I came to get a case manager but almost got a shot!

[Anuwolf]

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I went in to a mental health clinic to get myself a case manger, as what an inpatient hospital social worker wanted me to get. She worked her butt off to get me this appointment so I've taken up to myself to be at this appointment.. So I went and waited in in the waiting room to get admitted to the clinic. Now I came there to get a CASE MANGER, But yet they where wanting me to get a shot of risperdal! I've only requested Seroquel! but now their wanting me to get full needle of risperdal! I couldnt believe my ears! I've became paranoid and think that they were going to use restrains and to force the needle up my butt. I had to use the bathroom twice because I begain to get really nervous. I've actually force myself to say "No" The nurse and psychatrists became rather snotty with me.. Even when I was setting up my next appointment! (I dont accept morning appointments)

Why do some psychatrists and nurses act like this? Do they get turned on by pricking people with needles? I learn more about the psychatric field each time.

Thank god I'm not IOC! I would be in serious trouble as I would be fighting them off of me.. geeze! The good news is that my butt is safe again from the prick (the needle) 🙂

 

[50960]

Hey Poety, you take this one....... 🙂

 

[Poety]

Hey Poety, you take this one....... 🙂

very funny, I wouldn't touch this with a ten foot pole

 

[MBK2003]

very funny, I wouldn't touch this with a ten foot pole

Ten foot pole or ten foot penis?

Bemuses me to think about the concept of Depo Provera over objection 😀

MBK2003

 

[Poety]

Ten foot pole or ten foot penis?

Bemuses me to think about the concept of Depo Provera over objection 😀

MBK2003

i don't have a penis 😛

 

[Anuwolf]

I really dont find this to be funny and amusing.

psisci, This is not to flame or try to cause a fight, please understand... but why cant you answer to my question? Why are you giving this to Poety? I seriously doubt that she has an answer to my question.. As she shows more signs of wanting to learn then actually teaching... according to her latest Schizophrenia question thread that she made.

My question was for only professionals, not students.

 

[Psyclops]

If you really want the answer, and you promise to stop with the accusitory posts, I'll give it to you.

The Risperdal shot was a long lasting form of the drug. That way it ensures compliance.

 

[DrIng]

It's long acting because it consists of small granule which disolve. it has limited immediate benefit and generally takes at least 6 weeks to read a therapeutic dose- during which time you supplement with oral medication. I can't think of a situation in which injectable risperidone would be used acutely...

 

[Solideliquid]

Is that consta psyclops? Isn't it better to get a shot twice a month than to take pills everyday?

I think we need more info than Anu is willing to give us. Anu, were you trying to get seroquel pills? Also, didn't you say you were diagnosed with borderline personality disorder? Why are you on these meds?

 

[Poety]

Thanks for backing me up Anu 🙂 However, I didn't respond to this since its against SDN rules to give any medical advice.

I think only the person you see professionally should be answering these questions for you.

Advice on SDN can be unsafe, and given (just like you said) from students, residents or people faking to be either - you never know. Just be safe, talk to your mental health care provider about this stuff.

 

[Psyclops]

I would think it would be better, especially if you were interested in the patient remaining compliant.

In my experience, BPD patients often were given antypicals. What I can't say for certain (but maybe ana or someone else can) if they received these to treat anger outbursts and impulsivity, or if it was more likely to be to treat comorbid "psychosis". I place it in quotes only because of the population.

 

[DrIng]

From what I've read it is felt that antipsychotic medications can help with borderline PD mood swings and impulsivity but obviously in this context you need to think of them more as a 'dopamine modulating agent' than an antipsychotic if you catch my drift.

 

[Psyclops]

I don't see my previous answer as falling under the rubric of "giving medical advice". But if he thinks so the mod is more than welcome to erase it.

I also don't think Lupus was backing you up. She was trying to insult you and psisci in one paragraph.

 

[Solideliquid]

From what I've read it is felt that antipsychotic medications can help with borderline PD mood swings and impulsivity but obviously in this context you need to think of them more as a 'dopamine modulating agent' than an antipsychotic if you catch my drift.

