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Showing posts with label psychiatry. Show all posts
Showing posts with label psychiatry. Show all posts

Wednesday, 5 March 2014

Psychobabble continued

So today I am going to talk about some of my experiences with psychiatry. Like I said in my last post, Psychobabble, my post about Karina Hansen made me recall some of these memories. Unfortunately not very pleasant ones. I have blogged a few times about my mental health and have linked to these at the bottom of this post. I am not ashamed to do so, more people need to talk about mental health to try and stop it from being a naughty word, in the same vein as other invisible illnesses. However as we have heard many stories are negative ones.
My first experience of psychiatry was when I was around 15, due to depression brought on by ill health. I was a perfectly happy and liked teenager, always on the go, I got good grades, was in the top sets for all my subjects, went horse riding every weekend and was a very promising sprinter, competing most weekends. Then all that changed when I was hospitalized with severe abdominal pain, which months later (of course) they found out was an ovarian cyst. I spent those months curled up around a hot water bottle in agony. The pain killers I was given, ibruprofen, also contributed to more long term stomach problems but it wasn't until months later that I found out it was more than likely I had chronic IBS too. Cue more tests. Anyway, long story short I was in horrible pain everyday, my life as I had known it completely changed and I hated it, I grieved for it.
There is a certain saying that people will only let you be sick for so long, unless it's cancer or life threatening, before they start to lack understanding and this is how I felt. On days, or half days that I could manage school, I noticed how much had changed and people had moved on. Not deliberately of course, it is just a fact of life. I was no longer in on the inside jokes or gossip. The places where I used to sit having been filled by other people. I found it incredibley difficult. I was always really embarrassed and paranoid by my condition. It all took it's toll on me and I became depressed and experienced panic attacks. My GP referred me to councelling at NCH, National Children's Home, but when I told my consultant they sent me to a children's psychiatrist.
I remember going there and it was a bad symptom day, which was in part due to nerves. The buiding was old, with bars on the windows and his office was more like an old study or how you 'd expect Sigmund Freud's office to look. A place that did not seem to promote well being, in fact it added to my nerves. Had I been any younger I think I'd have been screaming, thinking I was about to be locked up. As he was asking questions I began to sense that the implication was that my physical condition was being manifested in my head. Something that became very obvious when he said that the way in which I was curled up on the sofa with my hot water bottle, or clenching at my stomach whilst on the toilet in pain was affecting my mood. Well yes it was affecting my mood, but it was not causing me to be depressed. He said that if I sat upright that I would be in a better mood, as though that was all it took for me to feel better. At this point, having the advantage of being able to distinguish sound advise from a load of crock (to put it mildly) I knew that I wasn't being taken seriously, nor was I going to get the help from him that I had wanted. I also asked for my Mum to come into the room, to help give her perspective and also because I kept needing to rush off. This was met with some reluctance. The implication being that if I was away from my parents that I would open up more, that I could talk freely. Because of course all depressed children clearly have abusive parents. It only led to me being more disgused and anxious to get away as well as the effect that had on my stomach.
I remember getting home and breaking down crying, begging not to have to go again. How could someone that was supposed to make me feel better make me feel so horrible? My Mum rang up to explain that I wouldn't be going again. That the session had done more harm than good. However he rang the house and said that I personally had to say that I no longer wanted to go. Meaning that even thouh I never wanted to speak to him again because of how upset he'd made me, I then had to speak to him. The sound of his voice actually made me shudder and my own voice was so quiet from not wanting to speak. For a while afterwards I kept fearing that I would see him somewhere, especially if I had hospital appointments. Of course then because you have refused treatment that was offered you are thought to be uncooperative and do not want to get better. I was lucky that I had the councellors at NCH though to help. There, all the rooms were cozy, and bright and had lots of toys, not that I needed them but as a place that is aimed at helping children this is always a good sign. I would always be offered a drink and my parents were always made to feel welcome not a part of the problem.
I have had other experiences with psyciatrists, which you can read about here and here, oh and here. This was the one experience that reading Karina's story really brought back though. Yet, it is nothing compared to what she is facing. To think that you are safe and in a caring environment and then to literally be snatched away from that is the stuff of nightmares. I dreamed for a while after refusing to see that psychiatrist about him finding me and locking me away but to know it's happening in real life and over and over again is horrific. Again more peope need to believe in Karina an believe in M.E. Please keep sharing my post about her and keep up to date through Facebook and Twitter. It is greatly appreciated.
I also wanted to share another story of misdiagnosis. Where a woman was diagnosed with anxiety and depression, when she was actually suffering from lung cancer http://www.telegraph.co.uk/health/healthnews/9917862/Professor-dies-of-lung-cancer-after-doctors-dismiss-illness-as-purely.
Misdiagnosis and mistreatment of physical conditions as psychological or 'all in your head' is extremely dangerous.  Here is a link https://www.youtube.com/embed/j8gABEg-lJs to a video from the Coalition for Diagnostic Rights an organization helping those facing misdiagnosis.
There is a need for psychiatry but we need to make sure that the voices of those with physical conditions are not silenced and that they get the correct treatment. Not only to prevent physical conditions worsening but also creating deep 'real' psychological and emotional problems.
Have you had any experiences of being misdiagnosed? Or with psychiatry good or bad? Please share if you wish.

