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Sounds like you have schizophrenia/psychotic PTSD. If that is the case, here are some points I would like to express...
- it doesn't matter how "normal" you were before the "trigger" occurred... what you have to realize is that if its released once, subsequent psychotic episodes are that much easier to come by - you will never be the same "typical overachiever" again, irregardless of your personal progress
- if you don't want to lie, you will have to talk about the trauma, or at least how it affected you. Imo you should talk about it with sincerity and seriousness (no, "haha it's funny when I think back on it" stuff), but without asking for pity. State it clearly, and move on
- yes, if you follow my advice, some schools will probably label you with a "flag" or just dump you altogether.. your situation is like the Iraq war, there is no solution that will make you completely happy
I have some questions about explaining sketchy academic performance because of long-term mental illness. I'll try to wrap it up:
During my first semester of college, something really truly awful and catastrophic happened. Until that point, I was your typical overachiever with good grades and community activities. Then I developed chronic post-traumatic stress disorder, and spent the next four semesters of college (augh) in and out of psychiatric hospitals (I swear I was totally normal before that). I'm finally getting back on track and working on putting the event behind me with psychological and psychiatric help.
My grades themselves aren't terrible, but my transcript is full of Ws, medical incompletes, and reduced credit loads. It is also reflected on my transcript that I spent 3 semesters on academic probation for not earning enough credits to be considered a full-time student. I'm hoping my last 3 semesters of college show a hugely upward trend, but all those blemishes are bound to raise eyebrows.
I'm majoring in the social sciences and will have another 2-4 semesters of post-baccalaureate coursework after college (I don't plan on applying to medical school until at least 2009), and I'm hoping stellar work in the sciences will make that two-year rut look less horrible.
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Hey aripip,
First of all, congratulations on having made it this far in your recovery. May you continue to heal over the next few years. 😍
As for "self-disclosure," I pretty much agree with what everyone else here has said. Regarding the blemishes on your record, you are almost certainly going to have to be able to comment on what happened in that time. In fact, I hate to say this, but if you want ad comms to give your early scholastic records a pass, you will probably need to put a sentence or two into your personal statement mentioning the source of the trauma (in the fewest words possible and as dispassionately as possible). This is not because they are nosy, cruel people, but because they honestly can't knw that there were extenuating circumstances unless you tell them so. Then, you can simply state that as a result of this trauma you had a "difficult time" for a little while afterward. Likewise in interviews, have a pre-prepared sentence about what happened if you are asked, but then make it clear that you wish to move on from what happened in the past to talk about the person you are today.
I would not recommend fully disclosing the PTSD, etc. Simply saying, "I had a very difficult time for a few years after that event, which is reflected in my transcript," is enough. No one has to know about the psychosis, PTSD, or anything else unless you tell them. Med school ad comms do not have access to your personal medical records. You can pick and chose what to reveal and what not to. I am inclined to think that revealing the source of the trauma is necessary to explain your record. I am also inclined to think that the precise psychological effects of that trauma are no one else's business but yours.
All of that having been said, I realize that you do not want to be so public about what happened. It's a tough situation, and I'm truly very sorry for you. 🙁 But I honestly believe that telling them the source of the trauma in a few, spare words will allow them to give you a pass on a transcript that would otherwise be very eyebrow raising. The diagnosis of PTSD, however, need never be mentioned.
Remeber, too, that gaining the ability to talk about what happened in a dignified and composed manner can also constitute a very important step in your recovery. In fact, I am inclined to believe that the ability to do so will relect a certain psychological "readiness" on your part to take the new challenges that life will bring. Certainly, it will reflect tremendous strength and courage on your part. Ad comms will see that and, I believe, reward you for it.
As for the issue that one poster brought up regarding psychotic episodes, I certainly do not know your situation or where you are right now in terms of your recovery. I must assume that you're doing fairly well, however, or you wouldn't be posting now. Let me just say that I hope you will be very honest with yourself in appraising the liklihood of continued psychotic episodes as you enter the practice of medicine. I'm sure I don't need to tell you that you will see many, many terrible things as you go through your training. Even if you wish to do Family Practice, you will still have to spend time in the ED, NICU, and many other places where you will be exposed to terrible human suffering. Please be sure that you are psychologically ready for all of this before you walk down the medical path. The lives of other people will be in your hands, OP, and you owe it to them to be certain that you are in a psychological place where can handle the responsibility.
Good luck, OP. I hope you do well!![]()
I would not recommend fully disclosing the PTSD, etc. Simply saying, "I had a very difficult time for a few years after that event, which is reflected in my transcript," is enough. No one has to know about the psychosis, PTSD, or anything else unless you tell them. Med school ad comms do not have access to your personal medical records. You can pick and chose what to reveal and what not to. I am inclined to think that revealing the source of the trauma is necessary to explain your record. I am also inclined to think that the precise psychological effects of that trauma are no one else's business but yours.
