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(tw) somatic or psychiatric
Private
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Limbs wrote:
tw: suicidal thoughts


so if i have depression and some suicidal ideation, but i also have a lot of physical pain (from trigeminal neuralgia n other undiagnosed pain), & the pain is pushing me over the edge to considering actually committing u know

is this a somatic problem or a psychiatric problem

do i go see a regular doctor (for help with the pain) or do i go to a psych ward / psychiatric crisis treatment
16
Posts: 9825
Date: 26-11-2020 01:17
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Claire wrote:
imo you start at the regular doctor and they're qualified to know if you also need to see the psych doctor.

like these things are connected. it's not two separate things- it's more like a gradient. depression is very common in people who have physical pain and antidepressants are very often prescribed.
21
Posts: 55674
Date: 26-11-2020 01:23
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Limbs wrote:
Claire wrote:
imo you start at the regular doctor and they're qualified to know if you also need to see the psych doctor.

like these things are connected. it's not two separate things- it's more like a gradient. depression is very common in people who have physical pain and antidepressants are very often prescribed.
yeah that makes sense
16
Posts: 9825
Date: 26-11-2020 01:25
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wrote:
It depends on the medical system, where are you from? Here you would need a referral from your gp for both a pain specialist (maybe neurological? then a neurologist) and a therapist. 
Date: 26-11-2020 01:26
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Limbs wrote:
disintegration wrote:
It depends on the medical system, where are you from? Here you would need a referral from your gp for both a pain specialist (maybe neurological? then a neurologist) and a therapist. 
i'm from finland. i think i'll try and call the healthcare center tomorrow, they could give me a GP appointment and they'd decide where to go from there
16
Posts: 9825
Date: 26-11-2020 01:27
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wrote:
Also please keep insisting on your need to see a pain specialist/someone who can give you a diagnosis and treatment, they often ignore you when it's about pain but eventually refer you most of the time, I once almost had my appendix ruptured because they were busy doing pregnancy tests instead of believing me. 
Date: 26-11-2020 01:29
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wrote:
Limbs wrote:
disintegration wrote:
It depends on the medical system, where are you from? Here you would need a referral from your gp for both a pain specialist (maybe neurological? then a neurologist) and a therapist. 
i'm from finland. i think i'll try and call the healthcare center tomorrow, they could give me a GP appointment and they'd decide where to go from there
Sounds like a good plan 👍 
Tell them about the pain and ask if they could speed up the process because it really sounds urgent in your first post. 
Date: 26-11-2020 01:31
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Limbs wrote:
disintegration wrote:
Limbs wrote:
disintegration wrote:
It depends on the medical system, where are you from? Here you would need a referral from your gp for both a pain specialist (maybe neurological? then a neurologist) and a therapist. 
i'm from finland. i think i'll try and call the healthcare center tomorrow, they could give me a GP appointment and they'd decide where to go from there
Sounds like a good plan 👍 
Tell them about the pain and ask if they could speed up the process because it really sounds urgent in your first post. 
thank you for the advice! 💛
16
Posts: 9825
Date: 26-11-2020 01:39
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Claire wrote:
disintegration wrote:
Also please keep insisting on your need to see a pain specialist/someone who can give you a diagnosis and treatment, they often ignore you when it's about pain but eventually refer you most of the time, I once almost had my appendix ruptured because they were busy doing pregnancy tests instead of believing me. 
yea this is really important. you know your body annd your mind best do not let them turn you away. insist on getting what you need.
21
Posts: 55674
Date: 26-11-2020 01:42
Harrold
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Harrold wrote:
You need to work on esp the core of the pain n problem, you're entitled to get help and not being in pain. 
9
Posts: 251
Date: 26-11-2020 02:52
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GvcciGoddess wrote:
If u tell a doctor that ur pain is affecting ur mental state to the point of suicidal tendencies then they are gonna have to help u. Tbh i would literally tell them “if i dont get help asap, i will kill myself. Its that urgent. Im dead serious, i cant live like this any longer” straight up. U rly have to pressure doctors to get them to take u seriously
18
Posts: 5877
Date: 26-11-2020 10:37
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