Firstly he told me my lithium level came back low at 4.1. He then accused me of not taking my meds, which is NOT the case, I take all my meds religiously. I told him twice that I was taking the prescribed dose. He grunted and moved on. I would have expected him to increase my dose back to 1000mg, which is what I had been on for ages, but they dropped me to 800mg for a reason I can no longer remember. So I am not properly medicated.
He then said I could go back on risperidone. I sat there thinking. (Thinking that if I go back on it it might make me more ambivalent and hence suicide harder to commit). Again, he moved on, and I had to ask my cpn after the meeting if I was supposed to start back on risperidone. He said no. So yet again, I am not properly medicated.
I brought up the fact that I feel angry, irritable, guilty and of low mood. I was told I am already on 2 antidepressants so my mood issues must be down to issues in my life, not anything biochemical. This is despite me having a long history of being OK on an antidepressant for a few years, and then needing to change. I really should have pointed out that a year ago I had all the same issues with my life, in fact I had just lost my girlfriend to suicide, and yet I was NOT depressed. But I wasn't strong enough to argue my point.
They asked me if I had a plan and so I said yes. They asked what, so I told them, and then they shouted that we weren't going to discuss suicide because we should only discuss positive things.
THREE times, the psych said that "all people go through rough patches in their lives." After the third time I actually said, "That is utter bollocks, with depression it is a totally different disabling problem." He said nothing. At least he didn't say anything more about "normal ups and downs." Quite frankly his comments are ones I would expect a layman to make, not a consultant psych.
He complained that he has seen me 7 times this year, "more than any other of his 600 patients." He chose the appointment times, not me. I am supposed to see him again in Oct. Not sure I'll bother going.
The good news is that he is a locum who is only here for a year and so in 2 months there will be a new psych. Hopefully one who listens. You see I was most ill when living in Oxford as a student and after being a student for a while. Nobody up here has seen me THAT ill. I don't think I am being taken seriously at all.
They also said that I am a "clear thinking, intelligent adult, and if I chose to end my life it is my decision." I tried to make the point that mental illness is ubiquitous in suicide, and they just said, "We're not going to talk about suicide."
I am soooooooooooooooooo angry. And left sooooooooooooooooo hopeless. It's like they have given up, there is nothing that can be done, best leave me to it... And I WANTED help.
Mixed-and totally-fucked-KSx
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"Having a great intellect is no path to being happy."
~ Stephen Fry
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