Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 4, 2009 20:51:07 GMT
Good luck Jeff mate, hope it went better than mine. If they try to palm you off just tell them you want a specialist buddy and dont let them bully you.
|
|
|
Post by annie on May 4, 2009 20:56:15 GMT
Hi jeff
Glad you feel better prepared for this next appointment!! The person you saw appears to have made no effort to take a full history - he accused you of putting labels on things but did exactly the same. He immediately latched on to certain incidents in your life and gave some freudian interpretation on them - many of Freuds theories were totally discredited many moons ago!
good luck with the appointment.
annie
|
|
jeff
Member posts quite a bit
Posts: 148
|
Post by jeff on May 5, 2009 12:47:41 GMT
Hey.
It went okay I think. No referall though. I did push for it quite a bit, but he said he needs time to build up a case and look at my history and that it's the same as I'd be doing with a specialist.
He also said he could be a specialist, not really sure what he meant by that though.
I don't know, should I have demanded it??
My next appointment isn't for like two weeks!! This whole thing is taking forever!!
Jeff.
|
|
|
Post by twix on May 5, 2009 15:56:46 GMT
2 weeks is good.
|
|
|
Post by twix on May 5, 2009 17:09:01 GMT
I think if he is through and builds a good case it will help you get seen by the right person. Its annoying waiting I know.
|
|
|
Post by roland on May 5, 2009 18:15:54 GMT
At the end of week one, you could try ringing him and ask (innocently) if he needs any more information to help make his case, and then ask him "btw, what did you mean when you said you could be a specialist?" Wouldn't it be great if he's getting some training in adult ADHD?
BTW I'm suggesting that you ring him just as a way of nudging him to keep on working on your case.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 6, 2009 14:20:25 GMT
Me too, Im going to badger mines as well. You would think they would get the point when you are complaining about 2 weeks though
|
|
jeff
Member posts quite a bit
Posts: 148
|
Post by jeff on May 19, 2009 14:34:42 GMT
Hello people! Just thought I'd call in again, my next appointment is tomorrow. I'm not as nervous as I have been previously, I'm just really down because I feel like it's going to be dragged out for ages.
Do you reckon I should just keep pushing for the referall??
Jeff.
|
|
|
Post by roland on May 19, 2009 15:32:15 GMT
Hi Jeff,
You could politely ask him if he is experienced in assessing for adult adhd, if he says yes, then ask him how many does he do, just to make sure it's not one or two, or you're the first.
If he's not experienced then push for the referral. If he's not willing to consider ADHD, then push harder. But hopefully, it all will go well and you won't have to push him at all.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 10:24:00 GMT
Good luck with the appointment.
So you've been referred to a psychiatrist who is building up a history to see whether or not to refer you to a specialist? Just trying to get my head around the process involved - it's so confusing!
|
|
jeff
Member posts quite a bit
Posts: 148
|
Post by jeff on May 20, 2009 11:48:54 GMT
Hey. Yeah, that's exactly it.
Just another pretty standard session. At the end I started going on about seeing a specialist and he started to get a bit angry saying how he needs the time to build up a history and that I don't understand how it works, that I have to spend time with him and then he puts me onto whatever kind of specialist he thinks I need.
My next session isn't for a month. I'm so frustrated, I feel like these are just going on forever.
Shall I push harder? I asked him how long until he'd be happy to refer me to wherever and he said he didn't know.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 12:06:26 GMT
A single one hour session should be enough to conduct a history and get a feel for the patient. Any more is overkill and shows a desire not to get caught out. Getting annoyed with you is unprofessional and further demonstrates how unsure (unprepared) he is. Your response is typical ADHD and if you aren't being irritating to an non ADHD specialist then you probably aren't doing it right
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 12:37:26 GMT
Just thought I would chuck my own info in here as well becos its kind of similar. Hope it helps some Jeff.
Got another call from my "resource centre". The lovely Dr. said she had spoken to the first consultant and he said he "hadnt quite finished my evaluation yet" and wanted to see me again to perform some memory and concentration tests. He said he will organise another appointment for me outside of his clinic hours as I will be waiting for ages otherwise. So im back in 2 weeks or something. I agreed as it cant do any harm to have some more evaluation can it?
This swine is just trying to cover his tracks now isnt he though. She has outlayed my reasons for disagreeing with him and now he is crapping himself. He said I would be waiting months to see his Psychologist and now he says this. Ah well, at least the new Dr understands my worries now and if it doesnt go well next time, I will get an appointment with her.
