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Re: Quick to dx?

Posted by Racer on April 2, 2004, at 17:59:07

In reply to Quick to dx?, posted by All Done on April 2, 2004, at 17:39:28

Oh, for heaven's sake! You're so lucky -- to have a psychic GP -- and you're not jumping up and down? You should call a paranormal researcher to go check this dude out!

Now, this is only one viewpoint, but since it's mine I'll tell you all about it. That sounds so invalidating, and really unhelpful. I don't blame you for having your doubts about this guy -- he's decided that your report about your trouble is inaccurate, he's decided what the treatment plan will be without regard for your needs, and he's telling you that your perceptions of your expiences are just plain wrong. Gee, let me think about this for a few minutes -- Yep, you've got every reason in the world to mistrust him. Can you talk to your T about this experience? What about talking to him? Can you say something like, "Listen, I think you mean well, but I've had Major Depression for [x] years now, and have never had any signs of bipolar. It worries me that you're choosing a dx without regard for that history, and it worries me even more that you're already planning what to do *when* the single antidepressant you've chosen fails, rather than considering how to make an antidepressant work. Can we rethink this whole picture?"

Mind you, I can't have conversations with my pdoc like that one, so I more than understand if your answer is, "No, I can't have that conversation with him..." (I could be wrong, but I think the ability to have that conversation would be a sign that the depression is cured...)

What a distressing thing to have happen. I hope hearing someone else say that it doesn't sound right helps you accept your self-validation.


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Psycho-Babble Psychology | Framed

poster:Racer thread:331867
URL: http://www.dr-bob.org/babble/psycho/20040402/msgs/331876.html