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Question about mental health evaluations
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<blockquote data-quote="klmno" data-source="post: 370956" data-attributes="member: 3699"><p>I wonder if she'll read it though. Ideally, the therapist would get this and read it then have an appointment to ask questions and discuss it so she can ask how I feel about it or whatever. But being that they are slammed at VA in the mental health area, I somehow doubt she'd even read it before the appointment. and she's supposedly only doing the intake on me. </p><p></p><p>Really, I don't think she's the right person to be doing a complete evaluation on me to begin with. When you are trying to distinguish childhood trauma issues, PTSD, and other forms of anxiety, given my past and current difficult child issues, is a Licensed Clinical Social Worker (LCSW) the best person to do this? Don't get me wrong, she's clearly a lot more knowledgable than typical Licensed Clinical Social Worker (LCSW)'s ITRW, but she's the one that's going to steer me to the right therapist, and she's already said she thinks I'm right on the money about the stuff going on the past few years has caused it's own stress issues but has also stirred up past childhood trauma issues. She said the issue with me would be to figure out if all this has reached the level of true PTSD yet. She agrees that family therapy with difficult child and me is seriously needed along with individual for me to sort all this out and deal with the stress, etc. </p><p></p><p>To me, I would think that would be enough to do an intake and get me to the appropriate therapist, then let that therapist who has more specialized training in these areas do the more thorough evaluation to evaluate specific symptoms. However, they have a special PTSD clinic there and I was thinking that would only be for war related PTSD because they have group sessions and other things in addition to individual counseling and I'm not sure it woould be appropriate for me to be in those groups with my issues being so different, but if that clinic is for all types of trauma issues then I can see why the intake person needs to decipher if I'm have true PTSD or not. She told me that even having childhood trauma issues resurface and having some of these symptoms, which she says is clearly happening, didn't mean it had reached a point of being PTSD yet. I didn't know that, I would have considered it the same. </p><p></p><p>I have to go to VA Thurs. morning but I won't be seeing her unless I just bump into her in the hallway. Maybe I can find someone who'll know and ask them if their PTSD clinic is used for all types of PTSD or only war related. That would clear up some confusion for me if I find that she needs to figure out if I should be referred to this clinic or just have an individual therapist.</p><p></p><p>ETA: No, DDD, I didn't mind that suggestion at all! Thanks!</p><p></p><p>As far as writing the issues/important information, the difficult part is for me to write it in a way where they can distinguish between childhood issues, difficult child's/our relationship issues, and my current issues that have resulted from dealing with all this the past few years. It's easy for me to compartmentalize most of this in my mind but I'm not sure how to write it where that is clear. I almost want to start with three pieces of paper and list things separately according to the way I have it categorized. Then, let them figure out how it all fits together or triggers issues in other categories.</p></blockquote><p></p>
[QUOTE="klmno, post: 370956, member: 3699"] I wonder if she'll read it though. Ideally, the therapist would get this and read it then have an appointment to ask questions and discuss it so she can ask how I feel about it or whatever. But being that they are slammed at VA in the mental health area, I somehow doubt she'd even read it before the appointment. and she's supposedly only doing the intake on me. Really, I don't think she's the right person to be doing a complete evaluation on me to begin with. When you are trying to distinguish childhood trauma issues, PTSD, and other forms of anxiety, given my past and current difficult child issues, is a Licensed Clinical Social Worker (LCSW) the best person to do this? Don't get me wrong, she's clearly a lot more knowledgable than typical Licensed Clinical Social Worker (LCSW)'s ITRW, but she's the one that's going to steer me to the right therapist, and she's already said she thinks I'm right on the money about the stuff going on the past few years has caused it's own stress issues but has also stirred up past childhood trauma issues. She said the issue with me would be to figure out if all this has reached the level of true PTSD yet. She agrees that family therapy with difficult child and me is seriously needed along with individual for me to sort all this out and deal with the stress, etc. To me, I would think that would be enough to do an intake and get me to the appropriate therapist, then let that therapist who has more specialized training in these areas do the more thorough evaluation to evaluate specific symptoms. However, they have a special PTSD clinic there and I was thinking that would only be for war related PTSD because they have group sessions and other things in addition to individual counseling and I'm not sure it woould be appropriate for me to be in those groups with my issues being so different, but if that clinic is for all types of trauma issues then I can see why the intake person needs to decipher if I'm have true PTSD or not. She told me that even having childhood trauma issues resurface and having some of these symptoms, which she says is clearly happening, didn't mean it had reached a point of being PTSD yet. I didn't know that, I would have considered it the same. I have to go to VA Thurs. morning but I won't be seeing her unless I just bump into her in the hallway. Maybe I can find someone who'll know and ask them if their PTSD clinic is used for all types of PTSD or only war related. That would clear up some confusion for me if I find that she needs to figure out if I should be referred to this clinic or just have an individual therapist. ETA: No, DDD, I didn't mind that suggestion at all! Thanks! As far as writing the issues/important information, the difficult part is for me to write it in a way where they can distinguish between childhood issues, difficult child's/our relationship issues, and my current issues that have resulted from dealing with all this the past few years. It's easy for me to compartmentalize most of this in my mind but I'm not sure how to write it where that is clear. I almost want to start with three pieces of paper and list things separately according to the way I have it categorized. Then, let them figure out how it all fits together or triggers issues in other categories. [/QUOTE]
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