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Freud & Fashion

...BECAUSE IT'S STYLISH TO TALK ABOUT MENTAL HEALTH, ESPECIALLY HOW WE MAINTAIN OUR OWN.

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Series

Questions I Bet Your Psychiatrist Never Asked You

written by freudandfashion
Questions I Bet Your Psychiatrist Never Asked You

Why I created this series:

Every psychiatrist has their own style, but I’ve always been interested in asking patients more open-ended questions if I think it will provide me with a greater understanding of who they are as unique individuals.  Unfortunately, I believe that the art of psychiatry has dwindled down to a checklist which subsequently churns out a diagnosis and treatment plan based on the minimum criteria needed to properly meet billing requirements.  Such a practice may lead to a lack of connection in the therapeutic relationship, therefore, I sought to create a series that explores the unspoken thoughts that a person may have when meeting with a psychiatrist.  If you would like to contribute to future questions in this series, please email me at freudandfashion@gmail.com or add me on Snapchat (freudandfashion).

QUESTION OF THE WEEK:

How do you think medical doctors treat patients with mental illness differently than those without mental illness?

RESPONSES:

I didn’t really notice much of a difference in the way medical doctors treated me with a mental illness, until I had to get surgery on my wrist. My surgeon went on extensively that I was at a higher risk for abusing the pain medication post surgery. I had to go to lengths to prove to him that I would be able to minimize this risk, and wean myself off the pain medication as soon as possible. After this experience, I wondered if a patient without mental illness would have gone through as much scrutiny. 

~ Logan, pre-med student

_________________

Doctors treat patients with mental illness differently than those without a mental illness.  From experience, doctors treat people with mental illness like they are stupid, incompetent, and incapable of doing anything for themselves.  They get treated with less respect as well.

~ Allyson, student

__________________

It depends on how much the doctors actually know about mental illnesses. The majority, unfortunately somehow equate people with mental illnesses as mentally challenged individuals. Most doctors know, before they even meet you, that you have a mental illness due to the fact that the doctors generally see what kind of medications you are currently on prior to walking into the examination room.

I literally have had some very rude doctors that would be new to me and upon opening the door, they don’t say hello…my name is…or anything. They will have their nose in the charts or x-rays and then don’t look you in the eye and tell you what they recommend and then just walk out. It really pisses me off when they act so arrogantly. I generally never do return back to see a doctor who treats me like that. Then there are those that seem a bit nervous about meeting me; however, once I start talking like the college-educated woman that I am, they seem impressed and/or astonished that a person with a mental illness could have such insight.

So it angers me and depresses me that most doctors will tag a “stupid idiot” label on someone who is taking psychotrophic medications or acts as though nothing I say is true for I might be having delusions…yet, with each new doctor I encounter, I hope to go away feeling satisfied that I for one don’t meet the stereotype that our society has created for people with mental illnesses.

~ Anonymous

_____________________

My family medicine doc never follows up on anything, ever. I have to remind them of everything so if I don’t bring it up, it never gets addressed.  And when I try to bring it up, they look at me like I’m crazy.  I guess it’s a good thing that I’m smart, knowledgeable and know a lot, but I can’t imagine what it must be like for people who don’t know anything.  I just finished reading Black Men, White Coats and that book is really honest.  I see it happen all of the time.  I think patients are disregarded in all aspects and I think with African Americans, they treat us differently when it comes to mental health.  But i don’t want to pull the race card, this is my perception of what i see.

~ Sherita, pre-med student

_____________________

Personally, sometimes I think some people don’t consider mental health as important as physical health.  Maybe that’s why some doctors do not pay attention to this point.

~ Anonymous, student

_____________________

If you have any thoughts or experiences pertaining to the question, please comment below!

May 14, 2016 11 comments
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Series

Monday Motivation: Cactus, the Guide Dog

written by freudandfashion
Monday Motivation: Cactus, the Guide Dog

{Cactus, the guide dog}

Meet Cactus, my aunt’s 3 year old black lab and guide dog for the blind.  Cactus works 5 days/week, 8 hours/day just like most humans.  Cactus also goes to the gym four times a week and takes breaks while my aunt runs on the treadmill.  Practice is important, so Cactus stays on top of her training by taking the elevator and escalator, though she’s used to taking the bus, BART, Amtrak, and taxi on a regular basis.  And just like humans, eating a healthy diet and getting regular exercise is integral for her to maintain optimal functioning.  Cactus’ personality is playful and affectionate, and she is a fast/eager learner who loves people.  Some advice for those who encounter a guide dog: remember not to disrupt the dogs while they’re working and be sure to ask the guide dog’s handler to get permission before you pet them.

