Jump to content




Photo

Psychiatrist won't disclose diagnosis?


  • Please log in to reply
31 replies to this topic

#1 kitkatt91

kitkatt91

    Member

  • Member
  • Pip
  • 214 posts

Posted 01 February 2013 - 12:39 AM

So I had received a bipolar w/psychotic features dx from the hospital, but upon seeing my personal pdoc today (who already had me on several AAP's), he said they were wrong. I haven't had a manic episode so I was not bipolar, he said. So he took me off the mood stabilizer, and back on straterra to get rid of my apathy/isolating,  He kept me on the seroquel though because he said "we need it to keep you glued together". That was his sole explanation for the medication and he won't let me stop taking it. I'm getting really bothered and a little scared though because he won't tell me what my medication is for, or what he thinks my diagnosis is. I experience psychosis but I don't know why I experience it. My pdoc claims that my seroquel is "FDA approved", but I am not bipolar, and I don't have depression. 

 

I am afraid that he is hiding it from me. I am afraid that something is wrong with me, I miss how simple it was when I thought I just had depression. My boyfriend thinks I am schizophrenic, but that is somewhat of a frightening notion for me. 

 

I'm not really looking to ask if I am schizophrenic, but I am curious if anyone here had a pdoc that doesn't discuss your dx? Can someone even withhold that information? Can a person be given a medication like this without being told why? Its really frightening not knowing and I'm getting very nervous :/


297.50

300.02

307.1

 



#2 radicalfeminist

radicalfeminist

    sometimes you climb out of bed in the morning & you think, I'm not going to make it, but you laugh inside — remembering all the times you've felt that way

  • Member
  • Pip
  • 647 posts

Posted 01 February 2013 - 12:44 AM

How old are you? The mental institution where I am treated on an outpatient basis - their policy is that if you're fourteen and over you have the right to access your medical records and diagnoses with no questions asked. It's not legal for them to withhold it. If you're under fourteen then your parents can make those decisions. Plus, it's just strange to me that your doctor won't disclose your diagnosis. I think that seems a little off. Usually they tell you once they're sure so that you can become familiar with it and access services for your specific conditions.  :huh:


Psych DX: MDD, dysthymia, OCD, GAD, SA, panic disorder, EDNOS.

Meds: Wellbutrin 450 mg, Zoloft 200mg, Quetiapine XR 150mg.


#3 WinglessFaery

WinglessFaery

    Member

  • Member
  • Pip
  • 424 posts

Posted 01 February 2013 - 12:47 AM

I cant see your sig cause im on my phone but do you have anxiety? I took seraquel before my bp diagnosis for anxiety and my mom is on it for anxiety right now.

I dont know where you live but in USA you are aloud too request medical files so I doubt he can keep any info from you but he might not be sure of a diagnosis right now. Could that be it?
Dx BP I Rapid Cycling, GAD, Social Phobia, Panic Disorder,PCOS

Rx lamictal 300 mg, Busprone 60 mg, Lithium 1000 mg, Vistaril 50 mg ( which doesnt do squat),Metformin 2000 mg

Previous Rx zoloft, prozac, lexapro,seraquel, depakote, xannax, ambien, trazadone, abilify, cymbalta

<p>[color=#40e0d0]Mental Illness is a flaw in chemistry not character.[/color

#4 Guest_Vapourware_*

Guest_Vapourware_*
  • Guests

Posted 01 February 2013 - 01:05 AM

Seroquel is used for a lot of purposes. I'd keep pressing your doctor for why exactly he has you on the drug, because it sounds like it's making you anxious.

 

My pdoc didn't talk about my diagnosis with me for over a year. At the time, I found it pretty frustrating because I wasn't exactly sure what I had, and I know I pushed him a few times to give me a straight answer. He used to deflect it by saying that he thought all disorders were on a spectrum and that he was there to treat symptoms. Which I agree with, but I still wanted a name for what I was experiencing. 

 

With hindsight, now I know that my pdoc was trying to make up his mind and didn't want to make a hasty decision. He didn't tell me my diagnosis because he himself wasn't sure of what I had. Once it became clear to him, he was more than ready to tell me and give me an explanation of my diagnosis. 

