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Old 03-26-2019, 10:03 PM #11
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Default Re: My pdoc seems to be having a manic episode

ummm wow just wow....
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Old 03-26-2019, 10:19 PM #12
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Default Re: My pdoc seems to be having a manic episode

Quote:
Originally Posted by franz kafka View Post
Woah, awkward. I guess it's a good thing that he isn't trying to mess with you meds while in that state of mind.
He never makes suggestions about meds, so if he did that it would be a symptom.

I asked about Rexulti about a year ago when I found out about it on PC and then he opened up his drawer and gave me free samples and said he had never prescribed it before or given out any samples.

I mentioned today that I am back on a small dose of Olanzapine at night to sleep, which he usually writes down, but today it just bounced right off him.

He was telling me that because of my heavy, down and slow mood I should be obese but since I wasn't obese there must be something else going on too.
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Old 03-26-2019, 11:10 PM #13
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Default Re: My pdoc seems to be having a manic episode

My last T who will be moving soon is Bipolar and he was a wonderful T; he really knew his stuff, but he knew when he was dealing with something and knew to call of seeing patients. I couldn't imagine going through all of that.

I am so very sorry tecomsin that you had to deal with that. I agree I would try and find another psych bronto.
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Old 03-27-2019, 09:07 AM #14
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Default Re: My pdoc seems to be having a manic episode

Having slept on it, I'm thinking maybe i have been too negative. The truth is that I have been stuck in therapy with him for years, not getting better although he did help me improve my relationship with my son particularly during the teenage years, but the last few years I have been stuck in a rut.

He started out saying he felt some regret at not being able to help me because of all the walls he had put around himself, how all these years he hadn't really shared much about what was going on and how he hid his symptoms from the province (by that he means his psychiatrist) and his wife.

So I don't think there were bad intentions. I think he is hypomanic and wanting to get unstuck in his relationships including with me.

I have been seeing him for 10 years and am not inclined to give him up after 1 weird session. Maybe the weirdness will help me get unstuck too.
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Old 03-27-2019, 08:30 PM #15
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Default Re: My pdoc seems to be having a manic episode

Well I am going to think carefully about what I will do or not do in my next session with him. I see him every 3 weeks and kept it at that. For a variety of reasons it makes my life simpler to be under the constant care of a psychiatrist and his office is conveniently close, he gives 45 minute appointments, and is almost always on time. Plus if I hear about a medication he will look it up and generally prescribe it.

But if he is acting agitated, talking a lot and seems distracted I will ask him I think point blank if he thinks he is manic and see what he says. Then i might ask him if he thinks he should be treating patients while he's manic. I'd prefer to deal with this face to face with him seeing that I've been a patient for 10 years and he has always been loyal to me even though I was once even in serious legal trouble.

So what do you think of this plan?
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Old 03-27-2019, 10:56 PM #16
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Default Re: My pdoc seems to be having a manic episode

Sounds like a great plan !
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Old 03-28-2019, 06:28 AM #17
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Default Re: My pdoc seems to be having a manic episode

I think the success of that plan depends on what kind of mania he has if you confront him. He might not take it well if he is agitated or if he's feeling God like. He could even be violent if he's suffering from psychosis or a mixed episode.

It shouldn't be your place to call him out if he is treating patients in a compromised state, but I think you're a good person for considering his feelings and being willing to work with him. You're honoring what seems like a friendship that you've built over the years. I hope it works out that he is back to his normal self the next time you see him so that you don't have to risk rocking the boat. I'm sure you'll be able to feel it out and stay safe no matter what happens. Definitely keep us posted.
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Old 03-28-2019, 09:42 AM #18
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Default Re: My pdoc seems to be having a manic episode

Thanks @~Christina. I appreciate your good judgment. Still I have almost 3 weeks to think this over and @fern46 raises the point that it depends, really, on how far gone he is when I see him next. Hopefully he has climbed down from the manic phase, but I have to be prepared if he has not. What if he is in a state where you can't readily communicate with him. I'm going to read up on the list of symptoms of mania...

Well according to the DSM 5 one criteria for mania is "Excessive involvement in activities that have a high potential for painful consequences."

He said that he trusted to share how he was feeling with me and was in his view tearing down the barriers he had placed in order to form a better therapeutic relationship. I had a creepy feeling that felt like i was being 'groomed' with the compliment I am special and he can share how he is feeling with me while at the same time hiding it from his psychiatrist and his wife. I am just repeating what I remember him saying. He said at one point that he was psychopathic, or his psychosis was psychopathic. He was sharing a view he has that my negative thoughts about myself are not really me but part of my psychosis, how I was raised in the absence of caring emotions. The only real emotion I remember from my childhood is anger. My parents were proud of my accomplishments but this always felt to me to be a separate thing. I was loved for what I did rather than who I was. I remember being beaten by them both. When I was young, my mother also beat me. Then they would laugh and say that "I wanted to be a victim". I was 10 years old.
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Old 03-28-2019, 12:12 PM #19
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Default Re: My pdoc seems to be having a manic episode

I'm so sorry to hear about the abuse. That's heartbreaking and no child should suffer that way. I'm not saying your proc is wrong about the psychosis, but he shouldn't be relating it to his own. You are your own case and it seems like he is projecting.

Grooming... That's a little scary, but it does sound like he's using you as a sounding board for thoughts and feelings he cannot share with his doctor or wife.
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Old 03-28-2019, 12:37 PM #20
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Default Re: My pdoc seems to be having a manic episode

Im sending hugs
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