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  • Doc wants me to see a psychologist .........

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    Old 12-07-2005, 12:24 PM   #1
    Chaddyfriend
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    Red face Doc wants me to see a psychologist .........

    Is my pcp wanting me to see a psychologist strange? Yesterday she left a message on my cell asking me to give her a call bcuz she wanted to know how i was doing, and i got it this morning and gave her a call back. She asked how my pain levels were, side effects ect. And she asked me if i would like to see a psychologist at least once, bcuz having chronic pain can wear down your mental health, and definitly think that to be true. I told her i would bcuz what could the harm be. Do u guys think this is strange? should i be insulted? my doc have alterior motives? lemme know waht u guys think. thanks.
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    Old 12-07-2005, 12:27 PM   #2
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    Re: Doc wants me to see a psychologist .........

    Not at all you've got a good caring doctor that's all.I agree that chronic pain can do a number on you,it turned me into a nasty sob.Now I take 370mgs of methadone a day and my pain is under control and my life couldn't be better.

     
    Old 12-07-2005, 01:02 PM   #3
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    Re: Doc wants me to see a psychologist .........

    Hey Chaddy!

    A few times when I was scheduled to see my PM doctor I got his PA. She's not very nice and told me that I needed to see a counselor too and her tone with me made me feel like I was crazy or something.

    I told her no and that I can talk to my parents and friends on everyone on here when I need to vent about my pain, etc. Well, she didn't like that so I asked her how much would it cost for a session? She said $300.

    My insurance would only pay 20% for it (mind you I have a great insurance plan) so I told her no again and she wrapped it up with me and I could tell she was p*ssed.

    The only reason Chaddy they tell you that you need to see a counselor because they will reccomend you one that they know and your PM doctor will make money because he/she referred you to them. It's all a money game in this business. Sadly, but true.

    Call your PM doc back and tell them that you call 1-800-Jesus everyday and talk to him plus He doesn't charge!


    Gabe
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    Old 12-07-2005, 01:08 PM   #4
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    Re: Doc wants me to see a psychologist .........

    it wasnt by my pm, it was by my primary......I asked if she knew the psych. and she she she didnt know who i would get....im gonna find out how much it is going to cost me, but i did mae and appt. for the end of january...I think the reason she is doing this is prolly bcuz she got my records from the oregon hospital i was in for 3 weeks when i was paralyized....needless to say when i was para. i wasnt a very happy person....but, i dunno, what harm can it do...
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    Old 12-07-2005, 01:09 PM   #5
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    Re: Doc wants me to see a psychologist .........

    it wasnt by my pm, it was by my primary......I asked if she knew the psych. and she she she didnt know who i would get....im gonna find out how much it is going to cost me, but i did mae and appt. for the end of january...I think the reason she is doing this is prolly bcuz she got my records from the oregon hospital i was in for 3 weeks when i was paralyized....needless to say when i was para. i wasnt a very happy person....but, i dunno, what harm can it do...LOL 180-jesus, i like that. thanks friend.
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    Old 12-07-2005, 01:28 PM   #6
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    Re: Doc wants me to see a psychologist .........

    It is probably part of your treatment. My Pain doc suggested I see one but didn't care who I saw. You need to find someone who fits with you. I went through 3 people to find one that I could really talk to. In my opinion it really helps. CP can come along with all kinds of problems. Obviously physical, mental, emotional and commonly depression. Usually stress makes the CP worse so learning how to cope with that also can help with the pain.

    Gabe, I am very close to my family and have many internet friends to talk to. Plus this place is very helpful. But I have to say that there are certain things that I learned about myself and my CP when talking to someone completely removed from my situation. I was pretty amazed. It also helps to discuss things about depression and stress. Finding the source was very helpful for me. Plus learning other mental techniques I could use to cope was great.

    If the doc wants you to see ONE and only someone in-house then I would disagree with it. More likely they are just looking out for your wellbeing. (Plus it looks good in your file.)

    You can also see it as one more hoop to jump through in the scheme of pain management.

    Best of luck.
    Drew

     
    Old 12-07-2005, 01:31 PM   #7
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    Re: Doc wants me to see a psychologist .........

    Quote:
    Originally Posted by Gabe30
    . . . .. I told her no and that I can talk to my parents and friends on everyone on here when I need to vent about my pain, etc. Well, she didn't like that so I asked her how much would it cost for a session? She said $300. . . . .Gabe

    Gabe was that for a psychologist or psychiatrist???

     
    Old 12-07-2005, 02:01 PM   #8
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    Re: Doc wants me to see a psychologist .........

    Sounds reasonable. Chronic pain can trigger depression or other mental issues, might as well go.

    hoyt

     
    Old 12-07-2005, 02:26 PM   #9
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    Re: Doc wants me to see a psychologist .........

    Hey Chaddy - When I was diagnosed with my chronic pain my doctor made me see a therapist. Being in constant pain can be a tough thing to deal with as we all know especially as young as you are! I was just a little older at the time. I just saw my new pain management doctor today and she REQUIRES that her patients see a counselor. But I already have one so I don't have to go to hers. So definitely don't think that it is just YOU that your doctor thinks needs a therapist. I think it is pretty standard when dealing with chronic pain. At least from my experience. I actually enjoy going to therapy too so keep an open mind. It's nice venting to someone objective! I call it my "purging my soul" sessions!

     
    Old 12-07-2005, 02:29 PM   #10
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    Re: Doc wants me to see a psychologist .........

    Also, do you have insurance Chaddy? Many insurance companies will cover about 12 out patient therapy sessions a year in my experience. ( I have worked with a lot of insurance companies) So hopefully you have some health insurance and it will be covered. )

     
    Old 12-07-2005, 02:44 PM   #11
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    Re: Doc wants me to see a psychologist .........

