Re: Re: Therapist Advice Needed.

[Guest guest]

KW,

You know that is who I was referred to first, but he has moved out of state. I

was so disappointed b/c he was highly recommended by sidran.org; he treated pple

with DID/post integration, BPD, and KO BPD. I was BUMMED. I agree with you,

KW, that there are so many extremely qualified Nurse Practitioners today. In

fact, I find that I prefer seeing them, sometimes rather than the doc. They

usually don't have the God complex and listen to what you have to say. This

guy is totally after my $$$$$ and then when that runs out, " Oh, times up. " You

bet your behind, time's up, buddy. Thanks for responding and for the support.

Greg.

Re: Therapist Advice Needed.

>Date: Wed, 01 Nov 2006 19:39:45 -0000

>

>Urgh! Therapy is hard enough (I hate therapy) without having a

>j@ck@ss for a therapist. Really, that is my assessment of this guy

>based on your information. I could not handle it in your place. I

>say, keep looking!

>

>Trish

>

>

>

>

> >

> > Happy Halloween Everyone!

> >

> > I wanted to share my experience so far with the new psychiatrist

>that I am seeing and get some feedback.

> >

> > I've had two sesssions so far. The first was for an hour and twenty

> minutes, to make a time line and get the relevent history. = $325.

> > I had my second session last Thursday and I am finding him to be

>very similar to my old psychiatrist = doesn't say much, when I ask for

>specific feedback, I get the ole turnaround " What do you think. " My

>self-esteem is built up enough that I don't need that one, especially

>when I am talking about how to date, rules, norms, etc. He is not even

>using active listening techniques, which is crucial in goal oriented

>therapy/short term therapy. I also brought up that his hours may not

>work out when I get a job; he works from 9-5, Tuesday through Friday.

> His face turned red when I brought this up. He suggested that I look

>for a job with hours in the evening or night shift. I said, " Doesn't

>that Kinda defeat the purpose of getting out there an having a social

>life? Dating? I've worked at hospitals before at both the night shift

>and evening shift and you don't have much of a social life. " His face

>got redder and redder and agreed with an awkward 'ahmmmmmmm " He said

>that most

> > employers would be willing to give time off to go to therapy. I've

>done that one before,too. But that was for long-term therapy, not

>goal oriented. I also got a look at his laptop calendar when I turned

>around to get my coat, and his appointment book was not that full AT

>ALL. The other thing that really gets under my skin is that he and

>the other psychiatrists there share a secretary, which is common.

>However, if I needed to request a receipt and I forgot to ask for it

>at the last appointment, I am charged $185/# of minutes it takes to

>process that request. So that is $3.70 a minute. Even if I had

>insurance this is rediculous. I have been in therapy for over 25

>years. Never has a therapist (of any kind, MD., Ph.D., or Psy.D. or

>even MSW) ever charged for phone calls by the minute. If someone

>abuses that service, that might be instituted or addressed in another

>way. My last psychiatrist of 9 years said to me, " Greg, you don't

>need therapy any longer. In fact,

> > you might be too dependent on it. You need to get out there an

>live life. You will need a psychiatrist for the clonezapam, and if

>you need a spot check, but get out and live. Get the chronic pain

>under control when you are in Seattle, and get out and live life. " So

>I set up this appointment with this psyhiatrist as he was referred to

>me by my primary care doc. When I asked the psychiatrist if he worked

>with or has or is treating any one with BPD, as my mother has it, he

>said he hasn't. Same goes for DID. Seattle is different in that you

>have to have a referral to see anybody. I was even asked by one

>psychiatrist's office who referred me and was I a relative of that

>person. If not, they couldn't see me. (if a practice is full, say

>so). So I agreed to work specifically on dating. At that time, I

>seemed to think that a couple of months of goal oriented therapy would

>be helpful. And both sessions, when I have asked him if there are

>any books that I might read, he

> > smiles and says, not yet. And I spent that money giving him my

>history and he told me that we need to do it over again in next

>session b/c I did not tell it to him in a linear fashion.Why didn't he

>say, " Let's start from the beginning. or It would help me to start

>from the beginning. " My homework, which I have done 5 times that I

>can recall, is to write out the specifics of the major events in my

>life on a time line. What the hell was that $325 for? All the

>information is there. If this was my first or second time in therapy,

>I could understand doing a time line of my life. But since I already

>gave him the information, told him that I've done this 5 times before,

>and I don't want to take up next session to go over it again, I want

>to work on dating. His response, " All in due time. " Well, not on my

>dime is what my gut is telling me; that he is doing this to draw it

>out for the money. $$$$$$$

> >

> > I don't work well with therapists that do the blank slate technique,

>especially when it is goal centered therapy, and at $3.70 a minute.

>That is for long term therapy to create transference (Psych 3321).

>Goal centered therapy is get a brief history relavent to the issue to

>be worked through and work on it, give assignments/homework, readings,

>etc., as pt can tolerate. We have not yet talked about gay dating.

>Like " Greg, what do you expect out of a date? " .........etc. That

>should have been last week.

> >

> > Wow, after reading what I wrote, I pretty much have my answer.

>What is your guys' take on this?

> >

> > Thanks,

> >

> > Greg.

> >

> >

> >

> >