17:29 – Letter sent to new psychiatrist and my week’s worth of rambles

22 Jun

So a few days have now passed since finding out I have the all clear, although it’s been weird, even after getting the results back on Tuesday the anxiety surrounding it all still took another day or two to settle down.

On Wednesday I spent a few hours with best friend and the kids and then got my hair cut and highlighted. It was getting really long again, a good six inches or so below my shoulders. Now it’s in a kinda choppy medium length bob, just sitting at my shoulders and the blond highlights all the way through are really nice. It’s strange though, best friend was like ‘look now you can tell CPN#2 when you next see her that you did something compassionate for yourself’… whereas in my head there was nothing compassionate about it… I wasn’t sitting there thinking ‘ohh I deserve this’ or ‘ohh my hair looks really nice’… all I could think was ‘my hair looks a mess, it’s far too long, I can’t be arsed to spend an hour or more straightening it, it’s time to get some chopped off’. The only reason I got the highlights was because there was a special offer on and whilst they look nice I still have that negative sort of view that the money could have been better spent on something else.

Anyways… moving along…

On Thursday I went to my appointment with my rape crisis support worker and we spent the session putting together a letter to send to new psychiatrist. I had my first appointment with the new psychiatrist on the 5th of June and as you may remember it was a disaster. I thought about writing a letter to him pretty much as soon as the appointment was over but decided to give it a week or so just in case I was overreacting and thought I would maybe calm down about it all. But whilst I have calmed down, I still strongly felt like there were things that needed to be said to him before I next see him on August 1st.

I’m not going to copy and paste the full letter here mainly because of the length of it but also because it contains a lot of personal/confidential information but I’ll cut and paste the main points I raised:

  • As soon as I entered the appointment the first thing you did was check you had the correct medication information for me. As soon as I confirmed it was correct you automatically said that you want me to begin reducing my Diazepam (which I have been taking daily since Nov 2010) with your reasoning being that it can be an addictive medication.
  • You did not ask me how I would feel about reducing my dosage, there was no conversation about it nor did you ask me which of my symptoms that I feel the Diazepam helps with. You didn’t ask how my mood states had been recently, or if I was still self-harming, etc. In fact it seemed to me that you had already made the decision that changes should be made to my medication before I even entered the room and before meeting me.
  • You said to me that because I am on a high dose of Quetiapine that I wouldn’t notice not taking Diazepam. I don’t understand this because it is my understanding that the two medications are used to treat two completely different conditions. The Quetiapine helps control intrusive voices, paranoid thoughts and beliefs and delusional thinking. It does not help with anxiety. I am also concerned that you mentioned lowering my Quetiapine dosage slightly as well, when I have only very recently began to feel a little more stable. This concerns me as I worry if the Quetiapine is reduced as well then I may start to have symptoms of psychosis again or destabilising my mood to the extent where I end up back in hospital.
  • My main concern of all is, at the moment, I do not have any other coping techniques for my anxiety and agoraphobia and self-harming. I am currently on the waiting list to see the psychologist, however have not had an appointment to see her as yet. I hope that in time I will learn tools to enable me to cope with my anxiety, agoraphobic symptoms and distressing self-harm episodes, all in a way that does not require medications like Diazepam. I want to be able to deal with these situations in a healthier way, but the fact remains that right now I do not have any non-medicated coping strategies in place to help me cope with the debilitating levels of anxiety that I experience. It just seems that it would make a lot more sense to: wait until I begin seeing the psychologist; start learning and putting into practice non-medicated coping skills; and then start to lower the diazepam medication.
  • I would also like to make clear that I do not object to the idea of lowering the dosage of the Diazepam slowly and safely and I would also like to make clear that I fully understand it is a medication that is intended for short term use. However I feel that reducing it before there are any alternative coping strategies in place would be a very risky thing to do.

