View Full Version : Your Local Psychiatrist - Handle With Care.


planetdave
02-03-09, 01:55 PM
I saw my local NHS psychiatrist today.

It was not pretty.

If you haven't read my other two threads on here (Diagnosis#2/How to Get Diagnosed - The planetdave Story) do so now since this is related.

Anywho - the story so far.

I was diagnosed in 2006 but felt the need to see a psych last year and had an appointment with my local consultant.

She, on the basis of a perfunctory and lacklustre examination, decided that I didn't have ADHD.

To anyone seeking a diagnosis this would probably have been the end of their story and they would have been thrown back into the general pool with some SSRIs and a nice cup of tea to see them through.

And that's my cautionary tale. This psych is quite young and you'd expect to be at least conversant with the general nature of ADHD.

But no.

Not only did she dismiss the findings of my first specialist (an experienced doctor specialising in ADHD) but is now effectively refusing to treat me after I came back at her with a second diagnosis from, possibly, the leading ADHD clinic in England.

It's unbelievable.

I have a recognised condition, confirmed by two superior (to her) sources, and she doesn't even want to try to look after me.

Which is pretty much counter to all NHS rules.

Luckily I'm made out of stern stuff and know enough to be able to sort things out for myself but for anyone a bit unsure of themselves, and what condition they have, this experience could have terrible consequences.

So if you are trying to get diagnosed on the NHS your local psych may not be the answer.

My advice - don't use them unless you know they are ADHD friendly. Print this off and show it to your GP if necessary but don't go to a psych without a track record in ADHD or at least an open enough mind to send you somewhere else since they won't have enough knowledge (no NHS jobbing psych does - you need to see a specialist in ADHD) to diagnose you themselves.

Private is easier and, paradoxically, cheaper in the long run.




And to finish my story.

I took a day off work to see this psych. She was puzzled as to how I had managed to fund a trip to The Maudsley (SLAM) and was treating me to the kid gloves and a baleful glare since their report pretty much shredded her observations into teeny little pieces. In fact they took the p1ss a bit. Which I enjoyed :p. And she didn't.

So, after a short exchange in which we were both excruciatingly polite, she tried to offload my care to SLAM since she obviously wants rid of me and my 'imaginary' ADHD. No offer whatsoever was made to try to get a working relationship going (which I didn't particularly want but you have to be somewhat pragmatic) since I didn't have a condition she 'recognised'.

So after about five minutes I was ushered out of the door (FIVE MINUTES!) lobbing a small handgrenade behind me (I believe I said 'yes, I'd rather be treated by someone with a less negative attitude' - take that, b1tch!) as I flounced (it's a good trick) out into the snow.



Day off wasted but at least I know where I stand.

So make sure you see a proper psychiatrist and not some deluded fool that works in the dementia clinic. Perhaps it's catching :p

firstdesserts
02-03-09, 03:10 PM
Luckily I'm made out of stern stuff too! I had a rather similar experience last week here in the colonies. I am by no means a doctor, but I am the world's formost authority on what it is like to be me! I am continually told I cannot think clearly because I am depressed. But I know I am depressed because I cannot think clearly! Wouldn't anybody?! Don't tell me you know better my mind better than I do!

What's a good British quote for 'I won't stop until I get satisfaction!'?
(With no appologies to the Stones.)

planetdave
02-03-09, 03:44 PM
We don't go big on glib cliches - a steely gaze + firm chin as we march off into the gloom and rain is about as good as it gets.

Heroic poise is wonderful - if you can manage to walk across the car park (icy) without falling over.

Darkangel001
02-03-09, 04:43 PM
'I'd rather see someone with a less negative attitude' LOL priceless!!!!! I am now curious to see how exactly did Maudsley take the P1ss? I want to know- sounds like that's be a good laugh- wish I was there to see it-

pretty much how my appt went- except with the crap I went through- wanted to finish with 'Yes, I'd rather see someone who actually knows what they are talking about'- apparently Adult ADD is very knew- only recognized last year- and I shouldn't be too hyped about it- no pun intended.

So yeah, he said he'd consider Maudsley- but here is the question - how are did you get Funded- because I know- I am Psychic- that this is going to be my next hurdle!?

THank you
You posts are a pleasure to read :)

planetdave
02-03-09, 05:01 PM
They parodied her report by parroting some expressions she had used but turning them on their heads.

I found it hilarious.

It made her look stoopid (professionally) and consequently she had a face like a slapped @rse since she knew I'd been copied into the report.




For my method of funding see my other threads. Even with it visiting SLAM is pricey (for me private worked out cheaper in total). Two visits are required and they run morning or afternoon or evening sessions. Whichever way you do it is going to leave you travelling in a peak period unless you can muster up a local bed. Parents OK?

Darkangel001
02-03-09, 06:39 PM
I could crash at my parents if I can see them during the weekend....- otherwise I could do Wednesday afternoon and then come back on time for Uni. During the hols I would be at my parents anyways :) I'm on my way to check your other thread for funding :)
Ooh and the parody "Quotes please:)

firstdesserts
02-03-09, 09:03 PM
planetdave: "We don't go big on glib cliches - a steely gaze + firm chin as we march off into the gloom and rain is about as good as it gets.

Heroic poise is wonderful - if you can manage to walk across the car park (icy) without falling over."


I like that!

