• Please read the thread in Forum News and Announcements pertaining to race related discussion on SF - thank you :)

Psychiatrist

#1
Ive got an appointment coming up for an assessment, that im really worried about going to. So much so that I am seriously bordering on cancelling I had an earlier appointment but I cancelled it only they just made me another one. The appointment is with a psychiatrist and a personality disorder specialist at the same time. So yeah its daunting as well.

Im worried about what a diagnosis would mean for me. Changing meds when I don't really want to or other meds being added. I really don't want a diagnosis of anything else. I'm worried about how a diagnosis will change things. I feel if I'm given a diagnosis of something serious then they will totally overreact and I will be hospitalized against my will. Does a bad diagnosis mean you don't have capacity when you feel suicidal? I mean, if I'm diagnosed with something and then feel suicidal, wil it affect how people treat me?
I have quite a lot of worries about this appointment.
I've gone through a cycle, for a long time, of having a few days where I get little or no sleep, I feel good, and have energy, and then having a few days where I sleep a lot, have no energy, and feel awful
I really don't want to talk about my past again. Will that come up?
If I'm diagnosed as having bipolar, then maybe I'll have to report that and pay higher car insurance and notify the dvla.
I like the days when I feel good and have energy

I don't want to have to take medication for the rest of my life

What should I do?
 

sinking_ship

woman overboard
Forum Pro
SF Supporter
#2
Try not to panic. You should go to the appointment. If they diagnose you with something, all that it means is it makes it easier for them to know how to treat you. It doesn't change who you are. I don't know whether your past will come up. If you've been through trauma that's probably useful information, though I don't know for an assessment that they would go into detail. And you don't have to take whatever meds they recommend, right, so just one step at a time, and cross that bridge if you get to it. *hug good luck
 

Sunspots

Pffffeckn amazin
Safety & Support
SF Supporter
#3
Hi Flower

I remember my first psychiatrist appointment. I was absolutely terrified.

If you get a diagnosis of bipolar you will need to notify the DVLA but it doesn't mean you will have your license taken away. That will only happen if you are deemed to ill to drive and will be reassessed every few months.

A diagnosis, if you receive one, won't make it any more likely that they'll take you into hospital. The NHS do everything possible to keep people out as there's such a lack of beds and funding. In fact, some diagnoses make it less likely you'll be admitted. My psychiatrist told me that they really try not to admit people with BPD as generally they don't find it helps.

Nobody wants to take medication for the rest of their lives. I was told I'd likely never be able to come off of medications and I was sooooo pissed off. But now I've accepted that and if taking medication for life means it helps me to carry on living as normal a life as possible I'm okay with that.

Honestly, the appointment won't be as scary as you're imagining. You're still in control, they're there to help *hug
 
#4
Hey Flower. I haven't got much to say, everything to be said has already been said. I would just stress that these people are there to help you. Try and go ahead with the appointment. If you get a new/adjusted diagnosis, it will, if anything, reduce your odds of an admission, because you would be getting the right treatment. As for meds, well, I don't think anyone likes taking them and the thought of being on meds indefinitely is distressing however if they help it's for the best. We care for you here. Take care and big ((hugs)).
 
#5
What should I expect to happen at this appointment? I'm guna have 2 of them at the same time, that's really scary. 2 people sat judging me, trying to figure out whether I'm crazy or not. I just dont know what to expect . I'm still worried though
 

Sunspots

Pffffeckn amazin
Safety & Support
SF Supporter
#6
What should I expect to happen at this appointment? I'm guna have 2 of them at the same time, that's really scary. 2 people sat judging me, trying to figure out whether I'm crazy or not. I just dont know what to expect . I'm still worried though
They'll just talk, ask you questions about how you're feeling and listen. They might ask you to answer a load of yes/no questions on a sheet of paper which would help to identify any personality disorders (but even if they do, they wouldn't diagnose just based on your answers).

A psychiatrist predominantly is concerned with medications so I guess a lot of the conversation will be around that and they will always listen to your views on it and make any decisions in conjunction with you. You're not going to be forced into doing anything you're not comfortable with.
 

Sunspots

Pffffeckn amazin
Safety & Support
SF Supporter
#8
Ok thank you @Sunspots . I stil don't get why I need 2 people for the same thing though :/
I'm guessing the psychiatrist is there for a general overview, possible diagnosis and medication while the personality disorder person is there to help with any assessment for personality disorders and subsequent pathways within the community mental health team.
 
Last edited:

Sunspots

Pffffeckn amazin
Safety & Support
SF Supporter
#9
The personality disorder person won't be qualified to give a diagnosis (in the UK that would have to come from a psychiatrist or psychologist) but they will have in depth knowledge of options open to you if the psychiatrist thinks it's appropriate.
 