    Hey Chaddy, I think everyone respects you intelegence and I've noticed many of the younger folks also feel you are "very experienced." You are more experienced than most folks that have only been dealing with this for a short period of time. However in the grand scheme of things, a year is a short perriod of time. I know when your in pain, 6 months seems like eternity and years are a little incomprehensible.

    I know that you have said you have tried some topicals and certain classes of meds are precluded, and feel only opiates work. But having never gotten of first base with an actual PM doc. There really is so much more you can do or add to your bag of tricks as your learn along the way that will help you manage flair ups that might normally send you to the ER. Which is not a good place for CP patients, particlularly when they feel we have a doc prescribing opiates, what more do we want?

    PM pscychology is important to participate in. Presently you have a condition you feel is only going to get worse. That may be true or they may find something to supress the PHN and obviously not everyone with PHN is as profoundly effected by it. You are furtunate as far as riding the wave of a new ideology when it comes to pain treatment.

    During the 7 years, and 3 surgeries that failed to fuse my lumbar spine L1-S1. I saw at eleast a dozen PM docs and went through 3 PM clinics that were 8 hours a day, 5 days a week ranging from 2 weeks to 5 weeks. The psychology was a large portion of what we did every day, we had 2 sessions a day to learn PM techniques and then a group gripe as I called it Thye were not particluarly benficial, but i did come away from each docs office or PM clinic with some experience, knowledge or tool I could put to use.

    I did learn, Biofeedback, self-hypnosis and guided imagery. I also learned a technique called levitation where you separate you consciousness from your physical body and take a trip to somewhere nicer. The beach, the mountains, anything you know vividly or can imagine with great detail, from smells, the way a breeze feels on your skin, to the sun shining on your face and the sounds that would souround you. It took months to learn and become proficient enough that I haven't been to the ER for back pain in 10 years. It's not a quick fix as far as imiediate lasting relief when your learning these things, but we truly do have the ability to control physiologciocal responses.

    Biofeedback is cool beause you actually get to see the canges you're able to make,. Either through galvonic skin response or simple external skin temp. I was able to raise my external skin temp by 10 degrees within 10 minutes once I had larned how to do it. This is done by relaxing, even when in excrutiating pain, when your tense and BP is up, cappilarry flow decreaes and your skin temp drops. If you relax, blood flow increases and skin temp rises along with other positive changes. I can lay down when I'm having a flair that BT meds don't touch and go through the process and actually fall asleep witin about 10 minutes and wake up an hour later and not even consider going toor calling the doc.

    It sounds like hocus pocus but it is very real. It may take finding the right psychologist that your comfortable working with, some peoples voices just grates on you and you culdn't relax while they talk if you had a valium drip. But others are very effective and can lead you down a path that you eventually learn to do yourself. If you have to deal with this the rest of your life, the more tools you have the better off you will be.

    Having the psychologist involved also gives extra protection for the prescribing doc. He's not just passing out pills, He and you are doing all you can to get a grasp on pain and learn to deal with your condition. So it looks good in our file and it looks good to the the next PM doc you see that may think your GP was a bit premature in breaking out high dose piates. It shows you really are trying everything and willing to try anything, which someone that just wants med usually isn't willing to try or do. JUstbecause a med works, doesn't mean it should be the only method you use.

    Take advantage of it and learn one of those methods so that you won't have to subject yourself to poor treatment in the ER. PM pschologists are the ones that teach and facilitate learning these techniques. There is still alot you can try and haven't tried although you feel you have during the last year or so. But a year or so just isn't possibly enough time to rule out every modality available and it may take several docs to find one that has a trick up his sleeve that's effective or is comfortable with opiates used in conjunction with other modalities.

    It's certainly not an insult to suggest a PM psychologist and I know this was an old post from a few months ago, but if you haven't pursued it or found a psychologist yet, it's something worth talking about or arranging with the next PM doc you see.

    Good luck with the next PM doc and be open to what he might suggest. Things that don't work, you toss to the side, but if something helps, hold on to it and remeber that you have more than one method in your bag of tools to deal with what's going on pain wise and in your life.
    Take care, Dave

     
    Old 12-07-2005, 03:38 PM   #12
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    Re: Doc wants me to see a psychologist .........

    Chaddy, I live in chronic pain as well, and after my horrific car accident this past summer it was recommended I try out some therapy. I live in Seattle, and actually start therapy tomorrow with a specialist who works with those in CP. I will let you know how it goes. My insurance covers 30 visits a year at 50 percent coverage, which I hear is good coverage. Dave in Seattle

    Last edited by davetheplantman; 12-07-2005 at 03:38 PM.

     
    Old 12-07-2005, 04:27 PM   #13
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    Re: Doc wants me to see a psychologist .........

    hey dave, thanks for the great info...AGAIN! I dont however think that oppiates are the only thing that can help my pain. I will try anything! Even if i was standing on my head naked singing the star spangled banner. but seriously, the only reason i asked the questions i asked was to see if this was normal. or if they just think im mental...I dont let my pride get in the way and i dont have a problem with seeing one, i just wanted to know form other peoples experiences if this was normal or what they had experienced. And i do have great insurance and am double covered, so i think ill be ok. again, thanks all for the help. keep it comming if u like.
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    Old 12-07-2005, 04:29 PM   #14
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    Re: Doc wants me to see a psychologist .........

    hey dave, i live i seatlle also, south of seattle. kent/renton area, if u know where that is. Do u go to PM in seattle? if i do, where at? have a great day!
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    Old 12-07-2005, 05:01 PM   #15
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    Re: Doc wants me to see a psychologist .........

    edited by me

    Last edited by davetheplantman; 12-16-2005 at 05:29 AM.

     
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