Emjay
02-10-09, 04:25 PM
Ha Ha:D thanks PlanetDave. It's so good to know that the battle I am facing right now with my local Psych service is not a lone case. The PCT also did not fund me for the Maudsley and so I was referred back to psychiatric service. (and I live in Greater London) This is the same service that wrote to me after an initial referral saying that they don't treat adult ADHD. So now I am waiting for my third appointment with them. The first appointment was delving into my background, the second, the psych needed her boss there as she admitted was not knowledgeable enough and now they wish to meet my mother.
Since my second appointment I have spoken to a couple of people and it seems that this particular clinic does not have the best history for treating Add Adhd.

Also think I ****ed them off by making the stupid mistake of getting too excited and quoting that America is a much better place for recognising adult Adhd. To which the boss woman gave me a mini telling off (putting me in my place of course) , informing! me that America is overdiagnosing and a lot of people on meds that shouldn't be...

Yeah, so that put me in my place..:rolleyes:

I also said that I wanted them to refer me to a specialist clinic so an expert could diagnose/treat me. Whoops again (I don't mean to always put my big foot in it.)

At which point was told that if they thought I had Add then they certainly would refer and diagnose me and if they didn't then they wont.

O.K Whaaat:(

I don think I'm gonna be happy if they tell me I haven't got it, they do not know enough I believe to make that decision.

what can I do? Nothing. I will wait and see what they decide of course.
Without meaning to offend, I am sure they just think I am a nutcase.

I am wondering if I was only seen after all because of the change to these NICE guidelines and they now have to at least see me for an assessment.

It's good though about the NICE as it's at least a step in the right direction.

After not knowing what to put, I have now rambled on and bored you to tears prob if you still reading. I can't always express myself very easily in words or it's all in my head but can't order it quick enough. So sorry.

BTW I am often quite careful what I say to people but not to these two Psychs (obviously currently suffering from foot in mouth syndrome aswell)

Thanks from Emjay:)

planetdave
02-10-09, 05:59 PM
Hello Emjay.

You sound like you're on the right track - wanting to speak to your mother is a good thing (if you have ADHD it's always present in childhood).

Otherwise foot-in-mouth syndrome is bang on the money - just try not to antagonise them too much.

You know we all have to put up with an enormous amount of crap before we get taken seriously - just wear the buggers down with being you.

Prusilusken
02-14-09, 04:59 PM
Wow, Dave...your local psychiatrist sucks.
And very badly so for a presumably healthy young woman.
I am ashamed of myself for sharing her gender to the extend where I almost feel dirty - and ONCE AGAIN - NOT IN A GOOD WAY!

"Suck", "dirty" and "slapped @rse" are so wonderful terms in the English language, and she seems to put a negative spin on them all in one, swift swoop of personal AND professional incompetence.

We are not amused.

planetdave
02-14-09, 09:54 PM
And if you keep saying 'suck', 'dirty' and 'slapped @rse' I might need to keep my hands where you can see them :p

Prusilusken
02-15-09, 10:14 AM
Hey man, where you keep your hands is none of my business, lol.

I hope you'll soon be through with the crap of all this diagnosing and be able to move on with your life!
Goes for me too, but as it turns out, right now I seem to have a lucky streak going on - FINALLY - after twelve years of being mislabelled. Schizotypical. Borderline w/ depressive tendencies...Yeah...that's me to a T...or NOT.

Whatever, come see my doc, he seems legit! :D

chamaleon
02-15-09, 10:27 AM
I got diagnosed at the maudsley on thursday. I found them fantastic, the whole process for me was quite straightforward. I must be one of the lucky ones.

Lunacie
02-15-09, 10:54 AM
I haven't tried to get a diagnosis for ADHD, fortunately for me I'm at a place in my life where Omega 3 is helping me to deal pretty well.

But I've been playing this same game with the doctors for 35 years in connection with my Migraine disorder. For years my family doc insisted they were sinus headaches, although none of the meds he offered ever helped in any way. I finally convinced him to give me meds for migraine and POOF the pain was gone. Unfortunately soon after that I lost my health insurance and developed hypertension, making the med I'd been taking a very bad choice.

Since then I can't find any doctor willing to treat what they call "chronic pain" because the government has become so suspicious of doctors handing out pain meds like candy - leaving those of us with truly chronic pain hanging in the wind.

I'm so grateful for discussion forums like this one, and the one I found for Migraine sufferers, where I can talk to other people and understand that what I'm going through is not "all in my head" and that I'm not alone, and share coping skills and tips and just plain sympathy at times.

I wish the best of luck to those of you are seeking a diagnosis and treatment. We got very lucky in the family doctor who sees my granddaughter simply sending us out with tests for everyone to fill out and then saying that she has the most severe case he'd ever seen - no problem at all with prescribing meds. However, if I went it it could go differently, even the good doctors still believe that we "outgrow it."

meadd823
02-15-09, 12:58 PM
I wish the best of luck to those of you are seeking a diagnosis and treatment. We got very lucky in the family doctor who sees my granddaughter simply sending us out with tests for everyone to fill out and then saying that she has the most severe case he'd ever seen - no problem at all with prescribing meds. However, if I went it it could go differently, even the good doctors still believe that we "outgrow it."

Ummm the UK medical system are much different than they are here in the states.


Also think I ****ed them off by making the stupid mistake of getting too excited and quoting that America is a much better place for recognising adult Adhd. To which the boss woman gave me a mini telling off (putting me in my place of course) , informing! me that America is overdiagnosing and a lot of people on meds that shouldn't be...


As an American I would like to know upon what scientific data does she base this "observation"?

Bare in mind I pay privately for my ADD treatment also so sucking up to the ignorant isn't some thing I have to do to be treated, Basically I am too ADHD to suck up. What pops into brain pretty well flies out of mouth minus any social filtering. Taking foot out of mouth just long enough to switch feet is a hallmark sign of verbal impulsively , a very common ADD trait btw.