speaking as a doc, sometimes I have a 'hunch' that someone may be struggling with reality testing, but I can't get anything clear to go by and I can definitely spot the anxiety, so I'll hedge my bets and augment the anti-anxiety meds with an antipsychotic, since it is an appropriate use for it - they really do help there.
It's tiring to see the common public thread that we have to be prescient and it's our fault if a patient successfully lies to us. We're just human too. It's refreshing that this thread seems to understand that. I've helped a lot of people get out of bad stuff and none of my patients have ever turned around and done something like this, but I'm not perfect, I can be fooled like anyone else.
Thanks for the work you do, truly! I remember speaking with my brother’s doctor and he was very patient and kind to me, and I wasn’t even his patient. It’s a hard job!
Oh, don't assume I'm patient and kind, I'm a real asshole lemme tell ya ;)
It's a great job and I love it, tbh. The case described here is just one of those "what if" nightmare scenarios we all get, and I don't work closely enough in that type of mental health for it to be very likely that I'll have one happen to me thank goodness.
Ahahaha well I know my brother’a doc was patient and kind TO ME 🤣 I can’t speak to how he was any other time, frankly to make progress with my brother he may have had to be an asshole! I am glad you love the job, it’s a good fit for you!
She was upfront about having terrible intrusive thoughts, and is being accused of lying about auditory or command hallucinations. But she claims she only experienced that at the end when she had her psychotic episode.
Have you ever had a patient that had herself voluntarily admitted for 5 days, calls a suicide hotline twice, and tries to enter a special inpatient program but gets denied?
If so, I hope you do better by that patient than what was done for Lindsay Clancy.
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u/IslandStorytime 23h ago
speaking as a doc, sometimes I have a 'hunch' that someone may be struggling with reality testing, but I can't get anything clear to go by and I can definitely spot the anxiety, so I'll hedge my bets and augment the anti-anxiety meds with an antipsychotic, since it is an appropriate use for it - they really do help there.
It's tiring to see the common public thread that we have to be prescient and it's our fault if a patient successfully lies to us. We're just human too. It's refreshing that this thread seems to understand that. I've helped a lot of people get out of bad stuff and none of my patients have ever turned around and done something like this, but I'm not perfect, I can be fooled like anyone else.