P-doc and counseling?

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falling apart
Regular Member


Date Joined Dec 2008
Total Posts : 61
   Posted 2/2/2009 8:49 AM (GMT -7)   
Hey ya'll! Things are really on an upswing for me these days! Thank you for your continued, loving support! :-)

Hubby is doing soooo much better! It seems (so far) that the meds are really doing their job and there have been no noticeable side affects as of yet. (Lithium - 600mg; Depakote - 1500 mg)

Here's my question:

I feel like we are ready to move another step forward. He goes back to his (very expensive) p-doc 2/13. In the mean time, should he get started with a counselor? Should he wait a bit longer to be certain his medication is going to keep him in this "good place?" Does he need both p-odc and counselor or should he stick with just the p-doc?

Eventually, we will do joint counseling. But, I am not ready for that yet as I am still trying to get out of co-dependent, hurt, bitter, angry wife syndrome.

What do y'all think? What has worked best for long-term "maintenance" for any of you? I am so hopeful due to my husband's new attitude, I want us to do everything we can to keep it going!

Thanks!

Jondoe
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 2/2/2009 8:55 AM (GMT -7)   
One vote here to ask him and see what he thinks about it.

If he's up for it, help him set it up. If not, let him know to keep you informed as to when he is (but try to keep the pressure off). Counseling isn't something you can force.

Good on you for being so proactive. It's too easy to just kick back and enjoy the better times, you're doing this right.

serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 2/2/2009 9:00 AM (GMT -7)   
I definitely am an advocate for both pdoc and counselor. I have both and couldn't live without either. :-) That's just me, though. He's the one who will know when he is ready for a counselor. If he's ready to talk, then he's ready for a counselor. He may not stay in counseling in the long term. Maybe he'll only go for 6 months and then feel ready to be done. But whatever, as long as he gets a chance to talk it will really help a lot.

serafena
Serafena
Co-Moderator, Bipolar Forum
Bipolar II


falling apart
Regular Member


Date Joined Dec 2008
Total Posts : 61
   Posted 2/2/2009 9:15 AM (GMT -7)   
Thanks Jon and Serafena!

I got a 7-page letter from him this morning explaining, apologizing, taking responsibility, etc. In it, he expresses a dedication to "participate in any therapy or counseling" that I would like US to attend. I think he is a bit nervous and afraid to face talking about everything to a counselor by himself. So, I would like for him to go with me to my "regular" appointment just to get the ball rolling. Then, I think he would benefit more being able to talk freely and openly without me there. I KNOW I can be part of the problem sometimes. We are married after all! turn I want him to be able to get that frustration out and not feel inhibited by my presence.

Jon, I posted some other questions to you on mptat's thread. I am curious about how to prepare for the inevitable relapse(s). How have you handled it? Does it get better/easier, etc.? I would love more input from you on this!

Thanks again all who "listen", post and support! Love y'all to pieces!

Jondoe
Regular Member


Date Joined Jan 2009
Total Posts : 32
   Posted 2/2/2009 9:36 AM (GMT -7)   
I copied my reply from the other thread, we should probably stop hijacking it:

"falling apart,

It most certainly is NOT a foregone conclusion he will relapse. I think what I have to share is that no matter how hard you work and how determined you are, it's ultimately up to him. Your motivation is the foundation for his success, but only that.

Also, meds will probably lose some effectiveness at some point. Even if they work for a couple years, they'll likely need adjustment at times. You'll know when it's time, but he may not. How you appr0ach that depends on how you two communicate."


I'll add that being optimistic is the absolute best way to go into it. You'll do yourself, and him, much more good with this mindset. Take this time, when he's improving, to be happy and in love. It will help you more than any fear of what could possibly be down the road. Today, embrace what he's giving you.

Whyus
Regular Member


Date Joined Dec 2008
Total Posts : 94
   Posted 2/2/2009 1:05 PM (GMT -7)   

Hi falling apart.  So glad to hear that your hubby is cooperating and that you are noticing a change in him with his meds!

I'm a little confused here though.  Is the p-doc a psychiatrist?  Doesn't the psychiatrist do therapy along with the meds? 

That's how I understood it and what I am working on for my husband.  I'll post in another thread later.


 


falling apart
Regular Member


Date Joined Dec 2008
Total Posts : 61
   Posted 2/2/2009 7:50 PM (GMT -7)   
Hey there Whyus! And, thank you!

Yes, a p-doc is psychiatrist and yes, they prescribe meds and do counseling. However, there are therapists (psychologists) who are not medical doctors who can provide counseling. Many times they will work hand in hand. In most states, therapists who are not MDs cannot prescribe medication so alone, they are not the best way to treat BP. (IMHO)

My hubby's new p-doc offers counseling along with the pharmacology (meds). But he charges a mint! I think that the best course of action for us will be weekly therapy with a reasonably priced counselor and monthly visits to the psychiatrist. That is the route we will try and see where it gets us. Eventually we will throw couples counseling in the mix. Then we won't be able to go to the bathroom without asking for advice first (hahahaha!)
tongue

Just some humor to lighten the mood!

I hope that helps you figure it out.

Rocketman
Regular Member


Date Joined Dec 2008
Total Posts : 156
   Posted 2/2/2009 8:50 PM (GMT -7)   

Hey Falling;

good to see that things are going well on your end too. I hope this upswing continues & you guys keep moving foreward. I don't think I would push too hard on him, but it sounds like he is headed the right direction. Hopfully the p-doc can reccomend a good counselor that they work with & can collaborate on things.

keep us updated

Rocket 


"The struggles make you stronger, and the changes make you wise, and happiness has it's own way of taking it's sweet time.
Gary Allan- From "Life Ain't Always Beutiful"


Whyus
Regular Member


Date Joined Dec 2008
Total Posts : 94
   Posted 2/2/2009 11:08 PM (GMT -7)   

Hey falling apart.  That's what I thought- about the p-doc.  Luckily, we have great insurance and can access a ton of resources, just have to find the right one. 

Since I begged the GP to contact the p-doc and tell them it was a crisis situation and my hubby needed to get in to see someone asap, they called to schedule!   yay!  I will schedule appt tomorrow!

So far, we are all on the same page and my hubby is still on cooperation mode on this with me.  I have to do all the research and scheduling of appts, but I don't mind as long as he follows through.  So far, so good!


 

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