tag:blogger.com,1999:blog-8489009971732520747.post6948418722224259834..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: Care PlanningThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-8489009971732520747.post-73982385386301634642009-05-27T19:29:25.101+01:002009-05-27T19:29:25.101+01:00Hi Mark,
In my opinion the distinction is merely t...Hi Mark,<br />In my opinion the distinction is merely that the person not diagnosed as psychotic does not respond to hallucinations in a way that disturbs others and/or does not tell others what they are experiencing. I have had the occasional and very brief 'psychotic break'. No one other than my husband and my (privately paid for) therapist (both of whom I trust completely) had any idea waht was going on in my head. This was a decision I made because having worked in psychiatry I knew what the consequences were of telling anyone. With time and rest I recovered completely, although under stress I still occasionally see things 'differently'. Its the control over obsevable behaviour that is often the distinction rather than the subjective experience. The other difference is that I knew those things were not real - I had insight. many people diagnosed as psychotic behave as if the hallucinations and disturbed thoughts were real - they did not have the ability to distinguish between reality and 'fantasy' aka insight. That's also why I'm possibly 'borderline' and not bipolar or schizophrenic etc....Lady Pippa Jemima Fortesque Smythhttps://www.blogger.com/profile/10885481424826011895noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-26003505840681993752009-05-25T22:28:45.880+01:002009-05-25T22:28:45.880+01:00I read your advice on a blog asking what to do wit...I read your advice on a blog asking what to do with patients who don't behave in the emergency department. It was perfect advice in my opinion and I followed you here.<br />You wrote "The nurse felt she was psychotic. The nurse is correct. She has hallucinations and delusions and lacks insight into the nature of these"<br />I am curious how you define psychotic, how you can distinguish hallucinations from a "normal" persons internal thinking process and what is "lack of insight"? I too hear voices and if my psychiatrist believed something was wrong with my cognition, I would like him/her to try to confront me on my false belief in order to identify and possibly correct the mistake.Mark p.s.2https://www.blogger.com/profile/10529811159862096782noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-12848942686079947322009-05-16T04:20:00.000+01:002009-05-16T04:20:00.000+01:00was not so sure of your posts regarding ME but thi...was not so sure of your posts regarding ME but this was great practice on your part.. i wish more were like you/ good luck with this ladySpirit of the woodhttps://www.blogger.com/profile/12851977224969860531noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-31744357598762493352009-05-11T11:30:00.000+01:002009-05-11T11:30:00.000+01:00Oh, bless. She's lucky to have you.Oh, bless. She's lucky to have you.Milk and Two Sugarshttps://www.blogger.com/profile/17960085813041665939noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-67420142722229969042009-05-11T03:55:00.000+01:002009-05-11T03:55:00.000+01:00for someone who has avoided psychiatry all these y...for someone who has avoided psychiatry all these years and now she is having sufficient distress to reach out to the mental health care system seems significant. ongoing contact with a mental health provider in whom she might build some trust and who is not forcing the issue of medications at her all the time would be fabulous..but who pays for that? still, any interactions with MH providers that the client experiences as beneficial are helpful, i believe.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-65789415026223591022009-05-11T02:49:00.000+01:002009-05-11T02:49:00.000+01:00oh I am so glad and grateful that you think that w...oh I am so glad and grateful that you think that way. all the best, no matter what happens.Milohttps://www.blogger.com/profile/15389052259062781138noreply@blogger.com