So you'd want to use lower doses right? Maybe dose ranges for elderly people?

 

[DrIng]

To be honest I'm not really sure, probably depends on response but it seems logical to use lower doses. One of the advantages of something like Consta is using an atyical for Borderlines is the obvious- you can't OD on an injection...

 

[Triathlon]

I also don't think Lupus was backing you up. She was trying to insult you and psisci in one paragraph.

Lupus
I like that! I think we should keep it.

 

[Poety]

I don't see my previous answer as falling under the rubric of "giving medical advice". But if he thinks so the mod is more than welcome to erase it.

I also don't think Lupus was backing you up. She was trying to insult you and psisci in one paragraph.

Umm, I didn't say anything about your post anywhere in mine, take it down a notch jacko.

And second, yes it is the mod, I responded to why "I" did not respond - clearly you got offended by that comment for some reason.

And third, you deal with people in your way, I'll deal with them in mine - I'm not an idiot so lets just take that into consideration duh 🙄 Need more training in dealing with PD's?

 

[Psyclops]

I didn't know you had one, or else I would have treated your comments differently.

 

[Poety]

I didn't know you had one, or else I would have treated your comments differently.

DAYUM THAT WAS GOOD - DAYYUUUMMMMMM pffft 😛 touche!

 

[Psyclops]

DAYUM THAT WAS GOOD - DAYYUUUMMMMMM pffft 😛 touche!

Do I sense a hint of sarcasm P-Funk?

 

[Poety]

Do I sense a hint of sarcasm P-Funk?

its all fun and games.... til..... well, you know.

😀

 

[MBK2003]

Look at the splitting that's going on within this one thread. That's what identity diffusion will do to you. Now everyone can take a deep breath and think, hmm... , this must be what working on a long-term Axis II unit feels like.

Poetry, no offense intended, I'm aware of your maternal countertransferences having a basis within your two X chromosomes. I just think that if we look at the OP with an eye toward primary process, it's screaming for phallic references more than I've seen or heard in a while.

Regarding psychopharm treatment of BPD, there's some small amount of data that low dose atypicals can serve as the "ego glue" that keeps BPDs from needing hospitalization.
http://ajp.psychiatryonline.org/cgi/content/full/163/5/833
J Clin Psychiatry. 2005 Oct;66(10):1298-303.

You can also subscribe to Akiskal theory that BPD is really just along the bipolar spectrum and you're using atypicals like maintenance mood stabilizers. Frankly, a LOT of BPD pts are on excessive or illogical med regimen because of countertransferential medication choices in the setting of brief med visits with pts who are misdiagnosed with treatment-resistant MDD or BAD II or have known BPD and aren't in what they really need --> long-term intensive psychotherapy (DBT, transference-focused, schema therapy, etc).

MBK2003

 

[Anasazi23]

Guys, this doesn't even make sense. You don't give consta shots at random like Psyclops suggests. It doesn't work that way. There is obviously more to this story and frankly, this thread is borderline appropriate in terms of the forums Terms of Service.

 

[Psyclops]

Guys, this doesn't even make sense. You don't give consta shots at random like Psyclops suggests. It doesn't work that way. There is obviously more to this story and frankly, this thread is borderline appropriate in terms of the forums Terms of Service.

Pun intended?


I couldn't help myself.

 

[Poety]

Look at the splitting that's going on within this one thread. That's what identity diffusion will do to you. Now everyone can take a deep breath and think, hmm... , this must be what working on a long-term Axis II unit feels like.

Poetry, no offense intended, I'm aware of your maternal countertransferences having a basis within your two X chromosomes. I just think that if we look at the OP with an eye toward primary process, it's screaming for phallic references more than I've seen or heard in a while.Regarding psychopharm treatment of BPD, there's some small amount of data that low dose atypicals can serve as the "ego glue" that keeps BPDs from needing hospitalization.
http://ajp.psychiatryonline.org/cgi/content/full/163/5/833
J Clin Psychiatry. 2005 Oct;66(10):1298-303.

