Help - made an appt with a Psychiatrist

Discussion in 'Fibromyalgia Main Forum' started by Janalynn, Oct 27, 2008.

  1. Janalynn

    Janalynn New Member

    Hi guys and girls! I made an appt with a psychiatrist and I'm not even sure why. I really don't have much to say to anyone. I guess that I'm hoping that he'll understand the my brain and how meds work etc. I decided on a psychiatrist for two reasons. 1. My friend who has Fibro says her psych. is the only dr. she sees because he DOES understand so much about the brain and he has helped her so much with meds etc. and 2. I promised my Mom I would. =)

    I really don't feel I need to see a therapist at this time. I don't feel the need to discuss my whole life with someone - I have no complaints about my past or any hidden skeletons etc. I just need help making sure that I am on the right medication I guess. See, I don't even know.
    I just know that currently I am having a tough time coping. I am in incredible pain every day and am SICK of it. I am losing my ability to have a positive attitude which has always been one of my best qualities. I cry easily and often.

    I do have a question as I was doing some research. For those of you who are on Thyroid medication - specifically Armour Thyroid. Do you all have thyroid issues found in your bloodwork? My bloodwork (not only TSH, but T3 and T4) says my thyroid is fine. However what I've read lately is that many doctors ignore the labwork and rely more on symptoms. Of course these are also the doctors who believe that the thyroid has a huge influence on Fibro.

    Anyway - back to the question at hand. Does anyone see a psychiatrist (not a therapist)specifically for Fibro and if so has it been helpful??

    Thanks in advance for any feedback/opinions/advice.
  2. kitteejo

    kitteejo Member


    My PCP says that CFID, FM and Depression are all inter-twined. Because my depression was not being helped with meds he referred me to a psychiatrist. I was seeing this psychiatrist and really like it. He evaluated all my meds and put me on a new med for my anxiety.

    It was going really well until one day he asked me the deadly question; "are you suicidal?" Of course I am, I have depression! So I answered yes, sometimes. Well he tried to send me to a group-day psychiatric center- five days a week six hours a day. When I told him I wouldn't go he just kept saying, just go you'll like it and I'll see you there tomorrow. He wouldn't listen to me. If you use the "S word in the group therapy, they can admit you to the psych ward against your will. How would I make it there anyways with my fatigue?

    I didn't go and haven't gone back to see him again. My PCP told me yesterday to go back and see him. I'M NOT GOING, I don't like him. I'm going to find a new one and will never use the "S" word again in any doctors office. If anyone ever asks me that question, my answer will be "No, I'm just very sad"

    My PCP said that all doctors are required to call 911, admit you, even call the police to come to your home if you use the "S" word.

    Good luck,


  3. kitteejo

    kitteejo Member

    My PCP rounds at a psych hospital doing physicals for patients. He told me some scary stories of people just making comments and they would get admitted for it. Brain fog has set in so I can't remember the stories but they didn't use the "S" word but were talking about things like there life was useless or over. In they went. He knows medical doctors that do call 911 right in their office. Some have sent the police to their patients homes. Also he hears the patients stories on how they got admitted when he's doing their physicals.

    He told me to never ever say that "S" word to a doctor, therapist or even a physical therapist. It's there duty to protect us. NO THANKS. I've learned my hole life how to handle the "S" thoughts and get through it.

  4. Leaknits

    Leaknits New Member


    How about seeing a neurologist instead? Seems that most "shrink stories" I've heard or read had to do with a dr just itching to clap someone behind walls...and if he/she succeeds the stay there is on records forever.

  5. goofgirl

    goofgirl New Member

    I think it's great that you took the initiative to make an appointment. I see both a therapist and a psychiatrist, which started because of my depression but since my diagnosis with FM/CFS they have supported me with that too. I talk to the therapist about the stresses of being ill, dealing with work, family, etc. She is definitely part of my care "team" to help me get my life back. The psychiatrist I started going to to manage my antidepressants, plus he also prescribes something to help me sleep. He is very understanding about FM/CFS and does not just blame it on depression like so many Drs. seem to do. He is also very supportive of my trying to get better and is a good resource with ideas about what to do about the FM/CFS. He changed my a.d. from Zoloft to Cymbalta and offered to prescribe Lyrica after I do research about it if I want to try it.

    I have never been suicidal but I do know if you talk about suicide they are legally responsible to call 911 and get you help. Don't let that deter you if you think a psychiatrist will help with the issues you have with the FM and just coping in general.

    I was put on Armour because of my bloodwork results. But I know that the CFS/FM doctor I see now attributes a lot of symptoms to thyroid malfunction and I believe would probably prescribe at least T3 to someone with symptoms and normal bloodwork. I was switched from Armour to pure T3 recently, and did feel some increase in energy.

