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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Camille Dumont on March 13, 2004, at 11:39:34
Ok so I've just read my second psychiatric evaluation. On the first one, I was amazed at the amount of details that was in there ... in fact ... quotes of my exact words ... and the second one was even MORE detailed.
Is is possible that she's taping me without telling me? Am I being paranoid? Is this even legal in Canada. I mean I'm not sure it would bother me anyway ... just wondering if its some sort of common practice with psychiatrists...
Posted by Dinah on March 13, 2004, at 12:33:50
In reply to Paranoia or common practice?, posted by Camille Dumont on March 13, 2004, at 11:39:34
Common practice. I think they're trained to take notes using exact quotes. I always am startled to see mine, because out of context they seem to take on a meaning that wasn't what I intended.
Posted by drblonde on March 14, 2004, at 4:11:30
In reply to Paranoia or common practice?, posted by Camille Dumont on March 13, 2004, at 11:39:34
if you have signed a confidentiality agreement, than patient/therapist confidentiality will not be breeched unless you give them any reason(s) to thgink that you are a danger to yourself or others. Also, i dont think that they could tape you without your concent. Wouldnt that be malpractice? you may want to let your doctor know about your paranoia becasue it could be related to an anxiety dosorder, or something else.
Posted by Camille Dumont on March 14, 2004, at 14:05:09
In reply to Re: Paranoia or common practice?, posted by drblonde on March 14, 2004, at 4:11:30
Well, I'm not afraid she's going to share it with other people other than those I signed for (my psychologist and my GP) ... I'm just wondering ... but in a way I'm sort of a little scared of what I read in those evaluations :
The first head-shrinker I saw (lame one who scared me) and it took tons of bureaucratic nonsence to get a hold of my file ... his diagnosis : adjustment disorder (I lied about the hallucincations because I was too scared)
First time I saw my current pdoc it said severe recurrent psychotic depression with potential avoidant personality traits
And now its severe recurrent psychotic depression WITH avoidant personality traits AND schizoid personality traits ....
Its as if its getting worse every time I see her and I'm still on the same low GAF level. I'm afraid that in a few years it will simply read : utterly insane ... or something.
Posted by Apperceptor on March 14, 2004, at 15:05:09
In reply to Re: Paranoia or common practice?, posted by Camille Dumont on March 14, 2004, at 14:05:09
Camille-
I wouldn't think this is a sign of paranoid issues, so I must respectfully disagree with drblond in thinking this is cause, in and of itself, to worry. Also, anxiety disorders generally do not include paranoia as a component.
Psychologists are generally taught to include as many direct quotes as possible, to keep the emphasis more on fact and less on speculation (although, as you said, they can certainly come up out of context). In my own work, and in that of many others I'd assume, I use Gregg shorthand for some parts.
For many tests you may have taken (i.e. Rorschach, TAT, most others) the diagnostician is theoretically *required* to write down every word you say. So no, I don't think you're being paranoid.
In regard to taping without your knowledge, I wouldn't think it happened...but ask! It's certainly a valid and non-threatening question. I'd just say largely what you said here...that it seems he or she got a lot of direct quotes and you're curious. In the U.S. you cannot be taped without your consent with rare exceptions (your situation would not be an exception). I'm afraid I don't know about Canadian policy, but I bet you could obtain a reference in a comprehensive statement of your rights as a client.
Take care-
This is the end of the thread.
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