March 28, 2016 2 comments
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Series

Questions I Bet Your Psychiatrist Never Asked You

written by freudandfashion
Questions I Bet Your Psychiatrist Never Asked You

During new patient evaluations, psychiatrists generally have a standard set of questions that are asked to help formulate a diagnosis based on diagnostic criteria and to develop a treatment plan.  Every psychiatrist has their own style, but I’ve always been interested in asking patients more open-ended questions if I think it will provide me with a greater understanding of who they are as unique individuals.  Unfortunately, I believe that the art of psychiatry has dwindled down to a checklist which subsequently churns out a diagnosis and treatment plan based on the minimum criteria needed to properly meet billing requirements.  Such a practice may lead to a lack of connection in the therapeutic relationship, therefore, I sought to create a series that explores the unspoken thoughts that a person may have when meeting with a psychiatrist.  If you would like to contribute to future questions in this series, please email me at freudandfashion@gmail.com or add me on Snapchat (freudandfashion).

QUESTION OF THE WEEK:

What do you wish you could tell your doctors when they makes changes to your meds that you don’t agree with?

RESPONSES:

I have definitely been through this experience! I WANT to say that increasing the dose scares me as the side effects I’ve experienced were horrible. I also feel that some (not all) psychiatrists barely ask you any questions about your research on medications. I feel that they don’t want to believe that you are actually capable of being educated on the topic.

Paramedic Nat (Blog: paramedicnatsmentalhealthjourney.wordpress.com, Twitter: @paramedicnat1)

Ever heard the word ‘advocate?’ Did you get your degree for the high status and income, or are you sincere about helping those of us trapped in this system? Why not take a stand against the big pharmacy industry and be true to your patient and what is best for him or her?

Anonymous

Well, to be honest, I don’t think it would be something to say but more to feel. For example, for me, as the side effects were horrible, and as I wasn’t feeling better, she kept upping my dosage.  I wish she would have FELT my side effects.  I described it as best I can, but I’m not sure all docs felt brain zaps.  I wish doctors would listen more to how we feel instead of maybe just push various pills and dosage on us.  Those are pills for our brain, it’s nothing to joke about.  I’m sure it affects us all differently.  But I wished they’d be more open to the fact that for some of us, medications (or SSRIs and such) just aren’t doing any good.

Natalie, Teacher (Twitter: @natricher)

What I absolutely love and appreciate about my psychiatrist is that he lets me choose what I’m comfortable with taking.  I don’t know if other patients are like this, but I know my diagnoses and I do research on different meds.  I haven’t found anything that’s working greatly yet since I do have a lot of different disorders, but knowing that my doctor validates what I’m comfortable with doing makes me feel that much better.  

For example, I really dislike the weight gain side effect that a lot of medications for bipolar disorder have.  I suffered major self-esteem issues in middle school because I put on 50 lbs from lithium and depakote combo.  He knows how hard I worked to get that weight off and feel better about myself, so we only talk about combinations that will make me feel comfortable taking…so that I actually take my medicine.

Alexandra, Advocate

I wish they would have taken the time to explain (simply) what the medication will be doing to my body/brain and why it’s more efficient than what I was previously taking.  

Anonymous

I honestly would tell the doctor my concerns.  I wouldn’t be rude, but I would openly say that I have concerns over it.  My hopes would be that it could open up a two-way conversation regarding my care and I could find out what they have to say (and have them see where I’m coming from).

Tom V, 1st year Medical Student

I wish I could’ve sat down with her and said clearly: “I’m sorry I called you two times today freaking out, but this medicine you gave me just isn’t working right–it’s making me worse.  I’ve never taken any meds before and I’m running scared here and I need someone to understand me and sit with me and talk about my options.  I know we didn’t meet under ideal circumstances and you don’t know me or I don’t know you, but don’t treat me like I’m one of the people who bug you all the time.  Please help me. That’s all I need is some help.”

But, I now have someone who I think is amazing and he talks to me about options and is more of a collaborative force in my health care.  He is in charge of my meds, but he has listened to me and I’m glad to say I haven’t had to take one benzo, not one single one in over 6 months so the fact that a doctor will collaborate makes me very happy, and listens.

Anonymous

 

Photo by Marlon Santos

March 2, 2016 20 comments
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Series

Questions I Bet Your Psychiatrist Never Asked You

written by freudandfashion
Questions I Bet Your Psychiatrist Never Asked You

During new patient evaluations, psychiatrists generally have a standard set of questions that are asked to help formulate a diagnosis based on diagnostic criteria and to develop a treatment plan.  Every psychiatrist has their own style, but I’ve always been interested in asking patients more open-ended questions if I think it will provide me with a greater understanding of who they are as unique individuals.  I also assume that my questions might be a bit different than the norm because I’ve grown accustomed to patients making statements such as “You know, nobody’s ever asked me that before.”  Oftentimes, I believe that the art of psychiatry has dwindled down to a checklist which subsequently churns out a diagnosis based on the minimum criteria needed to properly meet billing requirements.  Such a practice may lead to a lack of connection in the therapeutic relationship, therefore, I sought to create a series that explores the unspoken thoughts that a person may have when meeting with a psychiatrist.  If you would like to contribute to future questions in this series, please email me at freudandfashion@gmail.com.