Thank you so much for the candid responses. I am especially relieved to know adcomms do not have access to my medical records (unless anyone has heard the contrary...).
I have worked in the mental health field for the last 8 years. I have worked with adults diagnosed with schizophrenia for the entirety of that time.
For the people diagnosing this person with schizophrenia because she has experienced hallucinations, you clearly do not fully understand PTSD, or schizophrenia...so maybe skip labeling this original writer with a serious mental illness.
After suffering trauma, it is very common to re-experience the situation often through hallucinations that it is reoccurring. PTSD can be treated and people can heal and lead 'normal', healthy lives.
For the writer, my personal opinion is that you should be honest, but concise. If a crime was committed against you, perhaps you can say something along those lines, rather than stating the crime.
Good luck. Don't be discouraged by people who only see failure. Getting into medical school is difficult, but plenty of idiots get in all the time. You will be fine.
take care!
Also, schizophrenics don't usually take aripiprazole [Abilify] (i worked with it last summer)- the medication is reserved for individuals with bipolar mania.
Also, schizophrenics don't usually take aripiprazole [Abilify] (i worked with it last summer)- the medication is reserved for individuals with bipolar mania.
hmmm i wonder if schizophrenia has just been recently added as a new indication. I dont remember covering it.
hmmm i wonder if schizophrenia has just been recently added as a new indication. I dont remember covering it. Maybe my project just focused on BPM. 😳
Anyway, to the OP, good luck with everything!
I have worked in the mental health field for the last 8 years. I have worked with adults diagnosed with schizophrenia for the entirety of that time.
For the people diagnosing this person with schizophrenia because she has experienced hallucinations, you clearly do not fully understand PTSD, or schizophrenia...so maybe skip labeling this original writer with a serious mental illness.
After suffering trauma, it is very common to re-experience the situation often through hallucinations that it is reoccurring. PTSD can be treated and people can heal and lead 'normal', healthy lives.
For the writer, my personal opinion is that you should be honest, but concise. If a crime was committed against you, perhaps you can say something along those lines, rather than stating the crime.
Good luck. Don't be discouraged by people who only see failure. Getting into medical school is difficult, but plenty of idiots get in all the time. You will be fine.
take care!
I don't want to get too personal, but for what it's worth my official diagnoses are Chronic PTSD and MDD w/psychotic features. The latter was Schizophrenia, but despite hallucinating a wicked lot, I have no delusions, so the diagnosis was changed. In any case, if someone asks and probes, I just say "PTSD." I feel like if anyone hears "schizhophrenia" or "psychotic features" your credibility goes down to nil instantly, even from medical doctors taking your medical history on completely unrelated issues.🙄
Also, Abilify pretty much zapped the hallucinations and I did a 180 in functionality overnight (really, holy Jesus, I don't know where I'd be without it today). I also stopped speaking in "word salad." It was the first thing recommended for me after Seroquel turned me into a zombie. I am convinced I have a wonderfully competent psychiatrist. Anyway, flashbacks and mood stability are still iffy - but that is what the psychotherapist is for.
It is easy to be skeptical when I say I'm "fairly recovered." So am I. I'm just going to keep on going normally and hope for the best while being realistic. I do know I don't want to tackle med school if I'm still easily made unstable.
Thank you for your insight. I don't want to turn into a SDN case study though. One of the biggest things I was afraid of was that my medical records would end up included with my application. I'm glad that's not the case. Anyway, I have 2 or so years before worrying about how to write about it in my personal statement. For now I'll stick with just trying to stay sane. 🙂
Thanks everyone.
I don't want to get too personal, but for what it's worth my official diagnoses are Chronic PTSD and MDD w/psychotic features. The latter was Schizophrenia, but despite hallucinating a wicked lot, I have no delusions, so the diagnosis was changed. In any case, if someone asks and probes, I just say "PTSD." I feel like if anyone hears "schizhophrenia" or "psychotic features" your credibility goes down to nil instantly, even from medical doctors taking your medical history on completely unrelated issues.🙄
Also, Abilify pretty much zapped the hallucinations and I did a 180 in functionality overnight (really, holy Jesus, I don't know where I'd be without it today). I also stopped speaking in "word salad." It was the first thing recommended for me after Seroquel turned me into a zombie. I am convinced I have a wonderfully competent psychiatrist. Anyway, flashbacks and mood stability are still iffy - but that is what the psychotherapist is for.
It is easy to be skeptical when I say I'm "fairly recovered." So am I. I'm just going to keep on going normally and hope for the best while being realistic. I do know I don't want to tackle med school if I'm still easily made unstable.
Thank you for your insight. I don't want to turn into a SDN case study though. One of the biggest things I was afraid of was that my medical records would end up included with my application. I'm glad that's not the case. Anyway, I have 2 or so years before worrying about how to write about it in my personal statement. For now I'll stick with just trying to stay sane. 🙂
Thanks everyone.