You can also subscribe to Akiskal theory that BPD is really just along the bipolar spectrum and you're using atypicals like maintenance mood stabilizers. Frankly, a LOT of BPD pts are on excessive or illogical med regimen because of countertransferential medication choices in the setting of brief med visits with pts who are misdiagnosed with treatment-resistant MDD or BAD II or have known BPD and aren't in what they really need --> long-term intensive psychotherapy (DBT, transference-focused, schema therapy, etc).

MBK2003

i wish I understood this post 😳 how embarrassing pffft Care to enlighten 😕

 

[MBK2003]

Poetry, no offense intended, I'm aware of your maternal countertransferences having a basis within your two X chromosomes. I just think that if we look at the OP with an eye toward primary process, it's screaming for phallic references more than I've seen or heard in a while.

Primary Process: In psychoanalytic theory, the generally unorganized mental activity characteristic of the unconscious. This activity is marked by the free discharge of energy and excitation without regard to the demands of environment, reality, or logic.
In simpler parlance, primary process is the message within the message of people's speech. For example, Mr. Y shows up at my office 15 min late and when he arrives I ask him to wait a minute while I finish up the phone call I'm on. Mr. Y then comes into the room and in the first 5 minutes is discussing how his mother used to make him wait at the dinner table until his cold, uncaring father finished his cocktail and joined the table before they could start to eat. In reality, Mr. Y is ticked off at me for making him wait, completely dissociating from the fact that his 15 minutes of tardiness in essence held me captive for that time period.

Looking at the OP, reread it with an eye for the phallic and sexual conquest references. Since we don't diagnose or offer treatment recommendations in this forum, I can only surmise that the OP has a feeling that someone is getting over on her/him and is more comfortable making demands around appt times.

Frankly, a LOT of BPD pts are on excessive or illogical med regimen because of countertransferential medication choices in the setting of brief med visits with pts who are misdiagnosed with treatment-resistant MDD or BAD II or have known BPD and aren't in what they really need --> long-term intensive psychotherapy (DBT, transference-focused, schema therapy, etc).

To understand this, just imagine having a BPD pt (I'm sure you can think of 1 or 2 that come to mind very quickly) sitting in your office for 30 minutes every 1-3 months, telling you the drama of their most recent break-up/cutting/binge-purge cycle/affective storm, and tell me you won't become completely overwhelmed trying to sort out what's Axis I mood sxs vs. mood lability due to BAD II vs. PD NOS (fill in the various traits here). Then you get phone calls which give you only a snapshot in time of the patient's most recent state (which may change in 12 hours). It's an exhausting cycle and some people will make medication choices that often aren't evidence-based or even in the patient's best interest.

MBK2003

 

[Anuwolf]

Is that consta psyclops? Isn't it better to get a shot twice a month than to take pills everyday?

I think we need more info than Anu is willing to give us. Anu, were you trying to get Seroquel pills? Also, didn't you say you were diagnosed with borderline personality disorder? Why are you on these meds?

Yes I was trying to get new fresh batch of Seroquel pills (and I got a prescription for it too), simply because Seroquel helps me to sleep at night. I have the racing thoughts… If I listen to a song off of the computer.. It gets stuck inside of my head, if the song is an extreme good one. It’s difficult to sleep with the music is running inside of your head. I also have almost all of the symptoms of high Bipolar (you can go to http://www.nmha.org/bipolar/public/signs.cfm or http://www.nlm.nih.gov/medlineplus/ency/article/000926.htm#Symptoms to view the list of the symptoms).. I also think the psychiatrists that I saw actually told me that I am Bipolar. I will try to get the facts straight when I call her up tomorrow. I am Diagnose of having Borderline Personality Disorder

Thanks for backing me up Anu 🙂 However, I didn't respond to this since it’s against SDN rules to give any medical advice.
I think only the person you see professionally should be answering these questions for you.
Advice on SDN can be unsafe, and given (just like you said) from students, residents or people faking to be either - you never know. Just be safe, talk to your mental health care provider about this stuff.