The letter ended up being three pages long but those are some of the concerns I raised. My support worker printed me off a few copies and I wrote at the end of the letter that copies had gone to my support worker, my CPN and my GP. Well, every time they send me a letter about something or another they send it to everyone in my care team so I figured I would do the same. All the letters have been posted now and I do have a little bit of anxiety about what the reaction to it will be but I know that I have the support of my support worker and she agrees that I’ve done the right thing so at least I know someone is on my side. I did also say at the end of the letter that it was not a letter of complaint against the psychiatrist, it was purely me wanting to have the opportunity to explain my concerns after feeling unable to do so properly at the appointment with him. I ended the letter saying that I would attend my next appointment on August 1st with him, but hoped he would have read my letter beforehand so we could talk about my concerns in more detail.

So that’s another thing done and dusted, well for the moment anyway. Hopefully they will see that I am trying to be sensible and rational and take my concerns into consideration. I need a repeat prescription on Wednesday and was just going to hand the repeat form into the receptionist but I’m now thinking it might be better to make an appointment and go to see lovely GP instead. I’m curious to know if she will support what I have said in my letter. She is usually very fair and I have a feeling she will say that maybe it is time for us to start lowering the dose of the Diazepam but I also think she will agree with me that there needs to be something in it’s place so that I can cope with situations that I can currently only cope with through medication. I guess the only way to know what she thinks about it all is to go and see her.

Anyways… I think I’ve rambled on enough now about all of that!

Yesterday I spent most of the day with a friend and I also got an email from my university tutor telling me I have to get up to date proof of being in receipt of benefits to apply for my course fees to be waived again when we start back after the Summer holidays so I’ll need to get that sorted out next week. I also finally phoned the mental health team to ask for an appointment with CPN#2 after a good 4 or 5 weeks of not seeing her (not her fault, mine for not attending and ignoring her phonecall and letter) but she isn’t back in the office until Monday so I guess she’ll get in touch then.

Today (Saturday) I’m having a quiet day as the weather is crap and my flat looks like a bomb site. My washing pile was getting ridiculously high as I pretty much spent all of last week in such an anxious mess that I got nothing done. I’m having a day where I just want to laze around in my pyjamas, do some little bits of housework here and there, work my way through my washing pile, watch shit on TV… a lazy day in other words.

Mood wise I feel OK-ish at the moment. Every so often I have some little thoughts that creep into my head out of the blue and start me thinking that I feel like I need to self harm, but I’m managing to ignore them for now. Although I have checked my hiding places a couple of times just to make sure that there are fresh packets of blades there… just in case… Then I catch myself looking at my legs and the horrendous scarring and feeling kinda sick that those scars are going to be there forever. And a part of me wants them gone, wishes I’d never done them, etc… Yet another part of me is like, ‘well you can’t erase any of those scars so you might as well add some more’. So not sure what’s going to come of these thoughts/urges yet, I guess time will tell.

Right I have rambled on for wayyy too long. And the washing machine has just finished another cycle so time to get off my fat ass and go hang it up to dry. I’m also starting to get hungry so time to cook up some pasta I think.

Hope you all have a nice weekend folks xx

 

2 Responses to “17:29 – Letter sent to new psychiatrist and my week’s worth of rambles”

  1. Caroline July 31, 2013 at 21:16 #

    Well done on sticking to your guns with your psychiatrist!! That deserves zillions of brownie points lol. I’ve BP and not had my medication for 5 weeks and I feel fine (unlike what CPN thinks). I want to be in control of my condition, nobody else. All these so-called professionals are not the ones with the conditions but they think they know all about it. You do not know it unless you have it. Although I have only read about your letter, it makes me even more positive about life in general (glass is usually half-full in my book). Keep strong and well. I will be praying for you. Take care & God Bless xx

Trackbacks/Pingbacks

  1. 17:10 – Pregabalin (Lyrica) for anxiety… anyone? | My Crazy Bipolar Life - August 1, 2013

    […] a massive help because I felt more confident in talking about the points I raised with him in the letter I sent after meeting him for the first time. I told him about my concerns over stopping taking the daily […]

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