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Old 01-30-2006, 07:21 PM   #1
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Am I doing the right thing?

I have severe PTSD and Major Depression. Because my doctor also diagnosed me with severe BPD--which is her treatment interest, she is so hung up on this diagnois she fails to properly treat and address the two AXIS I disorders I really need control of. I don't believe I have BPD--as further supported by a psychologist's assessment of me and friends who know me. I've been resigned to endure my doctor's ill management of my case up until now and have considered to seek a second opinion re: the BPD diagosis. I have consulted a major medical university and arranged for a full scale assessment of my PTSD (for purposes of assessing true severity) and to r/o BPD. My doctor has control issues and often gets defensive when I question her judgment. She is in a position to write unchallenged subjective information in my record that could potentially jeopardize my VA disability rating. Though it is my hopes that I present her with the assessment from a reputable institution--that I can't believe she could possibly ignore as so easily done with her colleague's (the psychologist) assessment--for her to review and hopefully rethink her diagnoses of me and refocus treatment attention to my untreated PTSD and under-treatment of my depression. Do you think I am doing the right thing or fating myself for case collapse? What am I not considering in this situation?

 
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Old 01-31-2006, 04:33 AM   #2
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Re: Am I doing the right thing?

I think getting a second opinion and a full scale assessment is a good idea but why would you still want to go to a doctor that doesn't listen to you or help. Showing her another doctors assessment isn't going to change anything.

If she doesn't want to treat or believe you have PSTD stop wasting your time and money on this doctor and find one that will help you.

Ultimately it really doesn't matter what they want to label you with as long as their main focus is helping you control or eliminate your symptoms.

To me there was a "Big Red Flag" statement in your post that if I was in this situation would find a new doctor ASAP. It's wasn't because you disagree with her diagnosis or the fact that she is not treating your other disorders although those are reason enough to leave. "Big Red Flag" is the fact that she gets defensive when you question her judgement. That is not normal or acceptable behavoir
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Old 01-31-2006, 03:01 PM   #3
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Re: Am I doing the right thing?

Does doctor ok for him to change her? I went through the hell trying to dump one.

 
Old 01-31-2006, 06:10 PM   #4
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Re: Am I doing the right thing?

I spoke to my doctor today and told her how I felt and my intentions to seek a second opinion and why. She got predictably upset and angry. Yes, there are serious repercussions to firing her because of my BPD label and the tight-knit relationship with her colleagues. I must stay with the VA doctors in order to keep receiving my benefits. I've already fired one doctor and had been transferred by the hand of another--the pool is dwindling. She has established an unchallenged case portraying me invidious and difficult to treat--I know of no doctor on staff that would give me a fair shake after what she has said to her supervisor and documented in my file. Do I have anything to lose by firing her? I'm not sure. I can't help to hear a colleague's voice in my head saying, "careful what you wish for." Until I actually do fire her, I will proceed by taping our sessions from here on out in my hopes to keep her honest and in line. She can say what she wants--which are usually lies--in my record, but I'll now have incontravertible evidence to the contrary.

 
Old 01-31-2006, 09:10 PM   #5
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Re: Am I doing the right thing?

I have/had PTSD and thru therapy I realized that I also could have BPD, once I realized that I had it, it was easy for me to correct those highs and lows, could that be what your DR is seeing in you? Maybe that is why the BPD dx is there. I have gone thru years of therapy, and it has taken me along time to realize how much PTSD ran my life, I was very depressed as a child and never knew it until I was able to see clearly thru all the emotions that were running around in me.

You have a double challenge because of your disability, I say go for the outside assessment, then take that back to your DR. Because you need to stay at the VA can't you approach her knowing her control issues and explain that you feel that there are other dx's that need to be explored?
That you are trying to get control of your dx's or you want to be pro active in your care, and because she has so much insight to your case, that you feel the need to stay with her, and come to an understanding??
Butter her up!! Maybe that will change her tune. What type of dr is she?
Are you getting psychotherapy and meds? Do you have copies of your records?
You need a positive provider, one who will not make you stress because of her behavior, I am sure that having a dr who has control issues will just intimidate you and make you be the "difficult" patient that she says you are
sounds like she needs some psychotherapy
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