You’re welcome. I’m well aware that it’s against the rules on SDN to ask or to give any medical advice.. Again I did not come here to seek medical information. I can simply walk up to the ER room (I live very close to my local hospital) and ask there. Trust me the local psychiatric hospital knows me very well and could answer to me questions at any time, I also have a phone number, so trust me I’m not here to seek information. My question was simply about the behavior of the nurse and the psychiatrists and why they became rather rude to me after refusing the injection… I did not ask for medical advice. Thank you for being concern.. I do appreciate it a lot.

 

[50960]

No offense meant Anuwolf. Poety you are showing some colors I was not aware of........soft ones. Interesting??? 😉

 

[Poety]

Primary Process: In psychoanalytic theory, the generally unorganized mental activity characteristic of the unconscious. This activity is marked by the free discharge of energy and excitation without regard to the demands of environment, reality, or logic.
In simpler parlance, primary process is the message within the message of people's speech. For example, Mr. Y shows up at my office 15 min late and when he arrives I ask him to wait a minute while I finish up the phone call I'm on. Mr. Y then comes into the room and in the first 5 minutes is discussing how his mother used to make him wait at the dinner table until his cold, uncaring father finished his cocktail and joined the table before they could start to eat. In reality, Mr. Y is ticked off at me for making him wait, completely dissociating from the fact that his 15 minutes of tardiness in essence held me captive for that time period.

Looking at the OP, reread it with an eye for the phallic and sexual conquest references. Since we don't diagnose or offer treatment recommendations in this forum, I can only surmise that the OP has a feeling that someone is getting over on her/him and is more comfortable making demands around appt times.



To understand this, just imagine having a BPD pt (I'm sure you can think of 1 or 2 that come to mind very quickly) sitting in your office for 30 minutes every 1-3 months, telling you the drama of their most recent break-up/cutting/binge-purge cycle/affective storm, and tell me you won't become completely overwhelmed trying to sort out what's Axis I mood sxs vs. mood lability due to BAD II vs. PD NOS (fill in the various traits here). Then you get phone calls which give you only a snapshot in time of the patient's most recent state (which may change in 12 hours). It's an exhausting cycle and some people will make medication choices that often aren't evidence-based or even in the patient's best interest.

MBK2003

I think I love you 😍 and THANK YOu -what an AWESOME explanation- are you an ologist? you sound like Psici when you talk 😛

 

[Poety]

No offense meant Anuwolf. Poety you are showing some colors I was not aware of........soft ones. Interesting??? 😉

I AM NOT SOFT pfft 😳

 

[MBK2003]

I think I love you 😍 and THANK YOu -what an AWESOME explanation- are you an ologist? you sound like Psici when you talk 😛

Sadly, no, I bear the mark of the -iatrist. I do, however, love to examine the primary process. Makes the discussion of the neighbor's dog barking all night long much more challenging and enjoyable.
😉

MBK2003

 

[Solideliquid]

Sadly, no, I bear the mark of the -iatrist. I do, however, love to examine the primary process. Makes the discussion of the neighbor's dog barking all night long much more challenging and enjoyable.
😉

MBK2003

🙂 🙂

 

[50960]

I think poety likes me sazi.........

😉

 

[Anasazi23]

I think poety likes me sazi.........

😉

Don't push your luck.

 

[Anasazi23]

Pun intended?


I couldn't help myself.

Of course
😎

 

[Poety]

I think poety likes me sazi.........

😉

You want me to like you don't you? 😉 😛 OR, you subconsciously really want Sazi to like you 😎

 

[50960]

Your child is looking rather canine these days?? Weird. 😕 😀

 

[pschmom1]

You’re welcome. I’m well aware that it’s against the rules on SDN to ask or to give any medical advice.. Again I did not come here to seek medical information. I can simply walk up to the ER room (I live very close to my local hospital) and ask there. Trust me the local psychiatric hospital knows me very well and could answer to me questions at any time, I also have a phone number, so trust me I’m not here to seek information. My question was simply about the behavior of the nurse and the psychiatrists and why they became rather rude to me after refusing the injection… I did not ask for medical advice. Thank you for being concern.. I do appreciate it a lot.

