What does this question really mean?

Postby antknee869 » Mon Jan 23, 2012 9:09 pm

I have been treated for depression for quite some time now. Every now and then they ask "Do you ever have thoughts of harming yourself or others?"
Well, I think a lot of people have thoughts of it... I always say "No". But sometimes I do have thoughts of it. I don't think I would ever do anything. I mean, how many parents have said or thought "I am going to strangle that kid!". But they never would.
I am afraid of answering the question honestly because I am not sure what they would do.
Thanks
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#1

Postby dalehileman » Tue Jan 24, 2012 5:23 pm

I often harbor thoughts of harming those who make, peddle, or prescribe meds with little or no no concern about possible side effects

http://www.uncommonforum.com/viewtopic. ... highlight=
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#2

Postby David Anthony Volckmann » Tue Jan 24, 2012 7:25 pm

Hi

Without knowing the details of your past visits (snap shot of your psyche), its difficult to give one sweeping piece of advice on this. But some things come to mind: The first that struck me, is how your allowing a fear (Dr's Opinion) to prevent you from answering this question naturally; doesnt seem to be a setting that should foster a decision space like that. But as I stated, I have very few details. But once that topical distortion (fear) has been lifted, only then will you be able to see if this question truly holds any weight for you, and what your initial reacation/feeling/vibe is towards it. That will allow YOU to read a more fundamental mind, a deeper part of you. From there, and depending on how well you know your self, you could see/feel the latent beliefs that fuel your particular reaction to the question; from what you wrote, I would bet $.67 that you have a deep rooted belief that you wouldnt REALLY want to harm anyone or your self; but of course, only you can read these things.

If your still concerned about the Dr, get a different one. Theses visits should allow you to find a mental companion, not an aid to an already "troubled" mind.

Belief, emotion and then thought, you have only to listen.

I hope some of this makes sense.

Best of luck,
-dv
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#3

Postby Candid » Wed Jan 25, 2012 11:28 am

I presume this is the standard list of questions where you mark on a scale of one to five how many times since your last appointment you've felt like this. That questionnaire also includes things such as
irritability
appetite
sex drive
concentration
feeling hopeless
not enjoying things you normally would

The questions are designed to diagnose depression, anxiety and other disordered thinking. Also, if you're seeing a shrink on a regular basis and filling this in each time, it will be charted to measure your progress.

It's okay to say you have thoughts of harming yourself or others, if that's the case. You probably fill in this form at the beginning of each session (eg. while in the waiting room), and it's up to your shrink to discuss with you anything in your answers that bothers her/him.

If you say you've thought three times this week about killing yourself, your shrink will ask questions to determine how serious you are. As in, are you thinking it's the only possible thing to do (manageable) or have you made a definite plan and bought the gun/pills/rope (red alert).

Shrinks pay huge insurance these days and aren't allowed to practise without it. They really don't like it when patients ~ um ~ hurt themselves.
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#4

Postby tokeless » Thu Jan 26, 2012 5:25 pm

[quote="dalehileman"]I often harbor thoughts of harming those who make, peddle, or prescribe meds with little or no no concern about possible side effects

http://www.uncommonforum.com/viewtopic. ... highlight=[/quote]

I'm sorry, but that's illogical. How is the prescriber or manufacturer supposed to KNOW if you will have side effects to their medications? Even you state, 'possible' side effects.
The alternative would be to deny someone potentially helpful medications, because they may have side effects to them... I suppose the argument would then be wanting to harm people who won't prescribe medication for people who need/want it.
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#5

Postby dalehileman » Thu Jan 26, 2012 5:29 pm

Here here Candid. As you imply, a lot of unnecessary energy is wasted in the anxiety. Thinking about doing something should hardly count at all

I'm sorry, but that's illogical. How is the prescriber or manufacturer supposed to KNOW if you will have side effects to their medications? Even you state, 'possible' side effects.
If I were in power I’d emphasize side effects. For instance I could start my patient on the med having the fewest or least significant side effects. If that didn’t prove satisfactory I might then proceed to prescribe the next more potent etc
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#6

Postby tokeless » Fri Jan 27, 2012 8:52 am

[quote="dalehileman"]Here here Candid. As you imply, a lot of unnecessary energy is wasted in the anxiety. Thinking about doing something should hardly count at all

[quote]I'm sorry, but that's illogical. How is the prescriber or manufacturer supposed to KNOW if you will have side effects to their medications? Even you state, 'possible' side effects.
[/quote]If I were in power I’d emphasize side effects. For instance I could start my patient on the med having the fewest or least significant side effects. If that didn’t prove satisfactory I might then proceed to prescribe the next more potent etc[/quote]

Again, with respect. If you look at the data sheets on most medicines, the possible side effects are listed. If you emphaisised the possible effects, who would want to take them?
You have to focus on the efficiacy of the drug first, of course mention the potential effects and reasssure the patient that if they have them to come back and see you. After all, this is supposed to be about them (the patient) isn't it?
Unsure of what "If I were in power" means... Is that important in this context?
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#7

Postby dalehileman » Fri Jan 27, 2012 12:48 pm

If you emphaisised the possible effects, who would want to take them?
You have to focus on the efficiacy of the drug first,…….
But where there’s a choice I’d only advise the patient to start with the safer one
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#8

Postby narcissismcured » Fri Feb 03, 2012 5:31 am

i would suggest you to change your attitude towards these prob try to think it in constrictive manner n in a positive way.
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#9

Postby dalehileman » Sun Feb 05, 2012 7:39 pm

Who, me
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#10

Postby Lyncb » Thu Feb 09, 2012 11:38 am

An fascinating dialogue is price comment. I feel that you need to write extra on this matter, it might not be a taboo topic however usually people are not sufficient to speak on such topics. To the next. Cheers
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#11

Postby dalehileman » Mon Feb 13, 2012 7:39 pm

Forgive us Lynch for yet no response. Suggest rewriting and posting your comment as an OP, your chances will be better

If English not your native tongue it’s ok to ask for help
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#12

Postby Drmfitz » Mon Feb 13, 2012 10:38 pm

you are imagining a future event that has more pain that positive which makes you afraid to answer the question for fear of these imagined repercussions.

first off you are okay. in fact, you are "doing yourself" perfectly and cannot mess it up. as far as counseling and therapy? the rapist......(therapist) are only taught what their school told them and usually does not encompass all life and ultimately solutions. if you go to someone and need to go back each week, that is what i mean-no "break through" or solution to move on the solving the next item in life.

if you go to youtube and do a search on dr john demartini he has a great explanation on "unrealistic expectations" on yourself, others, and even life and what you think it should be-because life is what it is, and by wanting it to be something other than that, is the basis of that unrealistic expectation. best wishes, Dr. Mike
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#13

Postby dalehileman » Sun Feb 19, 2012 5:30 pm

Roger if you’re still with me and wondering about the purpose of a post such as this, it’s the only way I’m able to drop a thread, as explained by posts #7 and #9 in

http://www.uncommonforum.com/viewtopic. ... highlight=

I should add however, while this requirement does reflect on the massive incompetence of computer programers, especially those concerned with editing, my remark in no way impinges on UK’s admin since a program purchased in bulk, such as the one used in UK, is very difficult to alter

http://www.writingforums.org/showthread.php?t=50556
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#14

Postby Dreamlife » Sun Feb 19, 2012 7:53 pm

Shrinks pay huge insurance these days and aren't allowed to practise without it. They really don't like it when patients ~ um ~ hurt themselves.[/quote]

Well said! :D
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