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Dissociation, depersonalization symptoms etc.
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<blockquote data-quote="SuZir" data-source="post: 587942" data-attributes="member: 14557"><p>DDD, thanks, that is a great idea to have a psychiatrist appointment to ask information and make questions about the condition in general. I have known that difficult child is dissociative and I have been looking for information and reading about it, but either it has been rather general information, some description in medical literature that seem quite a lot severer than difficult child's symptoms or support board posts from people who often seem to have much worse symptoms than difficult child too. Dissociative symptoms were mentioned in the psychiatrist report for applying funding for the therapy which difficult child showed me last fall. His official diagnosis is PTSD with dissociative symptoms. He doesn't qualify for separate dissociation diagnosis because his dissociation is considered to be caused by PTSD and because, once again, his overall functioning is too high. Those issues are only diagnosed separately if impairment for every day functioning is apparent. His therapist is specialised on trauma patients so this should be right in his alley. </p><p></p><p>RE: difficult child medical information is of course totally confidential from everyone he doesn't specially give clearance to release it. His psychiatrist or therapist can't even admit he is their patient, much less anything else. difficult child has given a psychiatrist permission to talk with his team doctor and during our latest crisis he gave his therapist permission to tell some of his recommendations (basically adding one more weekly therapist appointment for rest of the spring, now that difficult child is home this week, he has his appointment through Skype, and because of Easter he has only two appointments anyway.) And apparently he has allowed his therapist and his mental coach/sport psychologist talk and divide which techniques are taught by whom (both use a lot of mindfulness-type of techniques with difficult child.) Otherwise difficult child has wanted to keep his therapist appointments rather private and I certainly support that. I think it is healthy for him to both take ownership of his own therapy and also have firm boundaries that things talked in therapy stay between him and therapist. His lifestyle choices take much privacy out from his life (you really can't keep your private matters that private in that environment) but having a boundary for this is something I consider healthy for him. And that is why I haven't asked much about therapy. Just if he thinks it is beneficial, if he feels he clicks with his therapist or should he consider finding another therapist to use rest of the granted funding (no use to use the funding to therapy if it's not going anywhere) and things like that, not details. He has been much more open with his psychiatrist visits, medications etc. with me.</p><p></p><p>MWM: Yes he sees psychiatrist regularly. psychiatrist was also the one to diagnose him last summer. Around here only MDs can diagnose or prescribe medications, so one has to see a MD for those. Often stable, long term mental health rxs are handled by general practitioners, but new, complex or needing regulated drugs cases see psychiatrist for their treatment. difficult child sees his psychiatrist every three months (and have had two emergency appointments on top of that during this year) and has next appointment next Monday. His basic medication is BuSpar. He has been given one diazepam (Valium) for panic attack and absolutely refuses to take another one. After that he has taken Xanax two or three times for the worst situations and while he likes it better than diazepam, he certainly is not liking that either, but admits that it is good to have that option for the absolutely intolerable moments. For sleep he has used Ambien off and on and Atarax to cut the building anxiety and help with sleep. Now his team doctor has forbidden Ambien for the summer from him (and apparently from his team mates too, they all use it quite a lot during the season) and for difficult child he prescribed 10 oxazepams to be used for sleep if he continues to struggle with insomnia during their few weeks break. He has struggled a lot with sleep lately.</p><p></p><p>difficult child has all kinds of dissociative issues, flask backs etc. but of course depersonalization and derealization are kind of scariest because they don't really make much sense and feel so 'crazy.' Some symptoms he has been having long time, even before the incident three years ago (I think his PTSD has been long time brewing and can not be traced to just that one incident, but it's more work of years of brutal bullying and some innate sensitivity.) Well, at least it confirms me that qwhen i thought he didn't even hear me when I nagged him, he really didn't. For him me nagging changed to a sheep baaing angrily (I'm rather proud of myself that I didn't whack him on to head when he told that one <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" />) For him someone yelling at him easily changes to alarm sirens and conversation in locker room to birds chirping. And because of his synesthesia, that again can change to colours, tastes etc.</p><p></p><p>Synesthesia may have helped him to deal with this a bit. That is neurological, often hereditary difference, and it runs strong in our family. My dad is extreme, I have some, so does both of my sons, difficult child more so than easy child. And because of that difficult child is kind of used to the fact that he experiences world differently from others (and not only because of synesthesia but because his sensory issues) and hasn't been quite as spooked because of his dissociative symptoms he would had otherwise. But still a big thing for difficult child has been that he has been told that these symptoms are not dangerous, don't predict psychosis and he is not crazy, they are just anxiety symptoms.</p><p></p><p>But yeah, I absolutely hate it, that life has to be so very difficult for him all the time. Nothing ever seems to work out easy to him. And of course he does his life harder also with his own choices. I would just hope him to be happy and at ease one day, but that doesn't seem to be something that happens to him.</p></blockquote><p></p>
