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scree


Member

Posted Tue May 18th, 2010 3:24pm Post subject: pressure to be medicated

This is probably an odd question, but has anyone ever felt pressured into being medicated by their mental health professional? If so, how did you handle it?

I am feeling that way. I feel like I’ve done nothing to warrant being treated like a child, but here we are. I’ve been getting regular calls from a mental health nurse (a new addition to my life who has spent one hour with me) to remind me I need to be medicated- even after I said I had issues I’d like to discuss with my psychologist, and that I wanted more information on the medication before I took it. Imagine daily calls to ‘check up on you’ and to sternly remind you to get a blood test and be medicated. Fun, huh?

That conversation with my psychologist? I got told my partner would leave me, I should be medicated for the sake of friends and family, she wouldn’t work with me on any of the behavioural issues until I was medicated, and that I’m only ever going to get worse unless I’m medicated right now. When I brought up the fact that I’d like to work on the fact I’m scared to be medicated because of a previous experience (the one time I’ve ever been a danger), I got told ‘well, we’re not putting you on effexor, it’s fine’. That’s it. No discussion, no suggestions for what I can do to not be afraid of such a loss of control, just a metaphorical pat on the head and an exasperated tone.

If my questions were being answered, my concerns heard, and if there was any form of discussion about choices, I’d be ok. I just hate the fact that, as soon as ‘bipolar’ was on the table, I suddenly lost the right to be treated like an adult who has the ability to think for myself or cope with actual discussion. I hate that my asking what I think are perfectly valid questions has left me being called uncooperative and difficult. If I was a danger to myself, or acting irrationally, fine, but I'm not. Even my family is commenting on how well I'm coping with it all.

Is there a reason why as soon as you're diagnosed, you have to be instantly medicated or else? Am I missing something totally obvious here?


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michael


Member

Posted Tue May 18th, 2010 3:48pm Post subject: pressure to be medicated

i'm curious, what country do you live in?

probably doesn't matter a lot, but seems like different countries have different options when it comes to getting a second opinion or how much is up to the patient. (well, and heck, different docs are like that too...)

through most of my treatment, i've always been told "this is up to you." i wasn't diagnosed bipolar, though.
the suggested treatment is a lot more med-centered (is that a word?) than depression. but STILL... i believe you should be treated as an adult and have your rights respected. in my experience, knowing that all the decisions were my own was very healthy and curative!

can you describe more in detail what's been going on through this episode? the conversations with your psychologist sounds...forgive me if i'm wrong... kinda overly manipulative on the psych's part. have you had the opportunity to try other treatments besides medication before?

"HELLO I'M TACTILE !" is an anagram of my name

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katysara


Moderator

Posted Tue May 18th, 2010 4:54pm Post subject: pressure to be medicated

I understand your frustration I really do. I didn't have your problem because at the time of my diagnosis i was on a section 3, in a mixed episode, attempting suicide almost daily unless on 1-to-1 obs, staring down another 6 months in the hospital. When they decided what was wrong and wanted me to take meds for it I was happy to oblige (and would have been forced anyhow). A month later I was out of hospital, that's how much difference the meds made in my life. A total turn about, as they so often do in bipolar disorder. I'm not saying you shouldn't have a choice, but what I am saying is, if you are bipolar, grab the meds gratefully because 90% of your illness will be treated by them.

Still, I agree with you your professionals are being disrespectful in not even having a conversation with you about it. You should be allowed that, even if it is only academic. Then again, since it is only academic why not take the meds and then tell them how pressurised you felt, and how nearly, because of the pressure alone, you nearly refused meds. In other words, they nearly cocked it up royally.

What meds are being suggested (PM if you want more privacy)? I can perhaps put your mind at ease and will warn you of any side effects. (I've been on nearly everything!)

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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GTR


Member

Posted Tue May 18th, 2010 8:08pm Post subject: pressure to be medicated

If you don't feel comfortable taking your meds then don't take them untill you are. They cannot force you to do anything and refusal to treat you in a way which is known to have proven results without evidence of violent behaviour is not on, I suggest taking an advocate in with you who can read them the riot act if they continue, there are different sources for these and they are no end of help

I can't think of anything clever to say so I'll be quiet

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scree


Member

Posted Thu May 20th, 2010 2:03pm Post subject: pressure to be medicated

Thanks for the replies, I really appreciate it.

I'm in Australia.

I think the frustrating thing is that I'm not having any major episode. The one stressor I have is trying to be heard by my psych. I'm struggling to vocalise how I'm feeling- but that's how I am when I feel unheard, regardless of whether I'm manic or not. I know I'm stressed, and I know I'm coming somewhat close to being manic; the warning signs are there, but I'm stopping myself any time I start running around madly or sending myself back to bed if I haven't slept 8 hours. It seems to be working.

A few years back, I lasted one day on effexor, my partner had to basically restrain me all day. For the first time in my life I had hallucinations, and I could feel myself hurting me. No details, because ick, but yeah, it was intense. I could see blood, I could feel the acts, even though I wasn't doing it. I tried to throw myself out a window by the end of it. It's the most self destructive I've ever been. Having no ability to stop myself, being trapped feeling things that weren't real but scary none the less... I hated it. It terrified me, and I'm hesitant to blindly take a medication without addressing that fear and moving past it. Logically, I get that it's incredibly unlikely to happen again. Emotionally, I want to run as far as possible from anything that could make me feel like that again. I keep trying to explain to my psych that it's a line in the sand I'm struggling to cross, and I need help with it to be able to take the meds. I just... don't know how to move past that line on my own.

The conversation with my psych does feel manipulative. We've spent six months talking about my fears about losing everyone I love, so to have her turn around and say I'll lose everyone if I'm not medicated is pretty staggering. To have gone from my psych talking about me in terms of being a well adjusted (for the circumstances) person who just needs a little help here and there, to needing life long medication right this second, has startled me a bit, too.

I think its called valproate? I've seen some posts here about it, and it seems to do a good job. It's just moving past that fear of another adverse reaction that's the issue.

As for taking in an advocate, I'm thinking of bringing my partner in with me in the next appointment. We've discussed the reasonings behind my hesitation, and they know how I feel; so when I struggle to express myself, they at least know what I'm trying to say and can translate.


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katysara


Moderator

Posted Thu May 20th, 2010 2:55pm Post subject: pressure to be medicated

Sodium Valproate is a mood stabiliser, a whole new sort of medicine to the antidepressants. Effexor made me suicidal too - I attempted suicide about 300 times whilst on it, many times nearly dying, and twice having to be revived from death. It's a nasty drug. Horrible to be on and for many, horrible to come off. Sodium valproate is TOTALLY different... It's basically a salt. I would have no qualms about recommending you take it. The worst side effect is weight gain - unless you are careful or lucky.

Taking your partner is a good idea, and how about having him/her with you when you first try the med - to reassure you that they'd be there to help like last time.

Tell your psych bluntly that you feel coerced - that does not lead to a healthy, trusting doctor-patient relationship.

All the best, it will be fine,

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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michael


Member

Posted Thu May 20th, 2010 5:58pm Post subject: pressure to be medicated

i can understand the feelings you're talking about in that second paragraph, i've been through that and it is scary!

but you also seem much more aware of warning signs, and your partner sounds like a great support too. it's a great idea to bring your partner in with you.

i don't know what to say about your psych, except ditto-ing katy... have you told the psych that you feel confused about all this? i agree, going from being TOLD that you just need some guidance and support here and there, to being TOLD you should be on a med right this day, sounds confusing to me too.

hope there's some clarity in it soon!

"HELLO I'M TACTILE !" is an anagram of my name

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