Monday, 3 March 2014

Psychobabble

My post about Karina Hansen really got me thinking about the ways in which I have come across psychiatry over the years. First of all I want to state that I have no aversion to psychiatry as a whole. Good psychiatrists are much needed and sought after and I have nothing but praise for their help and treatment of patients experiencing distressing psychiatric conditions.

Before I move on to talking about my own experiences (I will do this in a separate post, otherwise it would be quite an epic post) I thought it best to try to explain the differences between psychiatry, psychology, psychiatrists and psychologists (sorry if that was quite difficult to read.)  I have often been confused by this and I'm sure many others are too. I have used NHS Careers page to help me research this.

Psychiatry- is a medical specialism, concerning the study of mental illness and the many disorders within that bracket. It is a study of how to diagnose a mental illness, the varying symptoms involved and ways to treat and manage these conditions.

Psychiatrist- is a doctor that was earned a medical degree and chosen to specialise in psychiatry. A psychiatrist will be responsible for evaluating and assessing a patients mental health and diagnosing a course of treatment if necessary, which may include committing a patient if they are thought to be a danger to themselves or others.

Psychology- is the study of the human brain. It is not a medical specialism. It involves studying human behaviour and the reasoning behind why we do certain things. The way in which our feelings impact our bodies and our interaction with others. It is most prevalent in the study of child development to assess whether the child is acting, reacting and interacting to certain benchmarks, such as learning to speak one word and progressing to putting several words together.

Psychologist- It is not necessary to have a medical degree to become a psychologist. There are many universities and colleges offering psychology courses and it is a very popular subject. A psychologist is concerned with the way the mind works, usually focusing on work within the mental health sector. We commonly think of them in a counselling role, helping people to cope with difficult situations be they life events or mental health disorders and work on resolving underlying issues affecting a patients mental health.

You may also come across psychotherapy/ psychotherapist's. We had a psychotherapist at the M.E clinic. Psychotherapy can be a talking or more practical based therapy and be done as an individual or as part of a group such as families. It helps people to work through stress and conflict. For example if they are working with children they may use play or arts and crafts to analyse interaction, or issues they cannot vocalise. Analysis is a key feature of psychotherapy. A psychotherapist may have a background in psychiatry or psychology as well as more specialised training.

Hopefully this has cleared up some confusion. If nothing else then at least I have learnt something. Stay tuned for some of my experiences with psychiatry. If you have not done so then please see my post about Karina Hansen and spread the word.