 

While I did find the experience frustrating because I felt like I didn't have answers, after talking to some people - I'm glad he took his time. I've heard of people who were given snap diagnoses that were wholly inaccurate. A friend of mine was given a schizophrenia dx when he doesn't have schizophrenia and his psychotic break was related to past trauma. I know I was given snap diagnoses in the past that were inaccurate too (major depression, BPD was floated on my head) and was then given inappropriate treatment. 



#5 melissaw72

melissaw72

    My mind works like lightning. One brilliant flash and it's gone.

  • Member
  • Pip
  • 19649 posts

Posted 01 February 2013 - 01:46 AM

Can you get a second opinion?


Current Psychiatric Dxs ... Schizoaffective, bipolar type; Anxiety disorder, PTSD, agoraphobia

Also recovered Anorexic/Bulimic finally after 20 years.

Current meds: Provigil, Klonopin, Xanax, Naltrexone, Wellbutrin, Abilify, Lamictal, Prozac, Lansoprazole, Linzess, QVAR inhaler, Xopenex inhaler, Methimazole, Flonase, Propranolol, Flexeril, Zofran.

Any questions just ask :)

 

"I've learned so much from my mistakes, I think I'll make a few more."


#6 Parapluie

Parapluie

    Cactus Grenade Girl

  • Inmate
  • 2100 posts

Posted 01 February 2013 - 01:14 PM

I think you should be able to request this information from your pdoc and make it clear that it's making you incredibly anxious not to know why you're taking your drugs. You have the right to know these things about yourself. But, like Vape said, he may be taking his time to decide what exactly he wants to diagnose you with.

 

Keep in mind, diagnoses change over time and reflect the progression of the illness. So what you're diagnosed with now may change in the future. For example, I've been diagnosed with major depression, bipolar NOS and now schizoaffective. Schizoaffective describes my condition best, but the other diagnoses did fit me at one point in time. Try to think of diagnoses as a fluid thing.

 

I hope you can get some answers soon.


Schizoaffective disorder - bipolar type, ADHD, mathematics disorder
Effexor XR 300mg, Lamictal 200mg, Ritalin SR 20mg, 
propranolol 20 mg PRN


#7 enlightened_plutonian

enlightened_plutonian

    The boundary between reality and delusion is currently out of the office

  • Member
  • Pip
  • 3568 posts

Posted 01 February 2013 - 03:20 PM

I'd be very annoyed if my pdoc didn't tell me my diagnosis. I think it is important to be allowed to know if you want to know, and it is always good to know what your meds are for even if they can only tell you symptoms at this stage. If it were me I would keep asking until I am told something.


Current diagnosis = psychosis NOS
History = depression (remission since April 2009), SI (remission since April 2009), alcohol abuse (remission since March 2007)
Past false dx = BPD (only symptom I had was SI), schizophrenia (I was very sleep deprived at the time)
Also have diabetes and pain issues (undiagnosed) and hayfever (April - June)

Current meds = Seroquel 800mg XR (as 400 in the morning and 400 in the night)
Also on insulin and Microgynon

I am not deluded, I just don't agree with your reality!

#8 LunaRufina

LunaRufina

    Briefly entertaining the possible outcomes of awkward moments...

  • Inmate Emeritus
  • Pip
  • 4373 posts

Posted 01 February 2013 - 03:27 PM

If I'm taking medication I want to know why.

 

Are you in mandatory treatment?


"...what you spend years building may be destroyed overnight.
Build anyway.

People really need help but may attack you if you do help them.
Help people anyway.

Give the world the best you have and you'll get kicked in the teeth.
Give the world the best you have anyway.”

― Kent M. Keith, The Silent Revolution: Dynamic Leadership in the Student Council"

#9 kitkatt91

kitkatt91

    Member

  • Member
  • Pip
  • 214 posts

Posted 01 February 2013 - 03:58 PM

Thanks everyone, Parapluie that was really helpful, too. I've been seeing psychiatrists for most of my life so I forget sometimes that I have to be patient and that I'm still being pieced together. I'm not the person I was at 15. Even the hospital I left wasn't totally convinced I had bipolar, but they interpreted my instability as mood swings. I had my first episode that was deemed psychotic shortly after turning 19 and I had another one last year which I had while seeing my current pdoc. I started to go into another one and he put me on med, first saphris as needed, and then seroquel every day. He didn't say why, just that it "might be time", so my psychiatrist is still figuring things out, maybe. I just want t know what he is trying to figure out because I am so anxious not knowing, while my whole family is standing around me speculating. I want to know if he thinks these episodes are going to continue to happen and not to be shut out of my own treatment like I feel right now. I feel very blind.

