please let us know how it goes after you see him or her. I'll keep you in mind, and I really hope this turns out very well for you. You're Friend, Ruthie
Hello John. Generally the psychiatrist uses the initial session by getting to know you and finding out what is of most importance to you. For example, not sleeping, or confusing and unreal thoughts, or feelings of being disconnected, thoughts of sucicide, depression, and so on. How you got there, crummy childhood, accident, whatever, is not as relevant as how you are feeling. The latter can be discussed with a psychologist or other mental health counselor. The psychiatrist is trained to use medications to relieve symptoms and to help a person return to feeling a more normal life. They help you get out of the sorrow and pain you are in and work on helping you function better.
Feeling nervous at first, and rambling, makes sense and is what most people do. They know that. Bringing the list of what you want to be healed, is where you can get some real work done. That was a very good suggestion. As long as you are honest about how you are, you will find good results. Believe me, you won't shock them and you have someone you can trust who is not going to judge you. That is really quite special.
Medications do take time to work. Many take a month or more to feel effects. Real change takes a lot longer. When you feel,you aren't getting good results after that time, at the next appointment let the doctor know. Both what is better and what has not changed. Often we change so slowly we don't see it until time has gone by and we think back. One thing for sure, do not just stop a medication! The results could be very harmful. Always let the doctor do this.
By the way, sometimes a diagnosis will change as the psychiatrist gets to know you better and finds out how you are reacting to any medications. That is fine and they will discuss that with you. Ultimately it isn't the label but what can be done to reduce your suffering and make life better. I wish you the best of luck and the happiness you deserve. Karen
John I used to have the same problems part because of the nerves etc so what i started doing is write down questions etc on a piece of paper and hand it to the doctor at my next appt this also helped with questions i was afrAID to ask then we finally started getting somewhere good luck my friend.
Chuck Wise Sr. Retired Pharmacy Techneician Cpht.
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