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meeting new pdoc - some advice please

Posted by g_g_g_unit on July 15, 2009, at 0:53:24

i am (skeptically) meeting with a new pdoc who a GP recommended as being a specialist on anxiety and OCD (i have not been officially 'referred', so she knows nothing of my case history, etc.)

now, i have some questions about how i should conduct myself.

at the moment, my worst symptom is anhedonia, which impinges on every aspect of my life - social, work, etc. there are times when i feel teary and suicidal (basically anytime i am left with the freedom to reflect on how i got to where i am now), but more often than not, i just feel flat, numb, stoo-pid - no attention span, bad working memory, etc.

now it seems that as soon as i tell somehow i have OCD, that they filter every complaint through the prism of my neurosis - ignoring the fact that my situation now is clearly not what it was pre-SSRI's.

what i am looking at trying is possibly something like Mirapex or Requip, but every doc i meet wants to try and assist my "treatment resistant" OCD with an antipsychotic, which i refuse to be on, since i don't really think what i'm dealing with now is an outgrowth of OCD.

so would it be some kind of breach to omit the fact that i have OCD, and just present my symptoms as they currently affect my life? for what it's worth, i've never officially been diagnosed with OCD. it's always just something i've assumed i had .. one guy once contested it thinking i had GAD instead. as my therapist understands it, i'm a perfectionist; is that a classification in its own right? i see a lot of similar traits in my friend with ADHD. i'm not really after an armchair diagnosis here .. just wondering if 'perfectionism' can overlap with ADHD AND OCD, or if it's more often a product of one or the other ..?

 

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URL: http://www.dr-bob.org/babble/20090709/msgs/906813.html