 

Luna, its not legally mandatory no, but if I don't stick to my treatment then my family has made it pretty clear that they will try to get conservatorship. Also, I'm most likely going to end up homeless if I am not compliant.

 

I just feel like I've been in this position for so long, someone should know what's going on already, I am tired of just feeling like a troubled teen again, everyone thinks I'm crazy but I don't know why. I wonder sometimes if my doctors already know what is going on and they are hiding it from me. I think that a lot. When I ask a therapist or a psychiatrist what is happening they are always very vague...hearing that I'm "not glued together" and speaking in symptoms. When I was younger people were so sure of what was happening, now everyone just talks in metaphors which is either a way to distract me or to stall. Doesn't a doctor have to have a diagnosis of some sort? I mean, what am I being billed for?

 

Oh well. I'm switching doctors. :(


297.50

300.02

307.1

 


#10 WinglessFaery

WinglessFaery

    Member

  • Member
  • Pip
  • 424 posts

Posted 01 February 2013 - 04:10 PM

You are underaged? Just a thought been ive heard of doctors who are hesitant too give certian diagnosis too people until they reach a certian age. Idk if it has too do with insurance companies not paying for treatment of certian diagnosis in minors or what. Thats just speculation though I might be talking out of my ass lol.
Dx BP I Rapid Cycling, GAD, Social Phobia, Panic Disorder,PCOS

Rx lamictal 300 mg, Busprone 60 mg, Lithium 1000 mg, Vistaril 50 mg ( which doesnt do squat),Metformin 2000 mg

Previous Rx zoloft, prozac, lexapro,seraquel, depakote, xannax, ambien, trazadone, abilify, cymbalta

<p>[color=#40e0d0]Mental Illness is a flaw in chemistry not character.[/color

#11 Savannah

Savannah

    Member

  • Member
  • Pip
  • 650 posts

Posted 01 February 2013 - 04:13 PM

MY pdoc always used Bipolar NOS when requesting lab work (he does a lamictal level from time to time) but when I applied for disability he said Bipolar, Type 1, current episode manic.

My old pdoc had me as Type 1 and I was glad to know the new pdoc agreed.


Bipolar 1 with psychosis

Current meds: geodon 160mg, seroquel 500mg, prolixin 5 mg, lamictal 500mg, zoloft 150mg, trazadone 200mg, rozerem 8mg, Provigil 200mg


#12 kitkatt91

kitkatt91

    Member

  • Member
  • Pip
  • 214 posts

Posted 01 February 2013 - 04:25 PM

You are underaged? Just a thought been ive heard of doctors who are hesitant too give certian diagnosis too people until they reach a certian age. Idk if it has too do with insurance companies not paying for treatment of certian diagnosis in minors or what. Thats just speculation though I might be talking out of my ass lol.

 

I'm 21! :P When I was underage it seemed a lot easier, but maybe my symptoms were easier at that time, too. 


297.50

300.02

307.1

 


#13 WinglessFaery

WinglessFaery

    Member

  • Member
  • Pip
  • 424 posts

Posted 01 February 2013 - 04:27 PM

Oh lol sorry!
Dx BP I Rapid Cycling, GAD, Social Phobia, Panic Disorder,PCOS

Rx lamictal 300 mg, Busprone 60 mg, Lithium 1000 mg, Vistaril 50 mg ( which doesnt do squat),Metformin 2000 mg

Previous Rx zoloft, prozac, lexapro,seraquel, depakote, xannax, ambien, trazadone, abilify, cymbalta

<p>[color=#40e0d0]Mental Illness is a flaw in chemistry not character.[/color

#14 kitkatt91

kitkatt91

    Member

  • Member
  • Pip
  • 214 posts

Posted 01 February 2013 - 08:02 PM

haha no problem :P

 

Yeah I had a talk bout it today, I don't know if my pdoc even has a diagnosis for me or if that's being figured out still. I'm just so frustrated and anxious because I want to know what is happening with me because I feel like I'm deteriorating and I don't know why. I just keep thinking that people are hiding something from me, I even feel like that toward my parents. I'm looking for a new pdoc right now though so I can get another opinion. I was almost happy before when I was diagnosed Bipolar I because I felt like at least there is a name for what I'm going through. Now I don't have a name anymore, its back to dealing with just the confusing symptoms.