    Good luck with the appointment! If he's a good Dr. I think it will be worth your time to see him. So many GPs don't listen about FM but because it's neurological in nature, I think a good psychiatrist could be a big help. If nothing else, it's nice to talk to a professional about coping with our lives, because sometimes it's hard for our friends and loved ones to understand what we're going through, if they are even willing to listen. Let us know how it goes!


    [This Message was Edited on 10/28/2008]
  6. kellyann

    kellyann New Member

    Hi Janalynn,

    Good for you! It will probably do you a great deal of good and it certainally can't hurt. I used to go to one an the very first thing he asked me is if I had my thyroid tested. And of course I said yes, hypothyroid. I think it will help you. The doctor can put you on medication to help you if you need it.

    I need to go back to the pysh myself to get my Effexor dossage raised. I think I need more, I have been on it for so many years. I was prescribed 2 capsules @ 150 mgs twice a day but my insurance refused to pay for more than 1 capsule per day. I guess they think they know better than my doctor what is best for me. I think that is so wrong.

    Well, good luck Miss Janalynn! Sending soft hugs!

    Jesus loves you Sweetheart!

  7. Janalynn

    Janalynn New Member

    Thank you for your kind responses. Although some kind of scared me. I am definitely not suicidal. I must admit, somedays though, Id just like to sleep it all away.

    I'm not sure why I'm going. All I know is that things are not working right now. I'm looking for some additional help. It may or may not work, but at least I can say I tried.

    As I mentioned earlier ( I think) my thyroid tests fine, although I have gained 15 lbs in less than 5 months, no change in eating, no different meds etc. Also my hair is falling out like crazy. The weight gain is bothering me greatly. I know - to some it's no big deal, to me it is upsetting me greatly! I just feel more miserable about myself.

    I'm almost embarassed for him to see the meds I'm on - the LIST. My husband reminded me that he's sure he's seen much "more" or "worse" than what I'm taking. I guess I'm just so private.

    Again, thank you so much for taking the time to reply to my post. I appreciate the support!
    I'll let you know how it goes. My appt is tomorrow morning.
    Much love to you all...
  8. PVLady

    PVLady New Member

    I recently began reading books on the brain by Dr. Daniel Amen. He is a specialist and has written facinating books on the brain - one was "Change Your Brain and Change Your Life" another is "Making a Good Brain Better"

    Once I visited a psychiatrist and he scared me, I could not wait to leave. I had better luck with a psychologist. The psychiatrist made me sit and answer his questions and if I tried to explain he stopped me. He was bad tempered and just plain weird.

    At the end he announced I was either Adult ADD, or Bipolar. I have never felt so strange with a doctor.
  9. goofgirl

    goofgirl New Member

    How did your appointment go?

  10. Janalynn

    Janalynn New Member

    Thanks for asking Jessica!
    Funny you mentioned that PVLady - After the appt. He said he thought I was Bipolar.
    Now let me tell you - I'm about the farther person from bipolar that I would ever suspect. Everyone that I've told said "YOU? you've got to be kidding." I think part of the problem was the huge, what I like to refer to college entrance exam test, 40 page packet I had to fill out before the appt (literally took 3 hrs) Many of the questions were in columns labled 'in the past 12 months have you:" Well my answers were really all related to Fibro. My concentration, my sleep patterns, my "heavy" arms etc. - it wasnt' related to my "head". He did mention that there were many different levels - it doesn't always mean high swings from manic to depresson. He also said than an indicator is someone who does not have much success with anti-depressants - and that is definitely me. BUT when I said, I'm generally a very happy person, he said, that's the part that doesn't fit. yeah, duh.

    Before I filled the script I called my doctor and she said to give it a try - the med he prescribed is the safest of that type of medication. She also said pretty much what he did.

    I see him again in 3 weeks. The good thing is that he is very 'up' on thyroid stuff - has written published articles. Also talked to my doc about it and although my TSH is normal, my T4 is on how the low end (I think that's what she said) so we may discuss boosting those levels. My sister had the same thing going on with her thyroid (no Fibro BTW) and she said how she feels is like night and day. I have gained a lot of weight (for me)in a short amount of time, with no med change and am losing hair like you wouldn't believe. So something is going on with me!

    All in all I liked him - I didn't like what he thought I had - but my friend who sees him said he told her the same thing - she thinks he's quick to diagnosis. The good thing - he has other fibro patients, seems sympathetic to chronic pain and how it can definitely affect your mind, your mood, your life. He seems willing to try things til we find what works for me.

    Most of my first appt. was going over my history etc. I don't have a very 'meaty' past - pretty boring actually. We'll see how this med makes me feel. I definitely feel better after getting my PCP's opinion about it, because I trust her explicitly.

    I believe I'm 'situationally depressed" - but ya know in all honestly, who's to say this whole Fibro thing won't just throw me over the edge and throw me into full blown depression. Gosh, I hope not!! I like being happy too much!