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Re: I *need* to do well in school » Deneb

Posted by alexandra_k on July 31, 2005, at 22:43:54

In reply to Re: I *need* to do well in school » alexandra_k, posted by Deneb on July 31, 2005, at 22:12:52

> I'm curious about all those p-docs people talk about who are all about meds. So far I haven't met any p-docs here who are like that.

Probably because you have been dealing with mental health providers in an academic environment rather than in something comperable to community mental health...

>What do they learn in school anyways? Do they learn how to do therapy? Or is it a self taught thing?

Yeah, I think they learn how to do therapy. Not sure how much time they spend on that vs learning about meds and physical exams and filling in compulsory assessment and treatment papers and discharge papers and defending ones decisions in court ;-)

> I don't think I can work with her for a long time. I don't think she sees people on a long term basis. I think she usually sees students 2x a month. It was actually quite the shock for her to want to see me every week for a while. It is kind of difficult to get any issues sorted out when we see each other only every month or so.

Yes. Monthly is too hard. I have worked with p-docs fortnightly (comprimise between their usual once per month and my usual once per week). That was better than nothing - but still really very hard. You don't know if you don't ask... And maybe she can refer you on to someone else. I agree that you probably don't want a councellor to just have a general chat to... but what about DBT? From what I remember you live not so far away from a fairly major hospital. That hospital might well have DBT. You might be able to do that through them. That really would be worth looking into. Ask your p-doc about once weekly. Or about once fortnightly. Once fortnightly with once weekly when you hit crisis could work out good. if you don't ask you are unlikely to get...

> She told me that she wasn't stressed out by me. She said that I was only worrying myself!

LOL! Deja vu. I think Dr Bob has said something similar ;-)

> I like how she keeps boundaries like that. I like how she never seems upset with me or freaks out. Once I took a mini OD and told her about it but she didn't freak out. She did make me throw the pills out in her office though. She made me throw out the cough syrup I used a while ago too.

Yeah. I know what you mean. It can be really helpful just to be able to be matter of fact about some things. And you should be able to be even more so with your clinician than you are here. Because you don't have to worry about triggering your clinician.

> Heehee, I love babblers. You guys help socialize me. I learn things that are obvious to other people but not to me!

I feel like that a lot too...
I don't think everyone knows it all. Everyone has something to offer someone else... I've learned a lot here too.

> >It is just that i can continue some semblance of functioning while inside everything is falling apart. life is still hell quite a lot of the time. but i can continue to function mostly...

> Wow, that is quite a feat! I wish we didn't have to deal with those episodes in the first place.

Amen to that.

>You seem very together to me and you have very good insight. Do you think maybe your problems are more based on nature rather than nurture?

Thanks. At times... I do well at times. But I still have times where I fall apart. Like you do... I think my problems... Oh I don't know. I guess I was just pretty sensitive and generally demanding... And my mother was pretty insensitive and generally demanding herself... And so it is a combination of my having intense emotional states and inability to regulate them (cause they don't seem to do it by themselves and I haven't really learned how to regulate them myself). A little bit of nature... A little bit of nurture...

> > but i needed a lot of support to do that. you will get there.
> I certainly hope so!

I *know* you will
:-)

So...
Sorry to be a pain...
But are you going to ring her??????
Let me know what she says.

 

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