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How important is having same psychiatrist for longer time?
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<blockquote data-quote="SuZir" data-source="post: 637179" data-attributes="member: 14557"><p>Thank you for the insight dstc.</p><p></p><p>With difficult child at this point we are thinking options for psychiatrist. Finding a new therapist will be another ball game. His former therapist was a good fit, but also in that other city over three hours away. When difficult child moved out from there, the intensive rehabilitating therapy stopped and difficult child has had online appointments to him for much less intensive supportive therapy after that. While it has helped difficult child to keep his nose above water till now, it is clear, that to actual to get better, he would need more intensive therapy. But of course first he will have to get to good enough shape to actually do the work rehabilitative therapy requires. So for the short term the best solution is likely go with meetings with the psychiatric nurse in public side clinic where he ends up referred. They tend to be the most experienced in supporting patients after acute mental crisis and helping them to get more stable (in our system the supportive and rehabilitating psychotherapy are clearly distinct things, partly because different government entities foot the bills for them, first is in the end paid by counties, second by state.) When difficult child is in good enough shape to get back to rehabilitating therapy, he will be in good enough shape to make his own decisions about the provider and till he is, he is likely to be in bad enough state that he will stay home and be on sick leave, so no issues with using local public mental health clinic.</p><p></p><p>Your point about information transferring is really good. Inside the public system medical records of course transfer, but with private side one has to make sure they transfer themselves. And then of course there is an issue with doctors actually reading those records... In private side we also have few big, national clinics that have offices in almost every bigger city. Inside those records of course also transfer. Unfortunately difficult child's former psychiatrist worked for smaller, local clinic in private side. If she was working for one of these chains, it would be easier to find a new provider closer to us from that chain.</p><p></p><p>For difficult child it is difficult to trust and difficult to talk about some of the most difficult things he has experienced. I'm not even sure, if he has ever talked to anyone about what really happened in the 'incident.' Maybe to his former therapist, but not likely to anyone else. Having to go around talking about it, even the bare bones of it, is not something he would likely do. In this time we have known about it, he has actually never even used appropriate words to described it, just "they messed with me" etc. He also tends to downplay his symptoms a lot.</p></blockquote><p></p>
[QUOTE="SuZir, post: 637179, member: 14557"] Thank you for the insight dstc. With difficult child at this point we are thinking options for psychiatrist. Finding a new therapist will be another ball game. His former therapist was a good fit, but also in that other city over three hours away. When difficult child moved out from there, the intensive rehabilitating therapy stopped and difficult child has had online appointments to him for much less intensive supportive therapy after that. While it has helped difficult child to keep his nose above water till now, it is clear, that to actual to get better, he would need more intensive therapy. But of course first he will have to get to good enough shape to actually do the work rehabilitative therapy requires. So for the short term the best solution is likely go with meetings with the psychiatric nurse in public side clinic where he ends up referred. They tend to be the most experienced in supporting patients after acute mental crisis and helping them to get more stable (in our system the supportive and rehabilitating psychotherapy are clearly distinct things, partly because different government entities foot the bills for them, first is in the end paid by counties, second by state.) When difficult child is in good enough shape to get back to rehabilitating therapy, he will be in good enough shape to make his own decisions about the provider and till he is, he is likely to be in bad enough state that he will stay home and be on sick leave, so no issues with using local public mental health clinic. Your point about information transferring is really good. Inside the public system medical records of course transfer, but with private side one has to make sure they transfer themselves. And then of course there is an issue with doctors actually reading those records... In private side we also have few big, national clinics that have offices in almost every bigger city. Inside those records of course also transfer. Unfortunately difficult child's former psychiatrist worked for smaller, local clinic in private side. If she was working for one of these chains, it would be easier to find a new provider closer to us from that chain. For difficult child it is difficult to trust and difficult to talk about some of the most difficult things he has experienced. I'm not even sure, if he has ever talked to anyone about what really happened in the 'incident.' Maybe to his former therapist, but not likely to anyone else. Having to go around talking about it, even the bare bones of it, is not something he would likely do. In this time we have known about it, he has actually never even used appropriate words to described it, just "they messed with me" etc. He also tends to downplay his symptoms a lot. [/QUOTE]
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