QUESTION OF THE WEEK:

What goes on in your mind when a new psychiatrist asks if you’re suicidal?

RESPONSES:

It’s been some time since I’ve seen a new psychiatrist; thankfully I’ve been (somewhat) stable and happy with the treatment I’ve been receiving with my current one. But I do remember going through what was round-robin of mental health professionals before I found my current doctor. The situation is horrible, as I’m sure most people who have gone through the same process can testify.  Although someone may be a professional who’s gone through years of grad school and training about what may be wrong with me, why would I want to share my darkest, deepest pain to someone I just met? It never felt right.

 The two psychiatrists whom I connected with most during my care have been the ones that treated me like a person (and even a friend) first. No, I’m not that textbook case study you read in Psychology 407 back in grad school. Nor am I willing to try new psych medications with the script you’ve given me after our 5 minute visit.

 There are no 100% effective cures for mental illness, but you can still treat those living with mental illness like human beings. It’s not that hard.

Brandon Ha, Creative Director @BreakYoStigma
facebook.com/breakyostigma
instagram.com/breakyostigma

 

First thing that springs to mind is: “I can’t tell you I’m suicidal because you’ll hospitalize me and that will just ruin everything I’ve worked so hard for.” (as strange as that sounds…)

However, I always think there’s no point in outright lying to my psychiatrist if I genuinely want to get better. So, usually, I just tell them what I’m thinking, even if it means telling them I’m suicidal. But, I make sure I explain exactly what I’m thinking. Usually my thoughts are more of a passively suicidal nature and I don’t have a concrete plan in mind. My current psychiatrist is well aware of that. I haven’t had suicidal ideation with a plan for quite some time now. The last time was with my first psychiatrist, two years ago. And even then I’d tell her the truth. I only got hospitalized once, when I told her I genuinely couldn’t guarantee that I wasn’t going to do it. I guess the fact that I’m always honest about what goes on in my mind is precisely what has helped me not get hospitalized more than once. I’ve always thought of the patient-psychiatrist relationship as one built on trust. If they can’t trust me then they can’t help me to the best of their capacity and I’d just end up self-sabotaging.

Dana S, medical student (borderlinemed.wordpress.com)

‘I’d never kill myself. Wanting to die to end my misery and actually going through with it are completely different. But that’s probably not the answer you were looking for…’

Rudy Caseres, Voice on Mental Health
Facebook.com/Rudy.Caseres
Twitter: @RudyCaseres

 

First thought in my head if asked if I was suicidal would be something sarcastic like this: ‘Would I be sitting here if I was [suicidal]?’ and/or ‘Yes and to be honest, you’re just having a visual hallucination of myself right now.’

Anonymous

What goes on in my mind?  Terror yet the need to be honest and tell the psychiatrist if I’m feeling that way. From experience (I was hospitalized several times for suicidal ideation) I know I had to be truthful about feeling suicidal because  despite the intense compulsion, I didn’t want to do it and leave my two young daughters without their mom. I needed to be kept safe so I didn’t go through with it and I knew I needed hospitalization.  I got better, and if the feelings return I will be honest with my current psychiatrist. I realize that he would most likely place me on a 5150 hold, but I accept that.

Dyane Leshin-Harwood, author of “Birth of a New Brain – Healing from Postpartum Bipolar” (Post Hill Press, 2017). Blog: www.proudlybipolar.wordpress.com, Twitter: @birthofnewbrain

The first thing that comes to mind is that I need to justify why I’m there seeking help at this appointment and I wasn’t really sure how I need to respond.  I was asked to rate my suicidal thoughts on a scale of ‘1 to 10’ (1 being the least severe and 10 being the most severe) and thought to myself, ‘do I need to respond with a high number so that I can get the help that I need, or will a low number not make them take me seriously enough?’  I remember feeling like I needed to justify that I needed help and it seemed as if a number was supposed to prove it.  I get that a number is supposed to reflect my thoughts and feelings, but I didn’t feel like it was a genuine representation of my situation.

Anonymous, Psychotherapist

Having seen a psychiatrist in the past, I remember feeling anxious about this question because I knew what to expect in an evaluation, even though I didn’t feel suicidal.  Fortunately, I knew the psychiatrist came highly recommended, was well-established in the community, and was someone I could trust, but what if I had no choice but to see a random psychiatrist (quite similar to the experiences many of my patients have encountered in the past) who was a novice, unskilled, or didn’t care to take the time to get to know or properly assess me?  A psychiatrist’s job is hard and safety is our utmost concern, but building trust and mutual respect in a physician-patient relationship also needs to be a priority.

Vania, Psychiatrist and writer of Freud & Fashion

 

 

Photo by Marlon Santos

 

 

January 22, 2016 14 comments
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