who sees a psychiatrist regularly? are you telling them about your plans?

[ExitTheDay]

Haven't seen a therapist in years although I would never bring up self-harm/ suicide. During one appointment I did slip up and mentioned that I slit my wrists at the time, it didn't seem to phase her... all she said was that it's not really a healthy coping menthod and recommended to snap rubber bands on my wrists instead.

 

[TowerUpright]

Never had told my psychiatrist about plans or my SN purchase. One way lockup to the psych ward. After that, my employer would likely "right-size" my department, with me being let go. Wouldn't be able to support my family. BUT, if I CTB, after being employed for 4 years, they'll get a life insurance payout that would cover them for a long time.

The downside outweighs the benefits of talking about my plans.

 

[Lookingforabus]

In the US they can hold you at the hospital for 3 days if they even think you're going to hurt yourself, and saying you have a plan to kill yourself will get you at least a week in a psych ward. Longer if they think you're addicted to something

The standard in the US is "imminent threat to one's self or others", so at least in theory, telling a psychiatrist you intend to kill yourself and have everything prepared and a date set and all that 3 months from now shouldn't be enough for an involuntary commitment.

Of course, as with everything else involving government in general, and the court system in particular, the way they say it works and the way it actually works are about as different as it can get. So yes, telling a psychiatrist you're experiencing suicidal ideation can result in being committed, because it's safer for the psychiatrist, who is at risk of being sued and even prosecuted if a patient commits suicide and he didn't "do something".

That's the biggest problem with mental health experts these days - their hands are tied by law, and suicidal patients need to withhold information needed for proper treatment. Another government solution that makes the problem worse (not that there's any other kind of government solution).

 

[CTB-London]

Yeah that's my experience of nhs, I told them plans, dates etc.... nothing happened.

In the UK, I hear that even an actual suicide attempt rarely gets somebody sectioned (put in a psych ward).

 

[a_strange_day]

yes she knows everything except where I hid it, but since it's not at home they wouldn't find anything anyway

I just needed to talk about it to someone, to be honest with someone.
but first I made sure we had a respectful and trusting relashionship, I inquired about the obligations that psychiatrists have if someone threatens to commit suicide, and once everything was settled I started to talk

they cant do much if you play it smart and you aren't an imminent threat

 

[Tabbyql]

In the UK, I hear that even an actual suicide attempt rarely gets somebody sectioned (put in a psych ward).

Yeah I was sent home after last attempt no support nothing.

 

[Blackjack]

Now that I am planning on dying soon I have been pretty much lying to my psychiatrist every appointment. I feel terrible. i don't want to stop going to appointments because then they might think something is up.

Based on my experience, you are doing the right thing by not disclosing your true feelings/intentions. No good can come from it.

 

[HGL91]

For me personally I'm on disability due to my mental issues and I have to see someone if I want to continue receiving it. I like having a roof over my head so I go, lol.

Also I tend to have the mindset of "eh, I'll go. It probably won't help but it can't hurt either".

Yes, as long as we're on this earth, having a roof over our heads is quite helpful!

 

[eve2004]

Well first off, my psychiatrist is not my therapist. I don't currently have a therapist or psychologist. She is there to prescribe me medication. She knows about my "suicidal ideation/thoughts", but I will never tell her that it's getting "worse". I will never tell a therapist that either, if I get another one. I just say it's the same as before. I'm still pretty early in the planning of my suicide, but I don't think anything I've said above will change. We'll see.

How often do you see her? Having a plan makes them nervous, I've never responded yes to that question. I see mine regularly too. Not for more meds, just to see how I'm doing. Canadian medicare, eh?

 

[Bathsheba]

I'm seeing a mental health team this week about bpd and I guess I'll tell them about the self harm and the knowledge that I'm going to end my life at some point and that I don't know when. I literally have no concerns about revealing this as no one in the nhs in the UK has ever given me proper help despite over 20 years of anxiety, depression self harm and hospitalisation after an overdose. They don't give a fuck! It amazes me when I read how people get sectioned over this stuff in the US.. so not like that here..

