Depression Forums
Depression Related Forums => Depression Central => Topic started by: Owl on July 04, 2012, 07:39:00 PM
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So,
Tomorrow I have been given an emergency psychiatrist appointment. I am terrified. My GP arranged the appointment as she felt she needed to involve the psychiatric team... I told her what was going on in my head and she took some convincing to let me go home with my mum.
I'm scared that if I tell the psychiatrist the same tomorrow she will have the same reaction but this time will not let me go home. I haven't met this psychiatrist before so I am also aprehensive about that.
I discussed this with my mum (via text) and she said the psychiatrist will probably be more worried if I don't tell her everything and will see right through a "brave face". I agree to some extend but I am terrified about the consequences of telling the truth. I don't even know what I think will happen perhaps fear of the unknown?
Anyway, I don't know whaat to expect... Another medication change would be the best out come. I feel.
Apologies for the long post but I'd really like some advice on this as I'm starting to panic about it.
Thanks,
Fox in the Snowi
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Never any need to apologise about the length of posts fox :)
I think its only natural to be apprehensive, it would definitely be best if you can be as honest as possible, if you feel you might forget something important write a list to take with you
Z xxx
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%^% for you. I was the same when my dr referred me to the Mental Health Team. I was terrified too. All sorts going through my head. The psychiatrist I saw was lovely and so understanding. He changed my meds and have not looked back (except when I came off the meds for a while). Do try and be honest with them, if you are not they will not be able to help you fully. If the thought of being admitted to hospital concern you, this is a very last resort and I am sure they will try and help in other ways befoe they even consider this.
Our thoughts will be with you when you go. Do you have someone to go with you? I only ask as I normally end up errupting into tears and can't talk.
*)* S x x x x
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Really feel for you %^% %^%
It's completely natural to feel apprehensive, I had a panic attack when my GP told me that she was doing an urgent referral to the Psychiatrist. All sorts of things were running through my head, what would happen etc. In the end the Psychiatrist was lovely, I tried to tell her everything but it's so hard, some things are so difficult to talk about, I'm surprised that she heard much in-between the tears. Anyway she changed my meds and booked me another appointment.
Have you seen a Psychiatrist before?
Try not to worry, everything is designed to protect you. xxx
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I just feel like I never seem coherent. I've seen one psychiatrist before, about a month ago, and he didn't really say much just asked lots of questions and expected me to talk for a whole hour - I don't think he realised how difficult it was. At the end of the appointment he just gave me three medications to choose from- a decision I couldn't make and so left to my GP. It's a different psychiatrist tomorrow so hopefully it will be different.
I am terrified about hospital admission as my GP was already reluctant to let me go home after what I told her, the way I looked and the change in my way of thinking. She actually said it was the worst she had seen me. Also, I don't know what else there is left to try, I go to therapy once a week and see my GP twice a week and I am on my 6th medication trial. Though hopefully if it is suggested I can just refuse, right?
I have written everything down but I'm scared to say it all.
I know it's in my best interests to go but I think fight or flight is kicking in...
Fox in the snow
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%^% hope it goes OK tomorrow, will be thinking of you xx
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Sounds like you had a tricky first experience. My Psychiatrist prompted me, there were no awkward silences if you know what I mean. She did give me a choice of meds but really helped me to decide. Hopefully you will have a better experience tomorrow.
I understand you being terrible about a hospital admission, as far as I know you can refuse but then run the risk of being sectioned, if it comes to it, its probably best to go voluntarily. I have the same fears but have been in places mentally when I've thought if this gets much worse I'd go.
Will be thinking of you tomorrow and really hope that it goes ok. xxx %^% %^%
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I don't know all the in's and out's of admitting. But it is the last resort. I am sure they will try every thing they can to help you other ways first. Hopefully the one you see tomorrow will be better and help you. My Dr tried several different meds for me before I saw the mental health team. Hope it goes well. Will be thinking of you. S x x x x
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I know you're scared, but you need to tell them how you feel so they can help you xx
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Thanks for supportive messages...
KateG, what if the help they think I need isn't what I want? I know that might sound like nonsense but I'm scared that my autonomy will be taken away from me...
X
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It does make sense. I was scared too (I got referred via the Crisis Team) but I wasn't sectioned, I just got the help I needed. Like the others have said, admitting you really is a last resort on their part %^%
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Thanks.
I think I just need to keep repeating that it's a last resort. I've just got this fear in my head and I can't shake it. I understand that they are there to help but goodness me it is SCARY! Almost as scary as the stuff whirling around in my head!
Thanks everyone, you've been really comforting!
Fox in the Snow,
X
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%^% for you. We are here for you. X x
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Will be thinking of you tomorrow Fox %^%
I know I was terrified when my doctor got me an emergency appointment with the mental health team. I thought they would make me stay - I was suicidal, not eating, self-harming... all they did was talk to me (and my boyfriend) and try and find a way to help. They got me on a brief intervention recovery course and they adjusted my meds. I wasn't sectioned, I was allowed to go home - they kept me under thier care (I still am, almost 2 years later) and gave me the crisis number. They told me I had to see my doctor at least every 2 weeks, but nothing was forced upon me against my will. They are there to help and support you. Good luck xxx
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The repercussions of not telling your psychiatrist everything will be much more serious those of telling the psychiatrist.