So, exactly what is your purpose here on SDN. You obviously have issues and are well aware that this is a site intended for persons in the medical/mental health field or pursuing it, so why do you feel it necessary to post on here day after day about "bad" nurses, therapists, or psychiatrists? You say that you are not seeking medical advice, yet you specifically ask for a reply from licenced professionals! Do you think that a bunch of psychiatrists or anyone else pursuing mental health are going to agree with you when you degrade nurses or psychiatrists? I mean, what exactly is your point? Really????? 🙄

 

[Anuwolf]

So, exactly what is your purpose here on SDN. You obviously have issues and are well aware that this is a site intended for persons in the medical/mental health field or pursuing it, so why do you feel it necessary to post on here day after day about "bad" nurses, therapists, or psychiatrists? You say that you are not seeking medical advice, yet you specifically ask for a reply from licenced professionals! Do you think that a bunch of psychiatrists or anyone else pursuing mental health are going to agree with you when you degrade nurses or psychiatrists? I mean, what exactly is your point? Really????? 🙄

My purpose here is to try to get educated of what medical and mental field personnel go thru each day. I’m not here to say that everybody from psychology and psychiatry is bad. That is not my point of being here today. I’ve simply asked a question about the behavior of the nurse and psychiatrists that I’ve went to talk to and all I received back are rude comments. I agree with you that nobody from the Psych Nurse/psychiatry field will back me up on this case, simply because psychiatry back each others backs, which is perfectly fine with me, it’s normal.

I just find it inappropriate of a psychiatrists and their nurse to even think of injecting their “Outpatient” patients with medication on the very first VISIT! They hardly know their patients and might give them a medication that they really don’t need. Also I really thought that the psychiatrist and the nurse who I came to see were rude after I had told them “NO” on the injection idea. Seemed like they were giving me a temper tantrum because I didn’t give them what they wanted. The nurse was very rude to me when I went to the secretary to make another appointment on the same day next month. The secretary gave me 9AM EST… I told her that I don’t do morning appointments. She then told me that they have nothing available on the day… the nurse came by and heard the convocation and rudely told the secretary to just give me the appointment, more temper tantrum coming from a professional psych nurse. I’ve actually heard from couple of clients that the same nurse was also rude to them so it’s not just me that had a problem with her.

Do you mind if I ask who you are? A psychatrist?

 

[Anasazi23]

Anuwolf, you can't expect medical students, psychiatry residents and attendings to apologize for a random person's behavior in some unknown clinic. It's unreasonable and has nothing to do with us. To label all psychiatric nurses or doctors rude because you felt you were treated unfairly that day isn't logical.

If you want to truly learn about the psychiatric process, it may be best for you to observe and read, rather than provoking some of the posters with vague case vignettes of which we know nothing about. Although you've been exposed to psychiatry from a somewhat unique perspective vs. others on this board, the clinical realities and training schemas are much different.

 

[Psyclops]

Anuwolf,

I think it might be of help to you to investigate a phenomenon called "the self fulfilling prophecy". Basically what it says is that we create situations that will confirm our biases. This effect has been shown time and again in research programs. Here is how it applies to your situation:

You are frustrated, scared, angry at the psychiatric service providers at your local OP clinic. (Lets assume, for the sake of argument, you really do what to understand why they behaved the way they did) SO you come here to ask about the conduct, which could be a legitimate concern of yours, maybe they were acting totally off base. But when you ask, you ask in a way that insults the profession in general, the way it operates, and shows no willingness to be flexible in your psoition. So as a result you get comments that attack your behavior. This confirms your assumptions that all psychiatrists are sadistic bastards, and don't care about thier patients. Had you posed the question in a less biased manner you might have gotten very different answers. DOes that make sense?

