Misdiagnosed

[Scott44]

Firstly, I am so glad to have found this forum, for I am quite stressed at the moment and need advice as well as guidence.

I'd like to know if it is normal procedure for a Dr to ask on their new patient form for social security number and place of birth?

I recently saw a Dr who did just that, and on our first session and a series of questions later, he diagnosed me with post traumatic stress disoder, as he put it, nothing more, nothing less. Then gave me instructions to follow that induced flashbacks, and brought on fears and panic. I have been diagnosed with PTSD before, as well as pschizo-affective disorder by several Dr's. This Dr told me I had been misdiagnosed for schizo-affective disorder, yet he filled the prescription to continue taking meds prescribed for schizo-affective disorder, and panic attacks, but reduced the dosage in half. Which is Respierdal, and Klonipan.

My father was diagnosed and was treated for years for psychizophrenia, and passed away from cancer in 1994. This Dr told me that he felt my father was misdiagnosed. This Dr has never met my father therefore I don't know how he can make that usumption. What he said about my father upset me greatly.

He also told me many of my symptoms were brought on by surviving ovarian cancer.

He said he was not going to sign the orders he gave me to follow, which I found a bit odd.

This is the order as he printed it on his pc, and gave me a copy:

Presleep health: Recall the blessings by Jesus and other such recollections as lead to the sentimental tears. Stretch, twist, and relax for a few minutes a few times an hour.

Health if awake between the hours of 10 PM and 2 AM: As above but take your images and meories from the present and past, near and far.

Health if awake between the hours 2 AM and 6 PM: As above but take your images and anticiapations from the present and future, near and far.

Good Luck!

I'm more depressed now than I was before I went to see this Dr.

I have no intentions of returning to this unprofessional situation. Should I report this Dr? If so who do I report him to?

[aaron]

In what state?

[Scott44]

In Nebraska

[rmet4nzkx]

Unfortunately the children of parents with serious mental illness have a 78% of being affected also, naturally being stressed and enduring cancer treatment, losing a parent to cancer will increass your stress and anxiety. Over the years diagnosis have changed, many adults diagnosed with Schizophrenia and or schizo-affective disorder actually have a disorder called Asperger's and may respond differently than expected to medications. Respierdal is an atypical antipsychotic medication that has been found useful in the treatment of many disorders besides psychosis, including Asperger's, finding the correct dose may be difficult, that may be why the dose is reduced. Klonopin is used to treat anxiety including but not limited to PTSD, please understand that more than one condition may exist at the same time and Disorders like Asperger's may affect the processing of information. It appears that the doctor was giving you some sort of instructions for relaxiation and stress reduction, such handouts are not doctors orders and do not need to be signed. If such a relaxiation handout doesn't work for you, please tell your doctor and another method of relaxiation or biofeedback may be tried.

[Scott44]

Thank you, so then he is not a bad Dr? This is normal?

[rmet4nzkx]

I can't say for sure or diagnose you. Diagnosis can change or be considered provisional, a psychiatrist may base their diagnosis partially on how you respond to medication, a psychologist may base their diagnosis on other evidence and observations. It is important that you communicate with your doctor or other mental health providers, especially when there is a misunderstanding, that is where the work begins. It is possible that you may need referal to another therapist in addition to the psychiatrist who prescribes your medications as therapy may be quite intensive and your psychiatrist may not be covered to actually see you on a weekly basis, perhaps periodic medication checks. I have had times when clients with Asperger's would come back all excited because they followed my "homework" assignment, that had never been discussed in a recorded session. Sometimes even written instructions have to be broken down in to individual tasks, some forms of relaxiation or guided imagery may be better left to those supervised by a therapist until the technique is mastered.

[deadlock]

I'd like to know if it is normal procedure for a Dr to ask on their new patient form for social security number and place of birth?

Yes. This is information is not clinical information. But you are always correct in providing information that you are comfortable giving.

I have no intentions of returning to this unprofessional situation. Should I report this Dr? If so who do I report him to?

The prescriptive information is separate from the instructions that you were given by this person. The medications are prescribed by a medical doctor and noone on any forum has the capability of knowing what your diagnosis is, might be, or was.

Rmet's implications in her response are totally inappropriate based on the questions that YOU asked.

My opinion, as a nurse who has worked in psychiatric settings for a number of years is- Yes. It is unusual to have a religious reference in guided meditation instructions. Unless you knew this and discussed your religious background and were aware that this was his/her practice then it seems totally out of bounds.

It is a stressful situation to see a new physician and having a level of comfort is essential in working with a therapist. Sometimes an accurate diagnosis can be made early in a clinical setting. Most times a diagnosis is made after a period of time after working with a patient.

The primary task of therapy is developing a therapeutic relationship with a patient. It doesn’t matter what anyone thinks about your situation. If you are uncomfortable with this doc or any other find another that you are comfortable with. And if and when you do find a therapist then you may want to disclose this experience with that doctor.

