just wanted to quickly share my experience and get some opinions. i finally made an appt and went to a therpaist yesterday. he is well qualified (former Rhodes Scholar, degree from Harvard and was a lecturer at Harvard, etc., etc.). he ahd sent me a packet of info about a week before. it was about 8 pages long and essentially asked tons of questions about how i have felt the past 12 months and to circle 1, 2 or 3 based upon severity. it covered everything from anxiety to abuse to medications to alcohol intake and family medical history. when i went into his office he took the form and literally looked at each page for about 3 seconds, flipping back and forth a few times. then he says, 'ok, from a brain standpoint you've got mild to moderate depression, mild OCD, mild ADD and moderate to severe anxiety. you also have some post-traumatic stree. these are all genetic except for the PTS." he then explained how his field now believes the brain functions and how all these areas interat with bio-feedback loops and that you need to treat all these things at once because treating one thing will only allow you to go so far before the others bring you down. he immediately said he was going to prescribe me 4 medications, 3 of which i would take daily. he recommended a book to read on OCD and told me to go to the state's best PST person for a consult. he then asked if i had kids and if i was planning on any more because all these things have a 50/50 chance fo showing up in children and he tells people not too have too many if they can avoid it because having, say, 6 kids means at least 3 will have all these issues and it's a lot to handle. he then basically asked if i had any questions or concerns. we talked for a while and then he made an appt. to see me again in one month.
now, my problem is that he really didn't ask me any questions. i had to interject and say things like the fact that OCD really wasn't my main issue right now, and going into detail about how my main problems were with depersonalization and derealization and lots of visual issues (visual snow, trails, etc.). if i hadn't brought some of these things up he probably wouldn't have asked me anything (besides a few initial questions about my age, marital status, etc.). i also was concerned that he said to stop zoloft and start taking 3 medications regularly and with no follow-up for a whole month. and the thing he said about kids, after i told him i had a 7-month old, seemed awefully callous and evidence of a poor bedside manner.
i did like that he said this is something that with the right meds and therpay you can get under control and sort of reset your brain to the point where you can even work on getting off the meds completely. and the fact he said my visual symptoms were purely anxiety-related and not due to the drugs. the drug experience i had as a 15-year old probably was just fueld on the fire of all the changes i was going through as an adolescent.
but again, this whole appt was about 30 minutes long. it's been a while since i saw a therapist (many years) but i would think that the first one or even two sessions should be just getting to know the patient and maybe not even talking about the main problems that bring them there. then, even if there is a clear diagnosis i would think there should still be plenty of discussion and back and forth. i can see his method may be to first prescribe these common meds and then tweak them as time goes along as he figures out which are the main problems a specific person is having. but i still don't see how he could honestly spend 5 minutes looking at a form and prescribing 4 medications and then sending me away for a month.
does this seem strange to anyone else? i am definitely going to get a second opinion from another therapist. just wondering what people's impressions are.
thanks. sorry for the long-windedness.