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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by ed_uk on November 24, 2005, at 15:54:23
Hi!
Phillipa said you were worried about seeing a pdoc. I've seen several pdocs. Is there anything you'd like to know?
ed x
Posted by Meri-Tuuli on November 24, 2005, at 16:50:34
In reply to Meri-tuuli, posted by ed_uk on November 24, 2005, at 15:54:23
Hey Ed!
I hope you are okay, hows the anafinil going? Is it helping with focusing?
Yes, I'm being referred to a pdoc by a nasty little GP. He was very weird - he tried to fob me of by telling me I have a 'personally disorder' not like the proper one, but as in always seeing the glass half empty sort of thing. I couldn't believe my ears!! Anyway we had a long chat (me breaking down several times!) and he finally agreed that I should be seen by a pdoc, and was very surprised that I haven't been to one before.
Anyway....I was just wondering what to expect, and that sort of thing. What will they do? I guess they will ask me a long list of questions...is it better to just describe your syptoms, or say 'I think I have x y z?' What sort of drugs are in their capacity to prescribe? Should I go in with a list of medications and print outs etc?
I AM VERY SCARED ABout it all.
EEEEEEEEeeeeeeeeeeek!!!
Posted by Phillipa on November 24, 2005, at 22:19:37
In reply to Anyone see a pdoc on the NHS?, posted by Meri-Tuuli on November 24, 2005, at 16:50:34
Ed thanks for starting the Thread.Meri if you Babble Ed he will respond. Fondly, Phillipa
Posted by xbunny on November 25, 2005, at 8:57:58
In reply to Anyone see a pdoc on the NHS?, posted by Meri-Tuuli on November 24, 2005, at 16:50:34
> Should I go in with a list of medications and print outs etc?
I would recommend you dont take a list of potential drugs, all the nhs psychiatrists I have ever seen dont like being second guessed. In fact its best to try and be very subtle if you have a med preference. I have found something along the lines of "doctor you have suggested drug X, I have heard about drug Y which seems similar to it, would that be worth considering too?" to be about the only approach which doesnt irritate them or get you ignored.
>
> I AM VERY SCARED ABout it all.
>Dont be scared, probably the worst thing that can happen is that the psychiatrist will either not understand or down play your problems or wont change your meds to your liking. This can be very frustrating but it doesnt hurt.
Buns
Posted by ed_uk on November 25, 2005, at 13:50:50
In reply to Anyone see a pdoc on the NHS?, posted by Meri-Tuuli on November 24, 2005, at 16:50:34
Hi Meri :-)
>I AM VERY SCARED
Don't be. I've seen several different pdocs and none of them have been scary :-)
>Anyway....I was just wondering what to expect, and that sort of thing. What will they do?
They will ask you about your current symptoms and about the past. During the first vistit, they will ask you about your childhood. Unless it's particularly relevent, they probably won't say much about your childhood after the first visit.
>I guess they will ask me a long list of questions...is it better to just describe your syptoms, or say 'I think I have x y z?'
It's best just to describe your symptoms. Most doctors prefer that they are the one who suggests the diagnosis, if one is applicable.
>What sort of drugs are in their capacity to prescribe?
As doctors, they can prescribe practically any medication that they want to. In practice, most NHS pdocs prescribe a relatively limited range of drugs.
>Should I go in with a list of medications and print outs etc?
No, most pdocs like to believe that they are the experts (which in some cases is true but in other cases it isn't ;-) Anyway, I wouldn't recommend taking any print-outs or lists of medication to your first appointment. Let your pdoc make the suggestions. I wouldn't mention p-babble - you will likely be told that internet forums are harmful and that you get bad information!
>I hope you are okay, hows the anafinil going? Is it helping with focusing?
I don't think it's done anything so far!
ed xx
Posted by Meri-Tuuli on November 26, 2005, at 11:24:26
In reply to Re: Anyone see a pdoc on the NHS? » Meri-Tuuli, posted by ed_uk on November 25, 2005, at 13:50:50
Hiya!
Thanks for the post.
Okay so I'm less scared, I guess it will be like talking to the CPN and that wasn't very scary. Although I am rather scared about re-living painful memories, and talking about my (rather miserable) childhood, but I guess they will be nice about it (or at least I hope they will be!). I have looked up the list of doctors there, and 4/5 of them are female, so I guess thats a good thing....I'm not sure who I feel more comfortable taking to, a bloke or a gal.
Anyway I kinda figured that they don't like knowledgeable patients, or at least one who questions what they are prescribed etc. And I'll just prescibe my symptoms, although I will mentally have to remember to express myself properly and really tell them how it is - I kinda pretend its not bad and that I'm fine, etc. I hate talking about it!!
