therapy

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black_rose_99

Well-Known Member
#1
Well.

I finally got to see one of the counsellors offered through my workplace today. I know they're not a long term solution, but her helpful advice of "I won't be able to see you every week, nor will I be able to offer you long term support" combined with "you're not a real borderline, because real borderlines do x y z" was not ideal. I know that I haven't had an official diagnosis, and there is a part of me that knows that she cannot give me a diagnosis because she's a counsellor not a psych doctor, but that was part of the reason I was there - to find out how I can GET an official diagnosis. In fact there are a number of diagnoses I think would apply - but don't we all think that? Dismissing my concerns, which is exactly how I felt, did NOT help the situation. AND GOD I HATE THOSE AWKWARD SILENCES!!!

Still, she has given me some details on who to go to next. Just feels like an entirely endless cycle, and I wonder what the point is. I'm often told I have a lot of insight into my problems like this is supposed to be a good thing. The thing is, I might have insight into the reactions I have, identifying them, knowing they're not rational - but that doesn't help me STOP the reactions. Sometimes I wish I didn't have insight, because the insight just makes the problem worse - I know there's something wrong, I just don't know how to fix it, and the more that I think about the fact that I have "insight" and therefore should be able to fix it, the worse I feel for not being able to fix it. Ya know?

Anyway, so I have her paperwork to go somewhere else and no follow up visit with her so I guess I'm back on my own to sort out trying to find somewhere else to go and fix my messed up brain.

What I'm not clear about in the meantime is medications. Is it worth going to my GP to ask her to prescribe some medications? I've tried to read a bit about this, and I'm concerned. I know that I have depression, but I also think there's something else there - borderline, bipolar or schizoaffective I haven't quite decided. So if I take antidepressants when I need antipsychotics, is it worth messing around with until I have a diagnosis? This is the only reason I'm concerned about having an official diagnosis - so that I can get the right meds for it, and to understand what I'm actually dealing with. Any thoughts?
 

Domo

Well-Known Member
#2
I think insight is a great thing but in my opinion you are taking it one step too far and basically trying to diagnose yourself. This is dangerous because it is much more complicated then it appears.

Most GPs do not have the experience with mental health and won't prescribe much more then an antidepressant. And in my opinion they shouldn't be giving out things like anti psychotics.

I think you need to get a referral to see a psychiatrist. Work with them to try and find out what's wrong. Which can often take many sessions. It's not so black and white as ticking off a diagnostic criteria.
 

total eclipse

SF Friend
Staff Alumni
#3
Agree with what Domo has to say totally. Get a psych evaluation okay or a psychologist evaluation a professional one. don't be second guessing this it is important to get a proper diagnosis so the right medication can be given hugs
 

black_rose_99

Well-Known Member
#4
Hi guys,

Thanks so much. You’re totally right – I have a tendency to overanalyse and see problems when they aren’t there, am forever anticipating. Trying to do less of the self-diagnosis and more of the let’s get help. Am going to follow up with the services she recommended, see about going back to GP for a referral to a proper psych and try to deal with one thing at a time.

Thanks for taking the time to reply
 
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