Quote From: azuil1Hello and welcome to the boards! Wow...what an experience you've had over a number of years...I was astounded by your story.
I am also 38 years old but U.S. born. I am a clinical social worker. I am shocked that the Psychiatrist that worked with you did not look into the possibility that you were having an adverse reaction to the drugs that you were taking seeing as there seemed to be such as sudden change in only 2 weeks time. We rely on medical professionals to do their job and do it well but unfortunately...as in your circumstances...sometiems they don't.
Although that Psychiatrist was right about the confidentiality rule...he was in error in not talking to you about whether or not it was ok to talk to your family because that is your right...it's called self-determination and that is what Psychiatrists, Social workers, and Psychologists should be living by is the patient's right to self-determination as long as they're capable of making that determination because sometimes they're not admittedly. In your case he screwed up from day one.
That Psychiatrist sounds dangerous, however the Psychiatrists in Queensland were obviously more on the ball and provided you with what seems to be a more accurate diagnosis, so at least we can say there are some competent Psychiatrists out there but I agree with you in that we should question and use our gut instinct if we're unsure or don't feel right about something. Too often doctors do not listen because they feel that since they are the "professional" they know your body and your mind better than you do.
I don't know how you responded to being hypomanic and then severely depressed...if you became suicidal again...it is mandatory that you are put in a hospital for your own safety...that as a social worker I agree with if you were threatening to harm yourself or someone else.
I can see why you would be rageful while in the hospital after all that had happened to you. I used to work in Psychiatric ward while I was working on my masters in social work. I worked in the intensive treatment unit and that unit was for those who could not handle life on the regular psychiatric unit so they were actively psychotic. When a psychiatric, or any other patient in a hospital begins kicking or otherwise appears threatening...it is mandatory to seclude the individual because honestly...bye kicikng a reinforced gate, you could in fact hurt yourself. It is their duty to try to calm you down first so that they don't have to sedate you and/or seclude you...however if you did not respond to their demands of you ceasing your kicking...then they had no choice. It's for you safety and yes potentially for the safety of others. I don't think they were concerned about the gate...that's replaceable if you did do harm to it...they're concerned about what you might do to your body because you're so rageful and unable to comply to the rules of the unit.
Please understand that I am not diminishing your pain and the horrible way you were treated and locked away because of a misdiagnosis because that is terribly wrong and traumatic. But do understand that there are rules in hospitals whether you're on a psychiatric unit or not and kicking or otherwise rageful behavior is looked upon as potentially violent and threatening to the patient and possibly others. They really have no choice in that regard.
You are a very strong woman and I commend you for that strength and your courage to fight your way through all the trauma that you endured. I think writing a book is a fantastic idea because you have a lot to say. I just hope your anger doesn't cloud the fact that there are some good Psychiatrists out there. There are bad doctors, and good doctors, bad social workers, and good ones, etc.
I had to go to Psychiatrist too and was also locked away because I was a danger to myself at 16. I was there for over 2 months and I was very rageful, which is how I wound up there...I tried to kill myself with my anti-depressants. I don't recall what I was on at the time and the therapist that I was seeing at the time was an idiot and pushed me too hard when I told her I couldn't talk about what was bothering me at the time...but they put me on Imiprimine in the hospital and the Psychiatrist not only dispensed the medication, but provided me with therapy as well. He was a very, very good doctor actually, and a very good therapist. I saw him for around 10 years. He helped me help myself and I am grateful that he stuck it out with me. It is because of him and my experience in the hospital that I chose to become a social worker to be honest...it is also because of that experience that I chose to work in a Psychiatric Unit...it was closure for me and it was about heading straight into a demon of mine and looking at it in the face to conquer it.
You're absolutely right in that people should pick and choose their doctors, therapists, etc. wisely. I agree not to have blind faith...but I do think that medication can help many but it is not always necessary to be on medication. If someone is actively suicial however they do wind up in a hospital and medication is used to regulate their extreme emotions but it usually watched carefully...however with you...it doesn't appear that this was the case.
I've always felt that medication coupled with therapy is incredibly helpful should medication be necessary. The patient does need to be aware of how they're feeling and you're right they need to take an active role and listen to their bodies and their minds. You have the right for self-determination. When I used to work with high school kids...I always told them when I had to call their parents...regardless of whether or not they were 18. They always knew when and why I was doing what I was doing because people deserve the respect of communiation because instilling trust is imperative in creating and maintaining a rapport with an individual. I would always try to get the student to talk with their own parents...they deserve that choice first, but if I had to, then they knew it and why.
Again please understand that I am in no way degrading your anger and resentment about being misdiagnsed and the traumas that resulted from that. I do believe that there are doctors that misuse drugs and use them too often at times though I still think there are situations in where it's a good idea, at least for the short-term to use them...and yes I do agree that anti-depressants are in fact addictive regardless of what Psychiatrists say because I remember going through the withdrawal and throwing up because I was on vacation with my parents and we forgot to bring the drug. The way in which I got off my anti-depressants was very...very slowly. I cut each pill in half and really listened to my body and how I was feeling and how I was thinking. I took me 1 1/2 years to get off the medication but I was successful without any major withdrawal issues because I took it so slow. These doctors say that there is no addictive quality however again I think they're wrong...if that were the case...then why would we need them to help us lower the dosage...why is it considered dangerous to just "stop" taking an anti-depressant after being on it for a long time? That never made sense to me and frankly still doesn't.
