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The CatBat Princess


Member

Posted Mon May 23rd, 2011 3:27pm Post subject: So I've go my first psych appt....

Hi,
I'm relatively new here, i've already introduced myself as best I can.
I've been struggling with this illnes for most of my life and its only now that people are beginning to understand what it is, that its not just depression.
I've got my first proper psychiatrist appointment through for the first week in July - which seems like ages away still, i'm getting really anxious to see someone now.

What should I expect?
What should I say, do?

I've seen a lot of counsellors before, but never really found them helpful.
I'm aware I could talk and talk for hours if I had to. I've got lists and notes and graphs. Is this a bit OTT? I figure i'll take it all anyway and hope something is useful.
I just alway end up feeling like an idiot and apologising for myself when I go to these kind of things, cos I have so much to say, so many thoughts etc etc.
I basically want answers, help and an official diagnosis from them, so I can start to get out of my crazy cycle - i'm so scared of not knowing when i'm going to go off the rails again, and i'm finding it so difficult to balance this with being a new mum, I don't want it to affect my baby girl, and I want to be able to be there for her if she too ends up like me.
I'm presuming it'll take a lot of sessions before I get anywhere?
x

I like to dress up as a peapod sometimes.
http://thecatbatprincess.wordpress.com/

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BipolarBlues


Member

Posted Mon May 23rd, 2011 9:23pm Post subject: So I've go my first psych appt....

Don't worry CatBat I'm sure things will go ok. Don't expect a diagnosis on the first appointment necessarily it make take a few before they are sure, though you might get an answer on the day. As for taking notes, definately a good idea, they will appreciate you writing how you feel, as it isn't always easy to remember everything on the day. What I can suggest is perhaps have a list of the most important things you want to know, say 1 - 10 have a think about this because I'm sure you have many things that you would like to ask, but time will be limited so it's best to have a list of the problems that you would like addressed. As for having to wait so long, unfortuantely first appointments generally do take some time to come through. If you feel things are getting really difficult before your appointment, do visit your GP and ask if you can have your appointment brought forward, if needs be take a relative or friend to give you the support. Anyway best wishes hope this helps.

Touched With Fire

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greentree


Member

Posted Tue May 24th, 2011 8:22pm Post subject: So I've go my first psych appt....

How has the appointment coms about - was it a gp referral?
When i has my first appointment with a psychiatrist, he basically asked loads of questions, and took a kind of life history - asked about job / living situation / relationships / family and whether i was close to them or not / previous mental health difficulties / how i'm affected by current MH issues / any suicidal thoughts etc. I was there for about an hour and a half in total.
As far as i understand it, psychiatrists don't do the actual therapy, they look after medication and the 'pills' side of things. They diagnose you and can refer you on for further treatment - counselling / psychotherapy etc, but i don't think they generally do the therapy.

Notes might be a good idea if it helps you remember what you want to say, but generally on a first assessment the psychiatrist will also have a bunch of questions to ask you too.

Good luck

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The CatBat Princess


Member

Posted Mon May 30th, 2011 5:36pm Post subject: So I've go my first psych appt....

Thanks for the replies. It was a GP referral.
That's all for now.. baby crying...

I like to dress up as a peapod sometimes.
http://thecatbatprincess.wordpress.com/

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romanee


Member

Posted Thu Jun 9th, 2011 3:45am Post subject: So I've go my first psych appt....

I hope all went well for you. They can be very daunting I first talk physcaiatrist when I was 18 which was for years, I didn't want to pretty much forced, but it's the best thing I've ever done. They got my head sorted (well as much as it can be) and I met Nick my OT, who I honestly believe has saved my life, and helped me more than any doctor or tablet. When you go in say what you feel, and think, because they've heard it all before. I tend to write down thoughts or emotions, when I'm feeling them particuly strong. Then I can read them back to my doctor, that way I know nothing important, or significant is being left out. Hope this helps, Romanee xx


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The CatBat Princess


Member

Posted Tue Jul 5th, 2011 5:24am Post subject: So I've go my first psych appt....

