I was too open with the psychiatrist and now regret it

[w1ngedpearl]

I went to the psychiatrist today for the first time in my life. I shared a lot of thoughts and facts during the session. I couldn't stop talking because this was probably the only person in my life who could listen to all this shit and understand me somehow. However, I made a mistake of mentioning suicidal thoughts. I tried to be careful, told that I have them but it's just thoughts and I won't follow them, am scared to actually do it and don't have any method to use. The psychiatrist was nice, calm and understanding but she told me "Actually, now I should call an ambulance to hospitalize you but I won't do that". The doc explained that she's against hospitalization because she believes it doesn't help. But she warned me that if she thinks I'm in danger then she will issue a referral for hospitalization. I obviously don't feel easy after that claim. No way I will ever want to be hospitalized, we all know how people are treated there. To sum up, the psychiatrist told me to do MRI and a couple of other tests, then make an appointment to discuss the results and further treatment.

I need advices. Should I go to that doc again? How should I talk about suicidal thoughts without the risk of hospitalization? I think I shouldn't talk about them at all. Maybe I should lie somehow. I'm so sick of this shit. Can't even talk freely without receiving threats.

 

[fedup1982]

You absolutely did the right thing. Because hospitals are extremely expensive, and depriving someone of freedom is a very serious thing, they won't hospitalise you unless you say you're actively planning. Ive been seeing many psychiatrists over 23 years and they're all the same. They won't hospitaluse you if you dont have active plans to harm yourself imminently.

Yes, go to that doc again.

Just dont say you have actual ideas on how to kill yourself that you want to use and are available.

This is how you get help. You have to tell them that you are having suicidal thoughts.

Another way to reassure them that you dont need hospital is to say what is keeping you here, e.g. you dont want to hurt family. This would be a very important consideration for them as to why you're not in immediate risk of harming yourself .

So say: two things, firstly I dont have any methods that could work, so i have no plans to end my life. Second, I dont want to hurt family so that's another reason I'm not going g to kill myself. I just have these thoughts a lot about not wanting to exist and I fantasise about suicide, it's just not something that's on the cards though

 

[58Alice85]

I would never go to a psychiatrist, it isn't a trusting relationship, they can cause involuntary hospitalisations, have you put on lists with the cops, ruin your brain with their pills.
Also sure in a lot of countries they are used to destroy politically undesirable persons.

 

[w1ngedpearl]

Yes, go to that doc again.

Just dont say you have actual ideas on how to kill yourself that you want to use and are available.

This is how you get help. You have to tell them that you are having suicidal thoughts.

Thank you. I told the doc that I actually don't want to kill myself — only want to live the other way but it seems hard to achieve, and so on. I explained it's just thoughts and I don't have any method. She said that suicidal thoughts without intention to do is still a reason to be hospitalized. :^) Now I'm scared to go to her again.

I would never go to a psychiatrist, it isn't a trusting relationship, they can cause involuntary hospitalisations, have you put on lists with the cops, ruin your brain with their pills.
Also sure in a lot of countries they are used to destroy politically undesirable persons.

I agree with you. Tbh, I didn't want to go there. However, my life became so fucked up that I couldn't continue to live alone. I had to return to my mom's house and now have to get therapy just to keep an illusion that I "try to fix" something. In reality, I want to be able to rest and don't want to work. I would've never gone to a doc if I was independent.
It really sucks. I don't trust psychiatrists, I became emotional and told too much, my bad. There's no way I will tell that again. I'll lie that it's better.

 

[madameviolette]

Why do they want to do a mri

 

[elenaboo25]

Why do they want to do a mri

Probably to see if there is something wrong in the brain. Damage inside the brain can cause all kinds of problems, including mental health issues. I think it's really nice that the psychiatrist thought of that possibility. Many just skip that step, even if it would be important. For example if someone has a brain tumor that causes depression (not saying that's what's happening here, but it can happen), no amount of therapy is going to help.

 

[notreallybored]

ב''ה, if it spares anyone else anguish, keep in mind that a psychiatrist literally is, as a job description, a prescriber.

Discussing anything other than what pills you want to be on and to the reasonable amount necessary why will simply be recorded as evidence of mental illness / confusion for not understanding that 'therapist' is a separate profession and appointment.

 

[bananaolympus]

Before my attempt i went to a psychiatrist told him everything, he didn't gave a shit only writting the prescription meds while i was talking about my problems sessions took 10 min, after my attempt he was forced to pay me a visit to explain what happened his answer was basically " my bad he needed a higher dose see ya" never showed up again no calls no messeges and he was supposed to be one of the best in my area

 

[broken_stoic]

Tbh this really sounds like a good psychiatrist (at least from that angle). There are simply points where they have no choice but to report/call the hospital/police (depending where you live). This doctor sounds like she is being upfront with you so you know what you can and cannot say so she doesn't have to do that. That's a win in my book.

 

[NegevChina]

Im seeing a psichayatrist for about a year. Just to make my wife feel good. I keep pretending to her i want to improve and trying to fake im trying each weekly appointment but i never tell her im catching the bus soon. She is such a nice pefson i dont want to traumstize her.

 

[siouxsie]

ב''ה, if it spares anyone else anguish, keep in mind that a psychiatrist literally is, as a job description, a prescriber.

Discussing anything other than what pills you want to be on and to the reasonable amount necessary why will simply be recorded as evidence of mental illness / confusion for not understanding that 'therapist' is a separate profession and appointment.

That is not right…In a lot of countries, especially in europe, psychiatrists are medical doctors of psychiatry AND psychotherapy. Not just pill pushers. They do therapy sessions as well.
Also, every psychiatrist and therapist should actively ask about suicidal ideation/intent/plans etc. during the frist appointment. Im still in med school. I always ask. If there have been attempts in the past i will go into a lot of detail about those. Only thing that would cause me to have someone hospitalized against their will is me having a feeling that they wont survive if i dont make that call.

 

[Pfysch]

This situation happened to me a few times when I was a kid. All that I learned was deny, deny, deny; always play defense; and say anything they wanna hear so I don't go back to the hospital. I've had around 25 therapists/social workers/psychiatrists/etc. in the past decade and I have never gotten any value from them because I knew I could never be honest, not when it mattered.

A mandated reporter is someone who can put you in psychiatric jail. I don't want to talk to them for the same reason I wouldn't be honest with a cop.

 

[w1ngedpearl]

Hey guys, decided to make an update. I went to another psychiatrist. The session felt more useful with him. He made tests, was actually listening to me and asked reasonable questions. I liked him. This time I didn't tell about my suicidal thoughts. He prescribed some meds. It's been almost 3 weeks since I started taking them - no effect yet. I still live at my mom's house. I enjoy being able to not work, that's the only thing that matters for me. My mood is still shit, it's just usually hidden because I always try to distract.

Thanks everyone for your answers.

 

[nolifer23]

Just take antidepressants. I use them for 15 years now