[QUOTE="SuZir, post: 587942, member: 14557"] DDD, thanks, that is a great idea to have a psychiatrist appointment to ask information and make questions about the condition in general. I have known that difficult child is dissociative and I have been looking for information and reading about it, but either it has been rather general information, some description in medical literature that seem quite a lot severer than difficult child's symptoms or support board posts from people who often seem to have much worse symptoms than difficult child too. Dissociative symptoms were mentioned in the psychiatrist report for applying funding for the therapy which difficult child showed me last fall. His official diagnosis is PTSD with dissociative symptoms. He doesn't qualify for separate dissociation diagnosis because his dissociation is considered to be caused by PTSD and because, once again, his overall functioning is too high. Those issues are only diagnosed separately if impairment for every day functioning is apparent. His therapist is specialised on trauma patients so this should be right in his alley. RE: difficult child medical information is of course totally confidential from everyone he doesn't specially give clearance to release it. His psychiatrist or therapist can't even admit he is their patient, much less anything else. difficult child has given a psychiatrist permission to talk with his team doctor and during our latest crisis he gave his therapist permission to tell some of his recommendations (basically adding one more weekly therapist appointment for rest of the spring, now that difficult child is home this week, he has his appointment through Skype, and because of Easter he has only two appointments anyway.) And apparently he has allowed his therapist and his mental coach/sport psychologist talk and divide which techniques are taught by whom (both use a lot of mindfulness-type of techniques with difficult child.) Otherwise difficult child has wanted to keep his therapist appointments rather private and I certainly support that. I think it is healthy for him to both take ownership of his own therapy and also have firm boundaries that things talked in therapy stay between him and therapist. His lifestyle choices take much privacy out from his life (you really can't keep your private matters that private in that environment) but having a boundary for this is something I consider healthy for him. And that is why I haven't asked much about therapy. Just if he thinks it is beneficial, if he feels he clicks with his therapist or should he consider finding another therapist to use rest of the granted funding (no use to use the funding to therapy if it's not going anywhere) and things like that, not details. He has been much more open with his psychiatrist visits, medications etc. with me. MWM: Yes he sees psychiatrist regularly. psychiatrist was also the one to diagnose him last summer. Around here only MDs can diagnose or prescribe medications, so one has to see a MD for those. Often stable, long term mental health rxs are handled by general practitioners, but new, complex or needing regulated drugs cases see psychiatrist for their treatment. difficult child sees his psychiatrist every three months (and have had two emergency appointments on top of that during this year) and has next appointment next Monday. His basic medication is BuSpar. He has been given one diazepam (Valium) for panic attack and absolutely refuses to take another one. After that he has taken Xanax two or three times for the worst situations and while he likes it better than diazepam, he certainly is not liking that either, but admits that it is good to have that option for the absolutely intolerable moments. For sleep he has used Ambien off and on and Atarax to cut the building anxiety and help with sleep. Now his team doctor has forbidden Ambien for the summer from him (and apparently from his team mates too, they all use it quite a lot during the season) and for difficult child he prescribed 10 oxazepams to be used for sleep if he continues to struggle with insomnia during their few weeks break. He has struggled a lot with sleep lately. difficult child has all kinds of dissociative issues, flask backs etc. but of course depersonalization and derealization are kind of scariest because they don't really make much sense and feel so 'crazy.' Some symptoms he has been having long time, even before the incident three years ago (I think his PTSD has been long time brewing and can not be traced to just that one incident, but it's more work of years of brutal bullying and some innate sensitivity.) Well, at least it confirms me that qwhen i thought he didn't even hear me when I nagged him, he really didn't. For him me nagging changed to a sheep baaing angrily (I'm rather proud of myself that I didn't whack him on to head when he told that one :winking:) For him someone yelling at him easily changes to alarm sirens and conversation in locker room to birds chirping. And because of his synesthesia, that again can change to colours, tastes etc. Synesthesia may have helped him to deal with this a bit. That is neurological, often hereditary difference, and it runs strong in our family. My dad is extreme, I have some, so does both of my sons, difficult child more so than easy child. And because of that difficult child is kind of used to the fact that he experiences world differently from others (and not only because of synesthesia but because his sensory issues) and hasn't been quite as spooked because of his dissociative symptoms he would had otherwise. But still a big thing for difficult child has been that he has been told that these symptoms are not dangerous, don't predict psychosis and he is not crazy, they are just anxiety symptoms. But yeah, I absolutely hate it, that life has to be so very difficult for him all the time. Nothing ever seems to work out easy to him. And of course he does his life harder also with his own choices. I would just hope him to be happy and at ease one day, but that doesn't seem to be something that happens to him. [/QUOTE]
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