 

[eve2004]

With my psychiatrist + GP + counsellor, I talk openly about these things. They seems to feel that if it is something I'll do then they actually have no way of stopping me, and that actually sectioning in a psych ward is pointless. If you think there is 1 iota of hope in you, yes I would talk to the psych. You cannot expect people to try and help, if they don't know the reality of the situation.

Not everyone has a psych with lots of experience with suicidal patients (though I always assume everyone who sees a psych is...)... but I agree, of you have any hope at all or desire to have hope to not be suicidal, the telling them would be a good idea. There's a way though... it would have to be subtle and for them to understand that you have a plan without you saying it outright. You could also mention that you'd like help with ways you could cope with the thoughts when you have them. They'll be less worried of you're trying to get help to cope rather than just simply having a plan and then not talking. And if CTB is not in your near future, then you have nothing to lose by doing whatever you can to get help with coping strategies with regards to suicidal ideation.

I'm seeing a mental health team this week about bpd and I guess I'll tell them about the self harm and the knowledge that I'm going to end my life at some point and that I don't know when. I literally have no concerns about revealing this as no one in the nhs in the UK has ever given me proper help despite over 20 years of anxiety, depression self harm and hospitalisation after an overdose. They don't give a fuck! It amazes me when I read how people get sectioned over this stuff in the US.. so not like that here..

Its the litigation culture in NA... (US in particular). I wonder if they also don't give a f*ck in the US and are more worried about their own asses than yours.

 

[Pony]

Im seeing a psychiatrist for the first time tomorrow but Im also getting some SN on thursday which I wont be telling them about.
I doubt they would do anything even if I did though, Ive been in the hospital twice in the last month for failed attempts and both times they let me out immediatly after I told a therapist I want to die.

 

[bigj75]

Im seeing a psychiatrist for the first time tomorrow but Im also getting some SN on thursday which I wont be telling them about.
I doubt they would do anything even if I did though, Ive been in the hospital twice in the last month for failed attempts and both times they let me out immediatly after I told a therapist I want to die.

Wtf. I thought they would try harder to keep you contained if you told them that. but I guess it could be considered a good thing or else you wouldn't be able to ctb if you weren't released.

 

[Pony]

Wtf. I thought they would try harder to keep you contained if you told them that. but I guess it could be considered a good thing or else you wouldn't be able to ctb if you weren't released.

Maybe they let me out because I can't get any method to work :) the SN im getting should do the trick though

 

[bigj75]

Maybe they let me out because I can't get any method to work :) the SN im getting should do the trick though

I wish you luck. the sn method is peaking my interest.

 

[Notcutoutforlife]

In the UK, I hear that even an actual suicide attempt rarely gets somebody sectioned (put in a psych ward).

Exactly my experience, I've been telling them since January I want to die (just that damn minute hope that things might change and get better that stops me but I know that won't last forever) and am making plans for the future, have self harmed etc etc - no one has mentioned a psych ward even once!! It's probably a good thing!

 

[Monster]

How often do you see her? Having a plan makes them nervous, I've never responded yes to that question. I see mine regularly too. Not for more meds, just to see how I'm doing. Canadian medicare, eh?

I see the psychiatrist every month or so. I have an occupational therapist who actually just left so I'm meaning with another one, but I don't want to go see them anymore. I hope no one makes me go see any other type of therapist either. I'm never going to say 'yes I have a plan' to any professional or friends or family or whatever because that would get me commited or watched, which is completely counterproductive to the goal of dying.

 

[account676]

I see a psychiatrist 1-2 per week. I can't say it has helped me though. I haven't told her but I doubt she could prevent me from doing it.

 

[Strangeasangels]

They will just stick you in psych ward.... if your mind is made up, why even bother seeing one?

 

[Margimet]

I hate psychiatrists! I'm in antidepressants for years and a neurologist and a functional doc told me they messed my metabolism up, now I have physical illness besides mental!