Well anyway I haven't even gotten my letter yet, and probably won't and appointment until after Christmas ...so I'd better keep taking the St John's wort! Which is going okay actually......I'm liking it. No side effects! :o)
Well I hope that work went okay for you today....I take it you were working?
Kind regards (and thanks for all your help!)
Meri
Posted by ed_uk on November 26, 2005, at 14:10:01
In reply to Re: Anyone see a pdoc on the NHS?, posted by Meri-Tuuli on November 26, 2005, at 11:24:26
Hi Meri
>Okay so I'm less scared, I guess it will be like talking to the CPN and that wasn't very scary.
It's a bit like talking to a CPN with an ego LOL ;-)
>Anyway I kinda figured that they don't like knowledgeable patients, or at least one who questions what they are prescribed etc.
That's often the case - there *are* exceptions though... play it by ear.
>Well I hope that work went okay for you today....I take it you were working?
I was. I work Mon to Sat. Lie in tomorrow :-)
Ed xxx
Posted by Meri-Tuuli on November 27, 2005, at 15:09:38
In reply to Re: Anyone see a pdoc on the NHS? » Meri-Tuuli, posted by ed_uk on November 26, 2005, at 14:10:01
Ouch! Working Monday to Saturday, thats harsh. I don't work at all (I sponge off my my bf!!) Which is kinda nice, but I don't expect it to last for long....the working situation not the bf! Although he's fast asleep now and its only 9pm......sigh.
Posted by Dr. Bob on November 28, 2005, at 23:03:15
In reply to Re: Anyone see a pdoc on the NHS? » ed_uk, posted by Meri-Tuuli on November 27, 2005, at 15:09:38
> Ouch! Working Monday to Saturday, thats harsh. I don't work at all (I sponge off my my bf!!)...
Sorry to interrupt, but I'd like to redirect follow-ups regarding boyfriends to Psycho-Babble Social. Here's a link:
http://www.dr-bob.org/babble/social/20051120/msgs/583184.html
Thanks,
Bob
Posted by Carper on November 29, 2005, at 16:25:30
In reply to Anyone see a pdoc on the NHS?, posted by Meri-Tuuli on November 24, 2005, at 16:50:34
> Hey Ed!
>
> I hope you are okay, hows the anafinil going? Is it helping with focusing?
>
> Yes, I'm being referred to a pdoc by a nasty little GP. He was very weird - he tried to fob me of by telling me I have a 'personally disorder' not like the proper one, but as in always seeing the glass half empty sort of thing. I couldn't believe my ears!! Anyway we had a long chat (me breaking down several times!) and he finally agreed that I should be seen by a pdoc, and was very surprised that I haven't been to one before.
>
> Anyway....I was just wondering what to expect, and that sort of thing. What will they do? I guess they will ask me a long list of questions...is it better to just describe your syptoms, or say 'I think I have x y z?' What sort of drugs are in their capacity to prescribe? Should I go in with a list of medications and print outs etc?
>
> I AM VERY SCARED ABout it all.
>
> EEEEEEEEeeeeeeeeeeek!!!
>
Hi Meri,It angered me to hear of your GP telling you that you have a "personality disorder". No-one has the right to make judgements about other people's character.
Patients need healthcare professionals to sympathetically and respectfully focus on providing the best possible treatment and I hope that the psychiatrist to whom you are referred does so.
Best wishes,
Carper
Posted by Meri-Tuuli on November 29, 2005, at 17:23:35
In reply to Re: Anyone see a pdoc on the NHS? » Meri-Tuuli, posted by Carper on November 29, 2005, at 16:25:30
Hey Carper, thanks for the post!
Yeah I was rather shocked when he starting going on about having a 'personality disorder'. I really couldn't believe it. I was only trying to get him to refer me for some CBT! I let him go on about for it bit, but then I got annoyed and tried to get him to tell me how I had a 'personality disorder'. Well anyway I described how I had suffered from sereve depression and he quickly agreed that that was more than a personality disorder. And one thing I can't believe that he even said it, as its not even a reconised medical condition! (I mean in the terms her was referring to, and not THE borderline personality disorder). How on earth he could say that after a 5 min chat. I don't know.
I'm just glad I managed to stick up for myself!
Oh dear.
Meri
Anyway,
> Patients need healthcare professionals to sympathetically and respectfully focus on providing the best possible treatment and I hope that the psychiatrist to whom you are referred does so.
>
> Best wishes,
>
> Carper
>
This is the end of the thread.
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