It seems that the people who kick and scream get everything and the quiet well behaved people get nothing. Its something someone drew my attention to the other day regarding kids, but on introspection, it seems I am still up to these tricks. So I would recommend anooying them some more jeff. Just try and be tactile (hahaha, its difficult isnt it) about it and try not to upset him too much:)
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 12:47:19 GMT
Tactile!? You want him to handle them? Twow him ruffly to the gwound, Centurweon Shirley you meant 'tactful'? [edit] edited to remove embracing speeling error
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 13:21:15 GMT
Yeah something like that Dave ;D
Forgot to mention that as the lovely new Dr was trying to talk to me I kept butting in and talking over her ;D
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 14:05:52 GMT
Lovely lady doctor?
It's a bit of a tough pull - they know you're nuts.
You know you're nuts.
And yet you still sit there trying to be charming whilst you calmly explain about being a dangerous lunatic with all the stabilty of a balloon in a hurricane.
Male conceit knows no limits ;D
|
|
|
Post by roland on May 20, 2009 14:38:35 GMT
Ha ha ha planetdave ;D
And what about us ladies and the predicament we find ourselves in when the male psych is good looking ;D
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 20, 2009 14:43:22 GMT
Mwuhahaha, your defo doing a good job making me smile. Glad you seem in a better mood today. Enjoying the time for evaluation are you m8?
|
|
|
Post by roland on May 20, 2009 14:54:49 GMT
Jeff I'm going to be blunt here and say that's crap! This guy is playing with your life and I agree with planetdave, a single one-hour session should have been enough for him to get enough of a background. And not only that, he's supposed to be the psych, what's he doing getting angry with you? What a useless lump; it's his blinking job to find out! Sorry for being so vehement Jeff, but this really makes me cross on your behalf Like madscot I think you need to annoy them more (in a tactile/tactful way). Ring up the PALs for the trust (I can't remember if you said where) and tell them what's happened, and that he got mad at you, and tell them what you want is a straightforward referral to an adult ADHD specialist.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 22, 2009 12:34:21 GMT
Was looking for the thread I started about my psych consult but Roland must have cleaned it Just thought I would update. As I said earlier the psych I was arguing with (we shall refer to him as Dr Knobend from now on) is now backtracking a little after I phoned patient services. He has decided that he in fact hadnt finished assessing me as yet and was going to do memory and concentration tests (first I knew, "he's making it up"). Swine got a talking to obviously and realises that if he doesnt do the right thing by me then he will have repercussions to deal with. I received an appointment this morning to go back on the 1st June for these tests. What are these tests going to prove? I am worried this guy is going to focus on the attention deficit side of things when its not an attention deficit I have. Its a distractability issue. Maybe I am not explaining well. Im sure you all understand we can concentrate when its interesting. I dont think this is very fruitful. Can anyone gve me any advice here. I wouldnt mind knowing what the tests will incorporate, what they would prove and is there any real point in them. Is this guy just a complete muppet or am I missing something here. He has already had 90 minutes of consultation with me, and now he wants to do some stupid tests. Im really unsure of his motives for these tests.
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 22, 2009 13:19:06 GMT
It depends what tests Dr Knobend has available. A proper set includes IQ testing and executive functioning. It's really a comparison of intelligence against performance under pressure - one is a baseline against which the other is measured. Executive Functioning (EF) is what ADHD is really about and it is common to all varieties/subsets - google up anything by my mate Dr Brown (we have history!) and it will crop up bigstylee.
|
|
|
Post by roland on May 22, 2009 17:17:20 GMT
Hi Madscot, You owe me a drink because I didn't move your thread and here it is: aadduk.proboards.com/index.cgi?action=display&board=general&thread=949&page=1I agree with planetdave that it really depends what tests Dr Knobend is going to give you. But I'm like you I'd want to know why he's suddenly decided to give you some tests. My concern is that if he doesn't really know what he's doing, he could misinterpret the tests even if he gives you the right ones. Have you asked him how much he specifically knows about ADHD?
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 22, 2009 20:49:11 GMT
LMAO, u deserve that drink regardless of my incompetence in finding things. Ive never been any good at that and it was a point of heated debate many times before with my ex gf:) And LMAO again. Thats what started the agrument last time Roland. After he dismissed me with stupid reasons I proceeded to ask him if he had any experience with adults. Then when I decided to back down, he said he would send me to the psychologist but it would take months. I wasnt really up for waiting months to see another inexperienced person so I asked if he had any experience. LMAO, I couldnt hold that second one in and it sent him off his trumpet again You seem to have grasped what has been bothering me as well. I now have an appointment in what 9 days, for more tests that I wasnt going to get before. I think he is covering his arse.
