Why I see a psychiatrist (2024)

Why I see a psychiatrist (1)

Dear Aunt Doria

I know I haven’t written in a while. I got your message about the rain in LA. Thank you for your concern. It rained directly into my apartment for a few days. I ended up putting a couple of plants in the rainy corner and decided it was a free irrigation system. Thanks to you I always try to see the positive side of things.

How are you? I would say that I’m fine like usual, but today, I’m really not.

I went to see a psychiatrist for the first time earlier this month. Are you still reading this? I can hear you go into your office and shut the door so no one in the house guesses what you’re reading. Don’t worry, this letter will self-destruct once you’re done. I know the subject of mental health is taboo in our family, and probably for most people of your generation in France. But as you are the most open minded person in the family, I have to try and explain how I got there. To the psychiatrist. And why I've now gone and stuck the prescribed medication in my sock drawer.

I have been raised thinking that needing to see a psychiatrist means that something’s really wrong with you, and that it is likely your fault. You’ve never said such a thing to me of course, but your brother, my father, has always associated therapy with weakness. His answer or my mother’s answer to any pesky emotion that would arise in the house would be to “get over it”. Or they’d simply ground me and my brother Tom to our rooms until we were back to our emotionally disciplined selves.

But I’m learning that at some point, that strategy stops working. It’s like putting a lid on a simmering pot of water. Eventually, it’ll boil over. Some emotions I simply can’t deal with on my own. They get out, in the form of panic attacks or self harming behaviors. I won’t go into details about why I have these episodes. I believe that you suspect some of it, and perhaps we can discuss it at some point in the future, over tea and croissants. But let me tell you, Doria, they’re not pleasant. The panic runs through me like an electric shock, leaving me shivering on the ground, stunned and sad and angry, but mostly, helpless. You know the exorcism scenes in the horror movies you love so much? That’s how my panic attacks feel. Like I’m possessed.

I mentioned to you a few times already that I have seen a therapist before. Over the course of my ten years of living in L.A, I’ve seen four different therapists. This current therapist I’ve been seeing once a week - religiously - for the past three years. We’re really starting to know each other. Or her me. We dig and we excavate. It’s not pretty. She’s the one who suggested that in order for me to continue to do the work I do with her, getting on medication would help. It would level my anxiety and prevent the attacks from coming.

Getting an appointment with a psychiatrist took me weeks. I had to have a whole therapy session about my psychiatry session, believe it or not. Then, finally, I scheduled a first zoom call with a psychiatrist. It was a very clinical, twenty minutes meeting in which I gave her a laundry list of my issues. I cried once. She waited for it to pass.Then she gave me a diagnosis. PTSD, panic disorder, anxiety disorder. I cried again. This time she continued talking over the sobs. I suppose time is money. She gave me a prescription.

You and my mother are the same, Doria. Someone has a cough and you’d rather make them a thyme and honey concoction before reaching for the Tylenol. I learned that from you. So imagine taking medicine for my emotions? It’s a hard pill to swallow. Pun intended.

Picking up the prescription was an emotional day in itself. I only realized how angry it made me when, while driving home one day, I started shouting at a CVS Caremark agent over the phone, because I couldn’t remember the names of the three drugs I had been prescribed, and she needed those to pull up my account and tell me when the medicine was ready to be picked up.

When I finally trudged to the CVS around the corner, the one you went to every day when you visited, I suddenly felt like I was one of “these people”. One of the people my parents warned me about, the ones who can’t cope on their own, who aren’t well, who need help. I was ashamed. I felt broken. The CVS attendant whispered the name of my prescription, like saying it out loud would be too embarrassing for me.

But then I saw a girl at the counter next to mine. The first thought that went through my mind when I laid eyes on her was “we could be friends”. Then the name of her prescription was whispered to her, just like it was to me. And just like me, she made a discreet little nod and forced a polite smile at the attendant.

Doria, that’s all I needed. To know that I wasn’t alone.

So I went back home and I put the medication away in a drawer for a bit. You know, the same way you get a cat accustomed to a new place: you only show them the bathroom for a while. That’s how I thought about it at least.

Then I made your famous rum cake recipe. It always reminds me of evenings by the fireplace, and gathering acorns in the fall. I needed a little sugary courage to start taking the meds. So I did. It apparently takes about four to six weeks for the full effects to kick in, so I’ll have to report back in my next letter.

Thank you, Doria, for always being a sympathetic ear.