You will be doing yourself no favors at all. It could result in inadequate care, reduce your access to suitable talking therapies, and could result in medications that are not suitable for your needs.
Please take care of yourself and I wish you the best of luck with your appointment.
Love Steve XX
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Very sage advice, steve. I guess I shall have to try to be as honest as possible... Not that I was planning on being deceptive! It's just a bit scary!
Thanks,
Fox in the Snow
X
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Thinking of you today fox xxx
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So,
I had my appointment. It wasn't quite as bad as I thought, though I would rather not see anyone right now.
My medication was not discuss but rather the thoughts going through my head. However, the conclusion which was reached was that because I am having to take a year out of uni and have been made to live with my mother again that I should register with my old GP as the services which would apply to me (Intensive home treatment team) cannot be given as I no-longer live in the area. I understand this, but it will mean starting from scratch with a new GP, new mental health team and new therapist which I really can't cope with. I was happy travelling the 45 minutes to my appointments as my doctors have been treating me for 2 years and know me well. I do not want to have to start from scratch with a whole new group of people.
Furthermore, I have left the appointment feeling more frustrated and with less answers than I went in with.
Fox in the Snow.
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So I've decided I'm just going to give up on it all. No more medication, no more doctor appointments and no talking to anyway. I can't do it anymore, it is exhausting.
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That's really rotten that you have to start over, it happened to me too. But at least register with your new GP %^%
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I agree with Kate about registering xxx
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I realise it's probably for the best. But I couldn't do it today, my mum drove me there straight from my appointment and when we parked up I tried talking to her about it and just ended up crying and making inaudable screams and didn't go in.
I've found it difficult enough talking about everything and attending appointments with people that have been treating me for two years. Ithink I'd be back at square one with a new doctor and whole new psychiatric team...
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Also, what exactly does a intensive home treatment team do? Does anyone know?
Fox in the snow,
X
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That really is such a shame %^%
Sorry no idea about intensive home treatment
Z xx
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Thanks, Zaf!
Hopefully someone on here will as I haven't a clue!
Fox
X
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I'm not sure but from experiences I think they probably mean a Crisis Team that will visit possibly daily or as needed. In my area the Crisis Team is made up of CPNs with an attached Psychiatrist. It will mean that you get the help that you need to get you back on track.
I really hope that things work out for you.xxx
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I am so sorry its been so hard for you today. I do think you need to register with the dr. Could your mum get the registration form for you and fill it in at home. I believe what Buttercup says about the crisis is right. %^% %^% %^% for you.
S x x x x
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I have had the involvement of the Intensive Home Treatment Team on 4 occasions in the last 9 months. They were actually really helpful. They came out to my house to see me every day and also called me on the phone at least once a day. They were available 24 hours a day on the phone. On one occasion they organised an emergency psychiatrist who came out to see me at home too. They also talked me through some basic coping strategies. I wasn't with it enough to actually use these strategies ( based on grounding and mindfulness), but at least they tried.
As far as I understand it, their role is to provide intensive continuous support for an agreed period of time.
I hope you get the right help and that this may shed some light ?!
Very best wishes
Louise
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Thanks Louise,
It has indeed shed some light on the situation. So I'm guessing it's just a means to make sure you're alright everyday? Do they deal with medication or anything or is it more on the therapy side?
Is it easy to cope with them coming everyday? As most of the time I wish everyone would leave me alone.
Thanks
Fox
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I know a friend who had a similar thing (Crisis team in my area) did have her meds altered by the psychiatrist that came around to her house. The team also provided her and her family with support.
xxx
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As Buttercup mentioned, they provided me and my husband with support. And have also referred my husband on for continuous support due to the chronic nature of my illness. ( i.e. carers support )
In my experience, their main aim is to keep an eye and try to ensure your safety. I only had my meds altered once whilst under the HTT ( home treatment team) but the team in my area doesn't generally do that without contacting my own regular psychiatrist first, as there can sometimes be a difference in opinion (!). But that's not to say that the team in your area does things slightly differently. There is usually some form of short term therapeutic work involved but it depends if you are well enough / or able to focus enough as to how that goes.
I hope this makes sense, it takes me such a long time to write as I lose focus all the time !!
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I hope this makes sense, it takes me such a long time to write as I lose focus all the time !!
My posts at the moment are quite short as I can't really focus enough :-\
Don't know why quotes don't work properly when I do them :-\ :-\
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Thanks Buttercup - I feel physically and mentally impaired *(*
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Thanks for the info Louise!
Oh god, I know that feeling well. I can't even watch the television at the moment as I can't concentrate on it! I'll be "watching" a programme but if asked wouldn't have a clue what it is about!
Fox,
X
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I do the same :( xx