Edited by kitkatt91, 01 February 2013 - 08:06 PM.

297.50

300.02

307.1

 


#15 notfred

notfred

    Member

  • Member
  • Pip
  • 2426 posts

Posted 01 February 2013 - 08:24 PM

haha no problem :P

 

 Now I don't have a name anymore, its back to dealing with just the confusing symptoms.

 

 

Well symptoms are all they treat in psychiatry so that is a good place to start.



#16 Parapluie

Parapluie

    Cactus Grenade Girl

  • Inmate
  • 2100 posts

Posted 01 February 2013 - 08:31 PM

I completely understand wanting a name for your symptoms. It's comforting to know that you can fit into a little box, that other people fit into as well. It helps you feel not so alone and confused. 

 

I'm so sorry that you don't have any answers yet. Maybe print out your last reply and hand it to your pdoc. Because, I think you really hit the nail on the head when you said:

 

I was almost happy before when I was diagnosed Bipolar I because I felt like at least there is a name for what I'm going through. Now I don't have a name anymore, its back to dealing with just the confusing symptoms.

 

For some people, it's so important to have these labels. Yes, yes, it's just a label, blah blah blah. But for some people, it's very important to have a name for what you're going through. I am one of those people that needs a name too.

 

It's true that psychiatry only treats symptoms, so you will be dealing with the confusing symptoms likely for the rest of your life. Having a name for the symptoms can be very validating though. For example, getting my ADHD diagnosis was very validating. Yes, we only treat the symptoms, but knowing what was causing my symptoms was comforting. I hope that makes sense. 

 

Of course, the label shouldn't define you. But, that's a whole other kit and caboodle. 


Edited by Parapluie, 01 February 2013 - 08:33 PM.

Schizoaffective disorder - bipolar type, ADHD, mathematics disorder
Effexor XR 300mg, Lamictal 200mg, Ritalin SR 20mg, 
propranolol 20 mg PRN


#17 kitkatt91

kitkatt91

    Member

  • Member
  • Pip
  • 214 posts

Posted 01 February 2013 - 09:04 PM

Thank you so much. I guess I just want the validation or semi-peace of mind of knowing weher I fit. I've felt ostracized my whole life because there was always something that was off with me. I had experiences I couldn't control or explain, things that I thought were normal but as I got older people began to notice and be uncomfortable with. If I hide away I am okay, but trying to put myself into the world and be a normal 21 year-old I suddenly realize that I can't. I am really tired of just being called "crazy" by everyone, dismissed as crazy. Especially now that I am starting to lose control of things more and some of these symptoms I have not had before, or not in a very very long time. Hearing that my parents might have to take care of me or having a hospital hold me on grave disability...its terrifying because I don't understand it. I want to be a normal adult. My parents say I have been a different person for the last few years and the more I try to compensate and be normal the worse it gets. I've been waiting to crawl out of this, but its just getting worse instead of better. I want to know why. Maybe that isn't even relevant. I'm just tired of feeling like a visitor or a foreigner in my own goddamn head and I'm tired of not being functional and I'm tired of people treating me differently. There is so much disconnected inside of my mind that its impossible to be involved in the real world, and that grasp on the world that I depend on is getting thinner and thinner. I know my parents are looking at me like some kind of puzzle and I hear people talking about me, gossiping  trying to figure out what "went wrong". There is a lot of shame in that. I don't want to be defined by a label of course, but not having any answers myself and not knowing how to be any different feels very helpless....


297.50

300.02

307.1

 


#18 Parapluie

Parapluie

    Cactus Grenade Girl

  • Inmate
  • 2100 posts

Posted 01 February 2013 - 09:57 PM

My heart really goes out to you. You sound very confused, frustrated and scared. I know from experience that psychosis is absolute hell, I'm sorry you've had repeated episodes of it. I hope the Seroquel keeps the psychosis away. 

