Psych advice please
 

Hi

I've got an appointment tomorrow with my psych I've not seen her for over 6 months.
I could really do with your advice.
When I go in I freeze. She scares me.
Last appointment she talked about discharging me...
I've not been in contact with services & on the whole appear to be functioning ok.
I'm in full time work
Stable
Yet still self harming, binge & purging & having flashbacks & suicidal thoughts on an irregular basis... Mostly when under extreme stress
I'm in therapy for my eating - which is going well

I basically want to say please help me, but the other part of me thinks well I'm going along ok, not hight need & should just accept discharge as I assume that's what she will say...

Any ideas how I should approach this?
Thank you xxx

Firstly, remember you're an adult and she's not in charge of you. She is providing a service and I feel working on mental health issues should be a collaborative affair where the professional and service user have an equal voice - the psych, as an expert by profession; you, as an expert by experience.

Acknowledge your right to ask for treatment you feel would be beneficial and her right to not provide it (but also your right to know why and have a clear discussion about this). I hope you do get what you need though.

If she discharges you, enquire about putting together a clear discharge plan which you are fully involved with writing. It should include info on how to get help in a crisis/be referred back into services, and possibly info on local voluntary organisations if this would feel helpful.

Whatever happens, don't allow the appointment to undermine your progress, and perhaps plan something grounding for afterwards.

Thank you.
I am so scared. I feel that my once this has gone I have no one

Is there anyone you trust who can go with you to support you and help your voice get heard?

Not really my husband is in work
I asked him to come but he has an important meeting
I just have to be brave

Seeing her again in 3 months
Starting on anti depressants

How are you feeling about it? I hope you find the antidepressants helpful.