[deadlock]

I can't say for sure or diagnose you. Diagnosis can change or be considered provisional, a psychiatrist may base their diagnosis partially on how you respond to medication, a psychologist may base their diagnosis on other evidence and observations. It is important that you communicate with your doctor or other mental health providers, especially when there is a misunderstanding, that is where the work begins. It is possible that you may need referal to another therapist in addition to the psychiatrist who prescribes your medications as therapy may be quite intensive and your psychiatrist may not be covered to actually see you on a weekly basis, perhaps periodic medication checks. I have had times when clients with Asperger's would come back all excited because they followed my "homework" assignment, that had never been discussed in a recorded session. Sometimes even written instructions have to be broken down in to individual tasks, some forms of relaxiation or guided imagery may be better left to those supervised by a therapist until the technique is mastered.

What are you talking about? Asperger's? Who said anything about Asperger's. Are you tying to tell this person you think they have Asperger's???
What does your homework assignments have to do with this?

It is possible that you may need referal to another therapist in addition to the psychiatrist who prescribes your medications as therapy may be quite intensive and your psychiatrist may not be covered to actually see you on a weekly basis, perhaps periodic medication checks.

What are you smoking???

What is "relaxiation"?? Who are you???

[cissycicle]

I can't say for sure or diagnose you. Diagnosis can change or be considered provisional, a psychiatrist may base their diagnosis partially on how you respond to medication, a psychologist may base their diagnosis on other evidence and observations. It is important that you communicate with your doctor or other mental health providers, especially when there is a misunderstanding, that is where the work begins. It is possible that you may need referal to another therapist in addition to the psychiatrist who prescribes your medications as therapy may be quite intensive and your psychiatrist may not be covered to actually see you on a weekly basis, perhaps periodic medication checks. I have had times when clients with Asperger's would come back all excited because they followed my "homework" assignment, that had never been discussed in a recorded session. Sometimes even written instructions have to be broken down in to individual tasks, some forms of relaxiation or guided imagery may be better left to those supervised by a therapist until the technique is mastered.

Sorry to get into this, but in what capacity were you treating these clients? Did you diagnose Asperger's and suggest a course of treatment? What is your profession that you would be giving "homework" assignments?

What would necessitate "recording" of sessions? You have referenced relaxiation, is that somehow connected to Asperger's? Is relaxiation a mispell or something new in the arena of mental health treatment?

[Scott44]

Yes. This is information is not clinical information. But you are always correct in providing information that you are comfortable giving.

That's a relief to know, as this is the first time I have encontered this. I've never been asked for my place of birth before now on any patient form to see a Dr. I don't understand the need for my place of birth.

My opinion, as a nurse who has worked in psychiatric settings for a number of years is- Yes. It is unusual to have a religious reference in guided meditation instructions. Unless you knew this and discussed your religious background and were aware that this was his/her practice then it seems totally out of bounds.

On the orders he gave me, it does say Orders then the date, along with the instructions, which I typed out his instructions and posted above. He told me he was not going to sign the orders, and that kind of threw me when he said that. Why was he afraid to sign his own orders?

My religious background was not discussed at all. As a matter of fact, he talked mostly about stuff I had no clue what he was talking about. Such as Hindu, Yoga, and American Indian cultures. We got on the subject of LSD, and bad acid trips. It was almost like he was purposely playing with my mind.

I told him why I kept myself isolated, and he told me I had a bad aura, and that he needed to help me change my aura. Bad aura? I was almost in tears.

I told him about when I had ovarian cancer. While in the hospital, the Dr's told me I had a cyst the size of a 5 and a half month old fetus in my ovary, and it was not until during surgery that they said I had stage 1 cancer.

Afterward, and still to this day, I often think I was carrying an alien baby, and the people dressed as Dr's were really the Gov there to take the baby. This Dr told me that is not unusual, that all women who have survived ovarian cancer experience the Alien connection.

I told him about how I met Jesus face to face, and he said to cherish that moment, that not all get to meet Jesus at Galilee.

I was sad, afraid and confused when I left. I do have a therapist that I have been seeing for a number of years now. I gave this Dr her name and contact info, and he said he would send her instructions on what to do for treatment. This is what scares me.

This is not the first bad experience I've had with a psychiatrist here in Lincoln, Nebraska. I had one who put in his report that I was a pathetic piece of a human being. This has been a number of years ago, and I sent a copy of that report to Tipper Gore. I do not know what ever became of it,if there was any desclipinary action brought against that Dr or not. I hear that Dr is still practicing psychiatry here, and there are a lot of other cases like mine of that Dr and other Dr's mentally abusing their patients here.

I was wondering if this was another case of mental abuse with this new Pyschiatrist? I did not have this problem when I lived in Missouri, at least there I was treated with some dignity.

I am really scared of these Dr's here. They are capable of doing anything, such as stage a suicide, or push a patient to their breaking point. As I feel this is what is happening with me with this Dr.

I might look for a Dr in another town or city. The problem with the Dr's and Psychiatrist's has just been in Lincoln where I am now living again. Some are very mentally abusive toward the mentally ill.

Someone told me to contact Nami, but that is useless in this town, they protect the Dr's here. I think it's about time these Dr's be exposed. Enough is enough! That's why I went looking for places like this forum.

No one else I have talked to thus far has ever heard of such bizzarr practice either. I told my sister what this Dr did, and she thinks he might be schizo himself who got a license to pratice psychiatry. Or he is also in on the mental abuse toward mental patients here.

Thanks for responding and giving me some insight.

I'm going to be looking for another Dr.