 

[TodayHello]

Anuwolf you state that you went to get a case manager and were threatened with violent crime, that it caused you emotional distress and that you went to the rest room twice because it caused you to fear for your safety. When you went to the rest room were you able to leave the building if so you should have run not walked to get yourself out of harms way and get somewhere safe. Once you are safe send them a letter demanding compensation for violation of your rights and sue them to receive compensation. If you don't take action against them they will continue their illegal actions. What is not understood here is why if you feared that they were going to to hurt you or otherwise touch you without your consent why you not only did not leave but made an appointment to return again.

I went in to a mental health clinic to get myself a case manger, as what an inpatient hospital social worker wanted me to get. She worked her butt off to get me this appointment so I've taken up to myself to be at this appointment.. So I went and waited in in the waiting room to get admitted to the clinic. Now I came there to get a CASE MANGER, But yet they where wanting me to get a shot of risperdal! I've only requested Seroquel! but now their wanting me to get full needle of risperdal! I couldnt believe my ears! I've became paranoid and think that they were going to use restrains and to force the needle up my butt. I had to use the bathroom twice because I begain to get really nervous. I've actually force myself to say "No" The nurse and psychatrists became rather snotty with me.. Even when I was setting up my next appointment! (I dont accept morning appointments)

Why do some psychatrists and nurses act like this? Do they get turned on by pricking people with needles? I learn more about the psychatric field each time.

Thank god I'm not IOC! I would be in serious trouble as I would be fighting them off of me.. geeze! The good news is that my butt is safe again from the prick (the needle) 🙂

 

[pschmom1]

Anuwolf you state that you went to get a case manager and were threatened with violent crime, that it caused you emotional distress and that you went to the rest room twice because it caused you to fear for your safety. When you went to the rest room were you able to leave the building if so you should have run not walked to get yourself out of harms way and get somewhere safe. Once you are safe send them a letter demanding compensation for violation of your rights and sue them to receive compensation. If you don't take action against them they will continue their illegal actions. What is not understood here is why if you feared that they were going to to hurt you or otherwise touch you without your consent why you not only did not leave but made an appointment to return again.

UUUMMMMMM,,,, WHAT????? Unfortunately, I'm not so sure it was the facility or personnel involved causing you or Anuwolf or whoever emotional distress. I'm pretty certain the "emotional distress" is the basis for the post!

 

[HiToday]

Did you read Anuwolf's post or are you just at your defamatory incompetent dishonest flaming as usual again

Anuwolf stated "their wanting me to get full needle of risperdal! I couldn't believe my ears! I've became paranoid and think that they were going to use restrains and to force the needle.... I had to use the bathroom twice because I began to get really nervous."

That certainly constitutes an expression of emotional distress and fear for ones safety proximately caused by a threat of bodily harm and violation of a persons bodily integrity under circumstances of fear, horror or helplessness

UUUMMMMMM,,,, WHAT????? Unfortunately, I'm not so sure it was the facility or personnel involved causing you or Anuwolf or whoever emotional distress. I'm pretty certain the "emotional distress" is the basis for the post!

 

[pschmom1]

Did you read Anuwolf's post or are you just at your defamatory incompetent dishonest flaming as usual again

Anuwolf stated "their wanting me to get full needle of risperdal! I couldn't believe my ears! I've became paranoid and think that they were going to use restrains and to force the needle.... I had to use the bathroom twice because I began to get really nervous."

That certainly constitutes an expression of emotional distress and fear for ones safety proximately caused by a threat of bodily harm and violation of a persons bodily integrity under circumstances of fear, horror or helplessness

I absolutely did read Anuwolf's post and actually made it through the sketchy grammar. I find the adjectives you've mustered up for me amusing. I stand by what I posted. I'm not positive, but I'm leaning towards the fact that the psychiatrist had good reasons for the rx and I tend to put more faith in the MD than the psych patient. Call me crazy 😉