Thanks for the replies.
I had my appt yesterday and it seemed to go well. They must have a good record of me/ referral letter from my GP. He asked lots of questions ( not as many as I had expected) but I never once had to show him my diaries, my graphs or other notes that I have previously shown my GP and another somewhat ditszy therapist.
( My GP is great, the therapist not so much.)
He has decided to treat me for bipolar disorder and said he'd fax a letter over to my GP so that I can be prescribed Depakote. I know a fair bit about this drug already because of my studies regards my job ( I work in pharmacy)but I think i'll have a little search on here to find out what people think of it.
I have to go back to see him in 2 months, which seems a long time, but I suppose that's the NHS for you.
Now i'm not sure wether to take my script to work to get it dispensed and then have a little chat with my boss ( who is also a good friend) or should I be somewhat sneaky and go to another pharmacy?
Also, is now the time to tell my dad?
Overall, I feel better to know that i'm finally getting some sort of help and have accepted this illness is a part of me that needs treating.

I like to dress up as a peapod sometimes.
http://thecatbatprincess.wordpress.com/

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cazxxxx


Member

Posted Sun Jul 17th, 2011 5:13pm Post subject: So I've go my first psych appt....

Hello. Glad you are feeling positive.

"Overall, I feel better to know that i'm finally getting some sort of help and have accepted this illness is a part of me that needs treating".

This is how I feel. It took my 12 years to get a diagnosis. I had to insist on it, as my usual GP just kept throwing anti depressants at me.

Up to you if you tell your boss. I would go somewhere else though.

You dad would like to know, I'm sure.
Have you been ill for a long time and he has worried about you?
He will be relieved to know you have a name for your illness and are getting support now.

My daughter has it, but is worse than me, yet she refuses to get diagnosed. It's hard being a parent to someone who is ill and hard to live with, especially as I have it too.

Let us know how you go on!

I am Marmite - I love me and hate me!

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The CatBat Princess


Member

Posted Sun Aug 7th, 2011 4:14pm Post subject: So I've go my first psych appt....

I haven't posted for a while..
For many reasons, though mainly because I don't have much access to the PC and I never seem to have a lot to say anymore.

I'm feeling somewhat fenced in and caged. I can't get excited or cry. I still feel trouble brewing. I cannot sleep so i've been given zopiclone. However these make me so drowsy the next day that I feel like I can't function. I'm a total zombie and have to spend most of the day in bed which is not easy with a 6 month old baby.

I feel ' depressed' and also irritable still yet my mind still races. I know i'm not happy, and i'm not me. I put depressed in brackets because I feel so restrained with my emotions, like I said I cannot cry etc, but I do have a sense of unrest and despair underneath it all.

I went to what I thought was an introductory 'Art Therapy' session last week and had to take the baby with me, I figured it'd be ok just the once becasue surely at the first session all anyone ever does is fill in paperwork- Wrong!! I was turned away and felt useless. I burst into tears and felt like crashing the car on the way out. How can someone with obvious mental health problems be turned away when feeling like this. If it were me I would have kept up the pretense.

My boss came to see me as she wanted me to fix some jeans, I'm sure she wanted me to open up and talk outside work ( she's also a friend) but I just couldn't. I wanted to but couldn't find the words. It's like that with everyone now.
I feel like I want to be a recluse and not see anyone, which probably isn't healthy, but I just can't be arsed with anyone to put it bluntly.
I'm plannning a birthday party to celebrate my 29th in a couple of weeks time and do not have the energy or enthusiasm for that either, but I don't want to cancel and let everyone down.
Also, I keep having awful dreams, more like night terrors. This has been going on for ages.
Also, I keep thinking how I could really do with a nice stay in a hospital away from the world and then think ' Oh God, what am I saying? What about the baby? etc etc etc I just feel fed up with the drudgery of life I suppose.