The last thing I'll say, and it's repeating what I said above...is that medication in my opinion is not always necessary, but yet sometimes it is. It may take more than one try to find a medication that works if therapy alone isn't working. Since depression is a chemical imbalance in the brain...depending on the severity will depend on how necessary medication is. However medication should never be taken thinking that it will be the cure because when it comes to depression...medication isn't the cure-all. Always be aware of how you're thinking and feeling and communicate with your doctor if you are on medication. Tell him/her what you're thinking and feeling and if you don't like them...you can always go to someone else. You do not have to keep going to a doctor that you don't feel is respecting you as a human being.
Thank you for telling us your story and when you do write a book...I'd be interested in when it comes out and what the title is. I've thought about writing a book myself to be honest...maybe one day I will.
Take care of yourself and I hope you stick around. The people on here are very kind, compassionate, and incredibly supportive. It's usually a very active board.
Hope to see you online soon!
Kirsten

Thank you for your comments. I agree with most of what you said. However, the team of psychiatrists that treated me at Logan Hospital did not treat me as an outpatient. The psychiatrist that I saw as an outpatient was a registrar who worked on the open ward only and also worked at the local Community Health Centre. He was the only one who treated me with any dignity and was willing to help me. The psychs at Logan Hospital simply advised me to go to a private hospital and have CBT as in the end they told my parents that I only had a behavioural problem ! I went to the private hospital to enquire about their program. The psychiatrist there spoke to me for an hour and then told me that their program was unsuitable for me. He said that I would simply become lost in the group CBT that they provided. I would only benefit from one-on-one therapy according to him.
Feeling rather confused as to what to do next I went back to my psychiatrist and told him. He had no actual experience with CBT as patients are not offered any therapy other than drugs or ECT at Logan Hospital. He then told me that he had resigned from his position at Logan & the Community Centre. He offered to see me at Toowong Private Hospital and work with the guidance of a psychologist and give me one-on-one CBT. The psychs at Logan had no intention of ceasing the Clozaril & Seroquel or Efexor. That only stopped because I stopped it. Otherwise I know I would be dead right now. I would have successfully suicided or had a heart attack and died.
When I had the outburst of anger it was because the staff really didn't talk to me and I had no outlet at all. When I was sedated and secluded , I was given too much Midazolam. I was also not given anything to eat and only one glass of water in more than 16 hrs. Consequently the next morning they told me to get into my bed and I could not stand. I crawled into my room and into bed. After an hour an RN walked into the room and snapped,"Get up! Your parents are here." I began to walk toward my father and then collapsed on the floor. I was unable to open my eyes,move or speak but I could hear. She said to my parents," She's just bunging this on. You both go to the cafeteria and we'll deal with this. I'll come and get you soon." I was clearly not "bunging it on" and had never even tried such a thing in the past. I could hear everything but could not respond. After a while I started to regain consciousness and tried to sit up. I could not manage it. An EN there had said to the RN that she didn't believe I was faking anything as I was extremely pale. She put a plastic chair with arms next to me and attempted to help me onto it. The RN barked,"Don't help her. She can do it herself. Theres's nothing wrong with her !" The EN disagreed and continued to help me up. She then took my blood pressure 60/40 mmhg ! Next the RN in a panic rang the doctor and said , " Young ***** has just collapsed and is very hypotensive. You'll need to come down and put up in an IV and order fluids !" No doctor came and instead I was told by the nurse that it was because I had not been drinking enough this morning." You brought this on yourself. " Next they made me drink 250ml glasses of water ,glass after glass until I'd had nearly 2 litres and was ready to vomit. Days later a doctor admitted that I had fainted as a result of too much Midazolam and they had not given me enough to drink whilst in seclusion. This was about the time I made my list of goals. I felt so dehumanised by what that staff member had done to me. She did not even look at me closely enough to know that I was unconscious. You cannot fake syncopy ! A professional can tell the difference. What if I had had a CVA or AMI ? How would she have known? She was callous and irresponsible. I have worked occassionally on psych wards and I would always thoroughly check a collapsed person and not simply assume they were faking collapse. You cannot fake pallor & hypotension! The only thing they got right there was their original diagnosis of depression & PTSD. Otherwise they did nothing more than animal herding there. The other psychiatrist was the only one willing to try to help me and actually achieved it.
I believe that only a small percentage of people benefit from anti-depressants with or without CBT etc. I can say this with confidence as I have been in several hospitals during that period. I did not ever see any patient ,that I got to know ,actually get better and get off medications without it all going askew and then they were forced to keep taking and the cycle continued. If depression is mild then medication is not indicated.
As far as the confidentiality issue was concerned he would not speak to my family at all. My sister was my next of kin and yet he would not even tell her as little as 'she is unchanged' or 'improving'. I'm sorry but I disgree that he had the right to not communicate at all with my next of kin. That is unethical. They were not asking for intimate details or interferring. I did not ask him to do that and he never told me that he had done it. I thought my family was simply disinterested and had given up on me because I never heard from them.