All my love,

Your favorite niece

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Why I see a psychiatrist (2024)

FAQs

What is the point of seeing a psychiatrist? ›

A psychiatrist can provide an accurate diagnosis and suggest treatment plans. They're experts in their field and have up-to-date knowledge on research, medications and other treatment therapies that can help you. Your psychiatrist will work with you to determine a treatment plan that's best for you.

Why would a person need a psychiatrist? ›

There are a number of signs that you might benefit from visiting a psychiatrist, including: Problems adjusting to life changes. Anxiety or worry. Lasting depression.

How do you explain how you feel to a psychiatrist? ›

Focus on how you're feeling in the present, and just say how you feel — even if what you're feeling is just, “I didn't really want to take this hour for therapy today because I'm slammed at work.” The truth is, what you need from therapy changes day to day.

What things should I tell my psychiatrist? ›

It's important to be candid with your psychiatrist. In order to provide the best possible care, you need to be as honest and open as you can. This often means talking about sensitive information of a highly personal nature. You might discuss topics such as your sexual history, family relationships, and drug use.

When to stop seeing a psychiatrist? ›

You may be ready to end therapy if you've achieved your goals or reached a plateau. Instead of ending therapy entirely, some clients may choose to see their therapist less frequently.

What kind of questions do psychiatrists ask? ›

Key questions on a psychiatric review of systems includes asking questions about mood (both depression and mania), sleep, anxiety, psychosis, obsessions and compulsions, dissociative symptoms, trauma history, body image disturbances, eating disorders, and somatic/pain disorders.

When should I consider a psychiatrist? ›

Inability to Control Emotions

Everyone has moments when they are sad, angry, or irritable, and these are normal feelings to have in life. However, when someone has excessive emotions that they feel unable to control or manage, this is an indication that a psychiatrist may be able to help.

Why would you be referred to a psychiatrist? ›

Patients who have mixed diagnoses, for example mental disorder and substance misuse, mental and physical health problems or mental illness in the context of personality disorder. Patients should usually be seen by a psychiatrist when they or their carers, relatives or advocates request a consultation.

What does a psychiatrist look for in a patient? ›

Your doctor will ask about your symptoms, how long you've been having them, and whether they're constant or come and go. Your doctor will check for physical problems that could be causing your symptoms and help you decide what type of mental health professional and what kind of therapy might be best for you.

What not to say to a psychiatrist? ›

What Not to Say to Your Therapist
  • "I feel like I'm talking too much." Remember, this hour or two hours of time with your therapist is your time and your space. ...
  • "I'm the worst. ...
  • "I'm sorry for my emotions." ...
  • "I always just talk about myself." ...
  • "I can't believe I told you that!" ...
  • "Therapy won't work for me."
Jul 4, 2023

How does a psychiatrist test you? ›

A mental health assessment often includes a physical examination. Your doctor will look at your past medical history and the medicines you are currently taking. You will also be asked about any history of mental illness or mental disorders in your family.

How will a psychiatrist diagnose you? ›

Because they are physicians, psychiatrists can order or perform a full range of medical laboratory and psychological tests which, combined with discussions with patients, help provide a picture of a patient's physical and mental state.

Do you tell your psychiatrist everything? ›

It's natural to fear judgment and rejection over some life experiences. However, lying to your therapist will derail the reasons you need mental health professionals in the first place. Additionally, don't tell them half-truths despite how embarrassing some details could be.

What does my psychiatrist want to know? ›

Your psychiatrist will likely ask general questions about your mental and physical health. They will want to know about your family history and health. After talking about your health, they will then dive into your reasons for seeing a psychiatrist. If required, your psychiatrist may order some health tests.

What happens when you see a psychiatrist? ›

There will usually be a lot of questions. The long appointment gives the psychiatrist time to listen to you and hear your whole story. They might also want to speak with other health professionals or members of your family. Your psychiatrist may order some more tests to help them understand what is going on.

Is seeing a psychiatrist worth it? ›

Seeking help from a mental health professional can be invaluable for addressing a variety of feelings and symptoms. Psychiatrists are medical doctors who specialize in mental health and are trained to assess your symptoms and provide you with a diagnosis.

What are the benefits of going to a psychiatrist? ›

Therapy sessions allow individuals to explore their thoughts, emotions, and behaviors in a supportive environment, helping them gain insight, develop coping strategies, and make positive changes. In addition to therapy, psychiatrists may prescribe medications to manage mental health conditions.

Why see a psychiatrist instead of a psychologist? ›

Both psychologists and psychiatrists are equipped to diagnose and treat mental health conditions, but they do so in different ways. The biggest difference is that psychiatrists are authorized to prescribe medication (such as antidepressants) for mental health conditions.

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