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Old 15-11-2015, 09:26 PM   #1
Wonderland.
 
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Join Date: Nov 2007
Meeting My New Psychiatrist.

I feel so stupid writing this as I should know the answers.

I have an appointment with my new Psychiatrist on Thursday with my care co.

I'm anxious of this because he is new to me but having my care co their will help.

He is also foreign which again makes me nervous not because I'm racist just because I can't always understand what foreign people are saying and me having to say I can't understand what you are saying over and over. I feel rude doing that. And the other way around they cannot understand my accent. This is something I may be worrying too much over as he may speak English very clearly. But I've had a lot of problems with it in the past.

Also as I've just come out of long term hospital placement I don't know what he is going to be asking me. I can't remember the appointments with my previous Psychiatrist as I didn't see his that much and I dissociated a lot during that time as I was quite unwell so don't remember a lot of appointments I went to including his ones.

What is a first appointment if you can remember normally like? As in what do they ask?

I think knowing this may put my anxiety at ease a bit.

Thank you in advance
Ames x




'Cause I'll always remember you the same.
Oh eyes like wild flowers within demons of change ♥


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Old 15-11-2015, 10:12 PM   #2
Wonderland.
 
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Thanks Carmen, that was all very helpful. And has lessened my anxiety about it quite a bit.

I'll have chance to talk to my care co before Thursday about it as I'm seeing her on Tuesday for our weekly session. So that might help also for her to know I'm anxious about the unknown questions and possible language barrier.



'Cause I'll always remember you the same.
Oh eyes like wild flowers within demons of change ♥


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Old 15-11-2015, 10:12 PM   #3
Dreamer And Believer
 
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Hi Amy,

Don't feel stupid asking for support with this; it's natural to want to know what to expect and even be a bit nervous. With first appointments in my experience typically the psychiatrist will want to do his own assessments of you, not necessarily formal but just to have you talk about what's going on, what you've been feeling and what you're looking for support with. He will likely be very focused on hearing things from your perspective and in your own words. Keep in mind that he will have had your case notes and history so in terms of the specifics of previous treatments and appointments, you won't likely be expected to recall everything perfectly.

As a support worker I occasionally support people to psychiatric appointments and typically I find the psychiatrist will want to see the person individually first, before inviting me in to discuss care & support concerns. But it's really up to you, your care coordinator, and the psychiatrist whether the care coordinator is in the appointment the whole time. Either way though the care co will probably be asked at some point what support and treatment he/she thinks you could benefit from and maybe a bit of their history in working with you. If they've been with you for a while hopefully they'll be able to help with any questions around previous treatments/appointments, but as I said before I wouldn't really worry too much about that.

As you've said you can't/won't know if his accent is or isn't a problem until you meet him so you can't do anything to prepare for that.

Hope this helps a bit!

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Old 15-11-2015, 10:21 PM   #4
Wonderland.
 
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Thank you both!

Both very helpful responses

I might write a few things down in preparation for it, so I don't blank out and have nothing to say. I used to do that in ward rounds - write down how I was feeling and anything I felt I needed help with. And it made things so much calmer in my head and things went so much more smoothly and calmly for me.

I have had one appointment where my care co was there but it does ring a bell that she wasn't there for the entire appointment but that may just be her being her usual late self. I can't remember the reason.

My care co when she comes on Tuesday is doing some sort of assessment. I'm guessing of my care needs with me returning back to the community. So that may help in preparation for the appointment.




'Cause I'll always remember you the same.
Oh eyes like wild flowers within demons of change ♥


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Old 15-11-2015, 11:31 PM   #5
caretothepeople
 
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Hey Wonderwall -

Good luck at your first appointment. It's great you're getting ready and preparing ahead of time. Wanted to pass along these tips on questions to ask / what to expect during the first appointment. Remember, don't be afraid to ask lots of questions. It's an important first step in building a good relationship with your psychiatrist and making sure you feel comfortable working with them!

Hi All

If your anxiety gets to the stage were you seek medical treatment your doctor may pass you on to the community mental health to see either a clinical phycologist or psychiatrist. Here is some information which may help with planning your first visit which can be scary and anxiety provoking.

If you have severe anxiety or if you also have another mental health condition, such as depression. A psychiatrist is a medical doctor who specializes in diagnosing and treating mental health conditions. A psychologist and certain other mental health providers can diagnose mental health conditions and provide counseling (psychotherapy) such as CBT & CAT.

Because there's often a lot of ground to cover during an initial appointment, it's a good idea to be well prepared. Here's some information to help you get ready, and know what to expect from your doctor or mental health provider.

What you can do
To be prepared for your visit, it can be helpful to think about a few things ahead of time and write down some notes to take with you. Things to write down include:

A list of your symptoms. Include when they occur and whether anything seems to make them better or worse. Also note how much they affect your day-to-day activities, such as work, school or relationships.
What's causing you stress. Include any major life changes or stressful events you've dealt with recently. Also write down any traumatic experiences you've had in the past.
Any health problems you have. Include both physical conditions and mental health issues.
A list of all medications you're taking. Be sure to write down the doses, and include any vitamins or supplements you take.
Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. Some basic questions to ask your doctor include:

What's the most likely cause of my symptoms?
Are there other possible situations, psychological issues or physical health problems that could be causing or worsening my anxiety?
Do I need medical tests or other tests?
Are there any restrictions or steps I need to follow?
Should I see a psychiatrist, psychologist or other mental health provider?
Would medication help? If so, is there a generic alternative to the medicine you're prescribing?
Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment.

What to expect from your doctor
Some questions the doctor may ask include:

Exactly what are your symptoms, and how severe are they?
Have your feelings of anxiety been occasional or continuous?
When did you first begin noticing your feelings of anxiety?
Does anything in particular seem to trigger your feelings of anxiety or make them worse?
What, if anything, seems to improve your feelings of anxiety?
What, if any, physical or mental health conditions do you have?
What traumatic experiences have you had recently or in the past?
Do you regularly drink alcohol or use recreational drugs?
Do you have any blood relatives with anxiety or other mental health conditions such as depression?
Tests and diagnosis


Hope this helps, and again, wishing you luck !!

-M

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