|
|
jeff
Member posts quite a bit
Posts: 148
|
Post by jeff on May 25, 2009 18:29:48 GMT
Ring up the PALs for the trust (I can't remember if you said where) and tell them what's happened, and that he got mad at you, and tell them what you want is a straightforward referral to an adult ADHD specialist. Just thought I would update. As I said earlier the psych I was arguing with (we shall refer to him as Dr Knobend from now on) is now backtracking a little after I phoned patient services. He has decided that he in fact hadnt finished assessing me as yet and was going to do memory and concentration tests (first I knew, "he's making it up"). Swine got a talking to obviously and realises that if he doesnt do the right thing by me then he will have repercussions to deal with. I guess I should really go down this route, cause a bit of a fuss! So how do I get in touch with patient services? What did you tell them and what did they say? Also who are the "PALs for the trust"? How do I get in touch with them? Sorry I have no idea about local healthcare structures etc... I'm a student living in London, near Waterloo, so I'm actually really near the Maudsley Centre. The psychiatrist I'm seeing is the from the Student Health Centre at my uni. Do you reckon I could get in touch with the university? The main thing I'm worrying about though is keeping this guy on my side, because in other threads I've heard about how difficult it is getting someone to perscribe medication. It would be so much better if I had someone at my uni who I could easily see. What would I do otherwise? Try and get a GP to perscribe me? Thanks very much by the way everyone! I seriously think I'd have given up by now if it wasn't for this forum. ;D
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 25, 2009 19:40:17 GMT
The organisations are different in Scotland and England, which is why this is so difficult for us Scots. PALS is here www.pals.nhs.uk/ and you will find allsorts of information on there and Im sure you can find a phone number too. When I am pestering people, I always say thank you for everything. Just to make sure they know although Im an annoying swine at least Im polite. Why dont you try my approach. Ask them for some advice on how to approach the man without sounding insulting and argumentative. Explain you feel that he lacks the experience and you would be better served being referred to a specialist, but you dont know how to approach it.
|
|
|
Post by roland on May 26, 2009 8:48:33 GMT
Hi Jeff, You might be in luck since you live so close to the Maudsley, because in some areas GP's can refer you directly to the Maudsley without going through a psych. Here's the link to the Maudsley's adult adhd web site: www.slam.nhs.uk/services/servicedetail.aspx?dir=12&id=1045Alternatively, give the Maudsley information to your psych and say "no ifs, ands, or buts, that's where I want to go."
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 26, 2009 9:43:10 GMT
And what about us ladies and the predicament we find ourselves in when the male psych is good looking Sorry to be tangential here, but i keep forgetting you're a girl roland!
|
|
jeff
Member posts quite a bit
Posts: 148
|
Post by jeff on May 27, 2009 21:31:37 GMT
And what about us ladies and the predicament we find ourselves in when the male psych is good looking Sorry to be tangential here, but i keep forgetting you're a girl roland! Oh right lol, I had no idea either! I know I really should go in there and demand the referall, but I know what he'll say, "I'm not just a self-referall service. I need time to make a proper assessment" blah, blah. madscot, thanks for that PALs link, it looks really helpful. What did you ask them when you got in contact with them?
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on May 27, 2009 22:59:51 GMT
I basically outlined what had happened, and followed onto explain the reason for the argument (ie the Psychs a complete tit), and asked if there was anyway I could avoid arguing with him and get him to accept he doesnt have the necessary experience.
In your case, you should just explain to PALS that you feel if you question his experience it will cause an argument., so how do you avoid it. They can give you the best ways to approach it.
Good luck
|
|
Deleted
Deleted Member
Posts: 0
|
Post by Deleted on Jun 5, 2009 20:41:06 GMT
My internets been down for a few days or I would have told you guys about this earlier. I went to my 2nd appointment with the Psych on Monday for a futher chat and the memory/concentration test.
At least things went a little smoother this time. I went in and he was all apologetic at upsetting me the last time and I explained to him why I had asked him of his experience. So we had more of a chat and done the test. The test was nothing, he asked me to do a few things which seemed a little silly. Never really commented on the significance of them or what he hoped to gain from it.
Anyway, the session went much better and I think he is beginning to agree with me. Im thinking the depression I was in was so obvious he was convinced that was the problem. Now that I am free of that I think it made my symptoms more obvious. He then proceeded to tell me he has 4 other ADHD patients that he prescribes methylphenidate to and that it could be a possibility I could be added to the list.
My problem with this though is that I am nervous about this guy's lack of experience. He showed that to me before and I cant forget it. So I am very unwilling to accept his scripts incase he is wrong. Im convinced I am right but I could be wrong. I would just much rather be seeing a specialist who will spot the signs immediately. Ive been talking to this guy for 2 and a half hours now and he wants to see me again on 15th June. He still hasnt definitely said what he thinks is wrong either.
I shall await my next appointment and see what happens.
|
|