I have some questions about explaining sketchy academic performance because of long-term mental illness. I'll try to wrap it up:
During my first semester of college, something really truly awful and catastrophic happened. Until that point, I was your typical overachiever with good grades and community activities. Then I developed chronic post-traumatic stress disorder, and spent the next four semesters of college (augh) in and out of psychiatric hospitals (I swear I was totally normal before that). I'm finally getting back on track and working on putting the event behind me with psychological and psychiatric help.
My grades themselves aren't terrible, but my transcript is full of Ws, medical incompletes, and reduced credit loads. It is also reflected on my transcript that I spent 3 semesters on academic probation for not earning enough credits to be considered a full-time student. I'm hoping my last 3 semesters of college show a hugely upward trend, but all those blemishes are bound to raise eyebrows.
I'm majoring in the social sciences and will have another 2-4 semesters of post-baccalaureate coursework after college (I don't plan on applying to medical school until at least 2009), and I'm hoping stellar work in the sciences will make that two-year rut look less horrible.
Anyway, I know it's far off, but I'm really worried about how to handle this in interviews. For one, I'm not sure it's wise to disclose any kind of mental illness at all. Secondly, if I mention "extenuating circumstances" and someone wants to know what the hell was up, I can't very well say, "Well, I don't want to talk about it, but trust me, if it happened to you, you'd have gone nuts, too" can I? The event was profound and life-changing in the worst way, but I don't want to be judged on it either or look weak because of it. Also, I started college when I was 16, and I don't want what happened and how I reacted to be downplayed because of supposed immaturity. Lastly, I'm pretty sure all my medical records will show that I was a mess of flashbacks, hallucinations, and suicidal ideation and other DSM terminology, and I'm not sure if that kind of thing shows up on background checks. Then again, googling my name brings up news articles detailing what happened...ugh!
I guess I'm just wondering if any of you have dealt with something similar. How do you deal with intensely personal subject matter during interviews? I mean, I don't want the interview to turn into a therapy session, and I also don't know how to discuss trauma in a way that is appropriate in a professional setting, if is appropriate at all. If you do have a psychiatric diagnosis (particularly something contentious [wrong word] involving hallucinating and whatnot), is this disclosed against your will? Or is this something you kind of have to disclose in case things go awry during medical school you and you have to slow down?
I'd like to say I'm fairly recovered and that things should go normally as far as the rest of my education goes. But I feel stuck regarding how I'll ever write about this. On the one hand, I want to disclose just enough to convey the seriousness of my situation and not just make up some BS like "I was immature then and partied too much" when that's not the case at all. On the other hand, if it means I get really probing questions from interviewers, I'm worried about just getting my application thrown into the rejection pile for being "crazy."
That's all. Thanks so much for any feedback. PM me if that's easier or if I can clear anything up.
P.S. I'm not really new here I just wimped out and created a new screen name for this question.
Hey there,
First of all my sincere sympathy for whatever you endured and my prayers are for your total recovery. I can empathize with what you are dealing with because I went thru an extremely traumatic situation during my freshman year. I suffered from Chronic PTSD for many years after it (sometimes i think I still do). Fortunately my grades didn't suffer much because after I took a month's leave on two separate occasions, I threw myself into my work so i wouldn't have to think of feel. it was the only way i could get by and function...if you consider that functioning. I "lost it" on several occaisons even during class and could have suffered severe consequences, but I was fortunate to have a really caring pyschiatrist, whom i had been doing volunteer work with and who knew me well. He supported me and got me out of many situations and in the end (I ended up volunteering for him for 4 yrs) he wrote me a fantastic LOR. I too suffered many psychotic episodes, including suicidal attempts. NO ONE CAN REPORT THOSE RECORDS; they are sealed by patient confidentiality. For better or worse I wrote my PS about my traumatic event because it really attributed to me changing my carrer path to pre-med. I did not reveal all the pyschological issues I suffered as a result of it and only mentioned how it changed me and how I overcame the situation. However a major thing to keep in mind is that if you mention it in your PS; they WILL definitely ask about it...so be prepared to be able to talk about it...I thought I could handle it; I couldn't always. In the end, it didn't hurt me. Somehow I seem to interview well and my interviewers have always felt comfortable with me and they always therefore seemed really caring if the discussion caused my voice to falter...just make sur eyou can talk about it if you write about it...practice. However if you don't talk about it, you'll have a huge obstacle of trying to explain how your grades suffered. Most interviewers and adcoms are pretty understanding; they are normal people who understand life circumstances. Take it one day at a time, one hour at a time...it's a long difficult journey. I sincerely hope things improve for you and you get through this difficult event. Feel free to PM me if you want to discuss it further. God bless.
Wow Psycho Doc, that was wonderful to read.
Not to sound all corny and all, but thanks for sharing. 😍