I spoke to my Dad and he's really supportive, he is very understanding. We've not spoken alot about it but i'm going to stay with him soon so maybe we'll have a chat then.

Thanks again for the replies, I do read other threads. I don't want to appear like a self obsessed so and so, I just find it easier to update this thread as it is personal to me.

I like to dress up as a peapod sometimes.
http://thecatbatprincess.wordpress.com/

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michael


Member

Posted Mon Aug 8th, 2011 6:01pm Post subject: So I've go my first psych appt....

geeze CatBat, i'm so sorry you got turned away! some policies about kids & babies are just not very helpful. but it's probably what seems best & convenient for the people working there. NOT a reflection on you as a person. i'm sorry you were turned away!

i've had that kind of restless depression before. it is very strange because you look up MOST info about depression and it doesn't fit.

i've had the totally-stuck-in-mud depression before, too, and that's when i started taking meds.

myself, i did not end up being diagnosed as bipolar, but was put on generic wellbutrin / bupropion.

in my opinion, the restless-depression is very dangerous. other people may not notice it or understand it, and it lacks the stuck-in-mudness that sometimes keeps me from using my energy against myself (hope that makes sense)

if your dad is a great person for you, then staying with him is a great move! maybe you can get some of the burden lifted off of you and also feel like there's someone around to watch you without feeling like you have to be an entertaining person. hope it goes ok.

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

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The CatBat Princess


Member

Posted Wed Aug 10th, 2011 10:37am Post subject: So I've go my first psych appt....

Thanks Michael - it's good to know other people feel the same.
I've just been to see the doc today and she was going to up my meds but then decided it might be better if I simply had a hand with the baby and that I needed to take myself off and just leave her with my husband one afternoon at the weekend. Maybe this will help? I'm seeing her again in a couple of weeks. I do hope the rest helps, especially next weeks little holiday.
Oh and I went again to see the 'art therapist' yesterday, this time on my own - dunno if it's going to help. I still feel a grudge towards her. Oh and we did fill in forms etc!!

Love to all
x

I like to dress up as a peapod sometimes.
http://thecatbatprincess.wordpress.com/

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The CatBat Princess


Member

Posted Sat Mar 17th, 2012 6:18pm Post subject: So I've go my first psych appt....

Hi all, I just wondered if the other brits out there felt the same as me- that there isn't any real help from the NHS for us?
Am I going to have to spend a fortune for decent therapy?
The psychiatrist has decided that I don't need to see him again as i'm doing ok at the moment. He was slightly concerned that I decided to stop all meds a few months ago- but you know what It's working for me at the moment. I just don't seem to find anyone who can actually help or offer the support I need. Unless I end up out of control I want to be med free. Yet this is all I seem to get offered.
There is a huge waiting list for CBT and even then i'm told the funding may be stopped. What do I do? I feel I need some direction, someone who can guide/ support/ understand/diagnose me clinically. My friends and family, even though they can be very supportive in their own way aren't very good at tracking my changes cos I hide it all so well and I worry that It shouldn't be when I implode that help is finally sought.
Is a specialist neccessary? Should I pay to pour my heart out to a psychiatrist and hope they can see through what i'm trying to say and piece me together? I suppose i just want to know one way or the other what is wrong with me and need answers. I always get the feeling that i'm wasting people's time, maybe if i paid then they would 'care'?

I like to dress up as a peapod sometimes.
http://thecatbatprincess.wordpress.com/

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michael


Member

Posted Sun Mar 18th, 2012 3:46am Post subject: So I've go my first psych appt....

I'm not a brit but after bein on here for about four years or so, it does seem like I've read many many other complaints of not getting talk therapy / counseling / CBT through NHS.

That's pretty crumby.

