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09/26/2011 07:34 PM

What to say to the psychiatrist?

DrDiva
DrDiva  
Posts: 2952
Senior Member

Assuming we ge an appointment soon, what should I be prepared to say to the psychiatrist in regards to my husband's behavior/history? I feel like I need a checklist. I don't want to blow this chance!

Help!

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09/26/2011 07:59 PM
bethb2004
bethb2004Posts: 813
Member

Has he been on any meds? I would make a list of the meds, amounts, effects, whether it worked or not, etc.

I would try to think of a brief history. At least times when he displayed manic or depressive tendencies. Lenght of time, time of year, how he acts during these times, his sleeping patterns, his spending habits, if he's cheated, how he treats you during these times, if he has any anger issues. The following guidelines may help:

Mania:

MOOD

Abnormally elevated, expansive (euphoric)

Irritable, critical, argumentative, stubborn

PHYSICAL SYMPTOMS

Deceased need for sleep

Insomnia; stays up all night

Increased appetite

Sudden weight loss

Increased sexual drive (often to point of hypersexuality)

Catatonia (psychotic stage)

BEHAVIOR

Impulsive

Intrusive, uninhibited

Increased goal setting and creativity

Anger and rage

Disorganized, easily distracted

Recklessness; spending money, bad business investments, sexual misadventures

No concern about consequences of behavior

Refusal to accept the possibility that something may be "wrong" with thinking or behavior.

Blames others for reasons they did inappropriate behavior

Grossly disorganized (psychotic state)

THINKING

Inflated self-concepts of power, greatness,

importance (grandiosity)

Pressured speech

Racing thoughts (flights of ideas)

Rapid shifts of attention

Poor concentration

Memory distortion

Inability to see problems caused by own actions; problems typically attributed to someone or something else

Delusions (psychotic stage)

Disorganized, incoherent speech (psychotic state)

SENSES

Lowering of CNS excitability; Lack of sensitivity to heat, cold, hunger, thirst, pain, injury

Seeks over-stimulation

Hallucinations (psychotic stage)

Depression:

MOOD

Depressed, sad or very irritable; cannot be "cheered up" (dysphoria)

Loss of interest and pleasure in daily activities

PHYSICAL SYMPTOMS

Insomnia or sleeping too much

Loss of appetite or eating too much

Feeling slowed down or too agitated to sit still

Extreme fatigue and lack energy

Decreased sexual drive

Catatonia (psychotic stage)

BEHAVIOR

Decreased motivation

Decreased performance

Withdrawal and isolation

Loss of gratification in effort

Lack of attention to hygiene and appearance

No desire to talk, interact, socialize

THINKING

Accusatory, self-blaming thoughts

Dwelling on guilt and personal failures

Having very low self-esteem

Inability to think, remember, concentrate

Marked indifference

Recurrent thoughts of death, suicidal thoughts, suicidal plans

Delusions (psychotic stage)

Disorganized, incoherent speech (psychotic stage)

SENSES

Heightened sensitivity of the central nervous system (CNS)

Hypersensitive to noise, light, stress

Hallucinations (psychotic stage)

I'm thinking I need to review this list myself.

Post edited by: bethb2004, at: 09/26/2011 08:02 PM


09/26/2011 08:43 PM
marriedtoit
marriedtoit  
Posts: 11541
Group Leader

Great idea, Beth. I was thinking this too, DrDiva. If you can keep aware of the diagnostic criteria for bipolar disorder (without actually quoting the manual...the doctor will be suspicious of that), that can guide what you need to report.

Some of the MAIN things, if I were to boil Beth's list down more would be: Sleeplessness and bad sleep. Pressured speech (talking really fast and not letting anyone get a word in edgewise). Rage. Not wanting to get out of bed (this is a depression symptom). Suicidal talk. Self-harm. Dangerous or risky behaviors. (My husband + a car= danger, before he was diagnosed. I was so traumatized that I drive us almost everywhere now.)


09/27/2011 06:03 AM
DrDiva
DrDiva  
Posts: 2952
Senior Member

Thanks ladies. Wish me luck!

09/27/2011 05:21 PM
wifeonbpexpress
wifeonbpexpress  
Posts: 4891
VIP Member

Good Luck!!!Smile

09/30/2011 07:36 AM
DrDiva
DrDiva  
Posts: 2952
Senior Member

Appointment is Tuesday at 10 am. Pray if you pray. Smoke em if you've got em.

09/30/2011 08:24 AM
lollipop
lollipop  
Posts: 4288
Group Leader

Hope everything works out and ya'll get some good info and help. Take it easy and keep posting!

09/30/2011 09:05 AM
KenDad5

You will be at the top of my list for prayer.
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