#10
Like @Sunspots said, they're not likely to put you into the hospital against your will, even if you're given a new diagnosis.
Ok, so it looks like you would have to notify them. On the other hand, not getting proper treatment is putting you at higher risk for an accident, which would be far more costly and dangerous in the long run, as well as a danger to others.
I mean, if I'm diagnosed with something and then feel suicidal, wil it affect how people treat me?
You really don't have to tell anyone what your diagnosis is, except medical personnel. Telling medical personnel probably would make you better off, and not any worse off.
I really don't want to talk about my past again
If you're asked about your past, I think it would be ok to refuse to answer if you don't feel comfortable. The psychiatrist really only needs to know about your symptoms, so you really wouldn't need to say more than that to get a diagnosis and prescription for medication.
I like the days when I feel good and have energy
Getting the right treatment may mean that you'll be able to get some sleep, but still have periods when you'll feel good. You could tell the psychiatrist what you want the goal of your treatment to be.

Getting the right medication will probably make you happier and safer.

It may help to write down information relevant to getting a proper diagnosis, to make sure you don't forget, or that anything gets missed.

@Butterfly , do you want to comment on this?
 
#11
I know, I get what your saying about funding and no beds and stuff, it just really really worries me because then I have to find answers to questions that I can't answer and I don't want people knowing about stuff. I scares me because what if I'm the 'fuck up' case. The case that fidnt need to be there but was forced, and it does happen. Im very easily misunderstood frequently so it does worry me a lot. If I could sleep and feel good I would like that.
Thanks everyone for helping. I do appreciate it very much. I guess I just worry too much. That's just who I am.
I know what goes through my head and so i know how bad things are. If I tell them the things that go through my head, their reaction is what worries me. There is a high chance they will over react.
 
#12
There is a high chance they will over react
Mental health professionals are probably going to act a lot differently compared to non-mental health professionals. Talking about and addressing mental health issues is what they do. Also, because of funding restraints, they probably wouldn't put you in a psych ward even if you begged them to.

I understand why you'd be worried, but I think you're fears are exaggerated.
 

sinking_ship

woman overboard
Forum Pro
SF Supporter
#13
As far as I understand it, the only way they will try to send you to the hospital is if you are an imminent risk. That is, you say you have a plan and intend to follow through. Just having suicidal thoughts is a fairly 'normal' thing for them to see.
 

Sunspots

Pffffeckn amazin
Safety & Support
SF Supporter
#15
Thank you. So, just to be clear, I'm bpd, I have method and I have means, if I tell them this when I go, they won't send me hospital?
Ah okay, that totally explains why the person from the personality disorder team is there. They're probably looking into what therapy is most likely to suit you - they may be able to offer you DBT which would be great as it's not available in some places. They generally don't like putting people with BPD in hospital unless they are literally about to make an attempt (I'm BPD too). I have regularly told my psychiatrist and CPN that I have my method ready and I intend to use it but have not been admitted to hospital (I was in hospital once but that was a whole different scenario). I would imagine if you tell them that you're going to walk out of their office and use it that day, they may feel differently but generally they'll get the crisis team involved before any hospital admission.

Having said that, if you think you are in imminent danger of making an attempt hospital may be a good place to be, even if only for a few days. If you go in as a voluntary patient you have far more freedom. You can keep your phone with you, leave the hospital to meet with family/friends or to go for a walk, shopping etc - they generally just need to know where you're going and when you'll be back.
 

Sunspots

Pffffeckn amazin
Safety & Support
SF Supporter
#18
I think it could be cancelled anyway lol, wel that's what im hoping for anyway.
*hysterical
Honestly, I was absolutely shit scared before my first appointment. My husband took me and I actually tried to jump out of the car at one point and when we got there I had a total meltdown and refused to get out of the car. With hindsight it probably didn't paint me in the best light when the psychiatrist had to come out to the carpark and persuade me to go in *hysterical
 
#19
Can I ask you, what was you scared of ? How did u explain everything to your husband so that he understood, I have trouble explaining things well so I just always look like im being really irrational or making excuses for stuff and then I just get defensive send dont try to explain lol

Wa your fears justifies once you went in? Sorry ive just got a million and one questions and im alone in this
 

sinking_ship

woman overboard
Forum Pro
SF Supporter
#20
*hug it’s understandable to be scared when you don’t really know what to expect. It’s not stupid. Just don’t let being scared stop you from getting the help you need
 

Please Donate to Help Keep SF Running

Total amount
$90.00
Goal
$255.00
Top