But, not too unexpected... in the US even if you are fortunate enough to have insurance, not many policies cover mental health or counseling.

Is there such a thing as group therapy where you live, or a support group that meets? I know that may not be your thing, but it could give you a bit more support or folks who can guide you to other local helps.

i'm sure a brit can help you much more than I

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

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greentree


Member

Posted Wed Mar 21st, 2012 1:29pm Post subject: So I've go my first psych appt....

Hey Catbat

Guess it depends on where you are in the UK - the old postcode lottery, i think! I'm in brum, and when i saw the first psychiatrist, he referred me for counselling. That was done by social services (rather than the NHS) for some reason, and i waited about 8 months, and got 10 sessions with them before the day centre closed (lack of funds again.....). Actually, that turned out to be a good thing, cos i didn't like the counsellor at all, and she was happy to refer me back to the NHS psychological services people. After another ten months wait, during which i had three assessment sessions with the psychology people - i started psychodynamic psychotherapy last Jan. See the woman every week, and it's still going on now. It's been so good for me, and i rekcon i'm dead lucky to get it.
The average time it takes to 'treat' people is about 2 years, and the average waiting time is also about 2 years (according to the psychiatrist that i saw first). It sucks that some people can't even get CBT in some areas..... i don't get how they figure out who gets what and when - it's nuts!

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ArleneA


Member

Posted Wed Mar 21st, 2012 2:46pm Post subject: So I've go my first psych appt....

I shall never ever forget my first meeting with my psychiatrist. It was 2008, a few months before I was diagnosed with Bipolar.

I had been admitted to hospital for the first time ever. They were sure it was a "manic episode" I had no idea what was wrong with me; but I was very very happy! I just thought all the health professionals were trying to spoil my fun. Anyway my psychiatrist walked into the room where I was waiting. He firmly shook my hand, made me feel at ease. Then for the life of me I could not stop laughing. I had to focus on a picture on the wall. He said "what are you doing?" I said, "I am sorry but your face just seems so very funny to me and I must therefore focus on that picture on the wall." I then added "Is that ok??" He just smiled and say yes of course.

OMG I don't know what he must have thought; but he took it all in his stride and never once got angry with me. He was my consultant psychiatrist for nearly 4 years and I was devastated when last summer he announced he was emigrating to Australia. I was in tears.

I have since got another psychiatrist but I feel like I am starting from scratch. He also does not shake my hand like Ben did. He is Indian and I guess it is a culture thing. I felt sad the first time I walked into the room and alas there was no shaking of the hand

"This is me - don't try and change it..."

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ArleneA


Member

Posted Fri Mar 23rd, 2012 7:11pm Post subject: So I've go my first psych appt....

ArleneA said:
I shall never ever forget my first meeting with my psychiatrist. It was 2008, a few months before I was diagnosed with Bipolar.

I had been admitted to hospital for the first time ever. They were sure it was a "manic episode" I had no idea what was wrong with me; but I was very very happy! I just thought all the health professionals were trying to spoil my fun. Anyway my psychiatrist walked into the room where I was waiting. He firmly shook my hand, made me feel at ease. Then for the life of me I could not stop laughing. I had to focus on a picture on the wall. He said "what are you doing?" I said, "I am sorry but your face just seems so very funny to me and I must therefore focus on that picture on the wall." I then added "Is that ok??" He just smiled and said yes of course.

OMG I don't know what he must have thought; but he took it all in his stride and never once got angry with me. He was my consultant psychiatrist for nearly 4 years and I was devastated when last summer he announced he was emigrating to Australia. I was in tears.

I have since got another psychiatrist but I feel like I am starting from scratch. He also does not shake my hand like Ben did. He is Indian and I guess it is a culture thing. I felt sad the first time I walked into the room and alas there was no shaking of the hand

Oh my goodness, I just went in to correct a spelling mistake in here and it has duplicated the whole post. I am sorry.

"This is me - don't try and change it..."

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