 

It's not healthy to hide away, but it's not healthy to pretend to be "normal" when you're obviously not able to function fully right now. I hope you can be kind to yourself, and see that you need care right now. Being "normal" isn't as important as getting the treatment you need and deserve. But I know how desperately one can want to be "normal." When I'm psychotic, all I wish is that I could be a "normal" 22 year old. Thankfully, my condition goes into remission between episodes, so I can pass off as "normal" most of the time. It must be pretty scary to think of being hospitalized or getting help from your parents against your will. But, if you become acutely psychotic and lack all insight, it might be necessary for a little while. 

 

I'm sorry people dismiss you as being "crazy." That must be so frustrating. You are a whole person with needs, wants and aspirations, you are not JUST a mentally ill person. It sickens me that people would dismiss your experiences like that. It also sickens me that people around you just gossip about you and your illness. Clearly, the people around you do not know how to make sense of your illness, nor do they have high regard for your feelings. 

 

I can't really give you answers. But, I do from my own research and schooling, that mental illnesses tend to flare up or make themselves known right around our ages. Young adulthood is a tumultuous time. For example, schizophrenia tends to make itself known in the young adult, hence why it's called "youth's greatest disabler." So, perhaps these new symptoms are a part of your illness progression. I'm not trying to say it's only going to get worse, not at all. In fact, this could be the worst before it gets better. And you're getting treatment at such a young age, there is hope for you (us). That's all I can really say about why you are experiencing these new and frightening symptoms. 

 

That was all a pretty big ramble. I just want to make it clear that you aren't alone. I have felt very similar to you at times. Please feel free to PM me if you'd like to talk.


Schizoaffective disorder - bipolar type, ADHD, mathematics disorder
Effexor XR 300mg, Lamictal 200mg, Ritalin SR 20mg, 
propranolol 20 mg PRN


#19 WinglessFaery

WinglessFaery

    Member

  • Member
  • Pip
  • 424 posts

Posted 02 February 2013 - 01:42 AM

I feel excatly the same way too im having too rely on my parents at 22 and seeing no sign of living a normal life anytime soon. Its kind of terrifying when I think of what the world expects of us at our age and we are just trying too survive.

I totally get wanting too know what your illness too. Lack of validation is one of my biggest fears.

Edited by WinglessFaery, 02 February 2013 - 01:43 AM.

Dx BP I Rapid Cycling, GAD, Social Phobia, Panic Disorder,PCOS

Rx lamictal 300 mg, Busprone 60 mg, Lithium 1000 mg, Vistaril 50 mg ( which doesnt do squat),Metformin 2000 mg

Previous Rx zoloft, prozac, lexapro,seraquel, depakote, xannax, ambien, trazadone, abilify, cymbalta

<p>[color=#40e0d0]Mental Illness is a flaw in chemistry not character.[/color

#20 melissaw72

melissaw72

    My mind works like lightning. One brilliant flash and it's gone.

  • Member
  • Pip
  • 19649 posts

Posted 02 February 2013 - 03:22 AM

Lack of validation is one of my fears also.


Current Psychiatric Dxs ... Schizoaffective, bipolar type; Anxiety disorder, PTSD, agoraphobia

Also recovered Anorexic/Bulimic finally after 20 years.

Current meds: Provigil, Klonopin, Xanax, Naltrexone, Wellbutrin, Abilify, Lamictal, Prozac, Lansoprazole, Linzess, QVAR inhaler, Xopenex inhaler, Methimazole, Flonase, Propranolol, Flexeril, Zofran.

Any questions just ask :)

 

"I've learned so much from my mistakes, I think I'll make a few more."






The content of individual posts on this site are the sole work of their authors and do not necessarily reflect the opinions and/or policies of the Administrators, Moderators, or other Members of the Crazyboards community. Health related topics should not be used for the purpose of diagnosis or substituted for medical advice. It is your responsibility to research the accuracy, completeness, and usefulness of all opinions, services, and other information found on the site, and to consult with your professional health care provider as to whether the information can benefit you.