 

[Neville1]

I'm seeing a mental health team this week about bpd and I guess I'll tell them about the self harm and the knowledge that I'm going to end my life at some point and that I don't know when. I literally have no concerns about revealing this as no one in the nhs in the UK has ever given me proper help despite over 20 years of anxiety, depression self harm and hospitalisation after an overdose. They don't give a fuck!

I'm sorry that you haven't had a better experience with your care but I wouldn't totally blame the NHS. In many cases, suicidal ideation and mental illness are resistant to treatment. The effectiveness of treatment is one of core differences between pro-choice and pro-life views. Pro-lifers believe that these conditions are always temporary and can be healed with medications and therapy; pro-choicers have the opposite view.

It amazes me when I read how people get sectioned over this stuff in the US.. so not like that here..

I hope that you don't believe that the US sectioning is better care. I believe that it results from individuals in US having fewer protections against government and more progressive thinking in the UK, recognizing it to be rarely of benefit. Patient costs in US add to the trauma. Providers charge the costs to insurance and patients. Without insurance, 100% of average mental health stay cost of 10,000 USD is charged to patient. Even with decent private insurance, assuming no previous charges, annual deductible of 3,000 and 20% co-pay, the patient's share would be 4,400.

Where in the world are you guys who are getting thrown into these places just for mentioning it. The UK, you can yell I'm gonna kill myself, most likely response... taken to A&E then told your responsible for your own safety, before being discharged!

In US, one can be imprisoned to force substance abuse treatment.

NPR Choice page

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[Berlin76]

Now that I am planning on dying soon I have been pretty much lying to my psychiatrist every appointment. I feel terrible. i don't want to stop going to appointments because then they might think something is up.

Well for my situation i just tell them.

My family knows my doctor and the psychologist knows. They know they cannot stop me because I have told them it wont help.
It would only delay my suicide.

The euthanasia waiting list is long and the process will take also long. So I will do it myself.

 

[Oblivion]

No, why would i do that? He'd tell my family and this would fuck up my plans.
Unless you think drugs and therapy can help you and you have reasons to live, then yes you should tell him

I see a psychiatrist, told him I've been in a psych ward and it did not help a bit. I openly talk about my plan, he doesn't want to lock me away just for having suicidal ideations.
Of course, seeing him doesn't really help either but that's another story.

You shouldnt do that, imagine how bad he would feel when you do it and he feels that he didnt stop you

 

[nothingleft]

Hahaha no way in hell would I ever. I've had many friends end up in forced hospitalization, and from their accounts it's worse than you can imagine.

 

[BridgeJumper]

Dont get me wrong, I like my shrink and have a good relationship with him, but everytime I mentioned jumping off bridges, not sleeping due to voices in my head etc he either referred me to psych ward (Im lucky because he didnt call the police to take me just wrote a referal and told me to take it into the waiting room) or put me on heaps of drugs that made me feel even worse.
You cant be honest about these things with normal people.

 

[Letmego. Please]

Im off to see the shrink tomorrow, did end up telling her i was planning on topping myself, mostly because i know there is nought she will do about it as round here shrinks have no say over who gets puts in hospital, that is down purely to the great gatekeepers at the crisis team who are a bunch of arseholes who stupidly left their copy of my notes round my house one day, then wondered why i told then to shove their 'help' They had me down as an attention seeker who would manipulate them given half a chance. Stupid people.

But after seeing the shrink a couple of months ago, getting put back on meds, not improving, Cpn oddly turning up weekly instead of the usual 2-4wks, after last shrink appt a month ago i was put on the oddly titled 'shared care' that turned out to be nothing to worry about so all cool, then last week shrink wanted me back under crisis team, told em to sod off (had my parents staying for a few days so they backed off) So god knows what will happen this week when i see her tomorrow & Cpn on Wed, but either way even if it is the crisis team i know they will get bored after a week & discharge me back.

So all in all, here you can tell them, deal with a few idiots for a week then you are good to go.

(Better not get fucking sectioned again after this lol)