So I saw Dr “Mango” today and had long session as there were four students present. Felt very self conscious!
Told him everything I recorded of my symptoms and then he answered my questions and we discussed therapy which I requested.
Asked does the hospital recognise sza as a diagnosis because it’s controversial. So dr said what’s so controversial about it? So I said it’s poorly researched. So he said no it’s not controversial, it’s recognised as legit disorder in DSM
When I asked what’s wrong with me he said, confirming my diagnosis - I have schizoaffective disorder. When I asked about borderline personality he said I don’t meet criteria for it. But I do meet criteria for sza.
A confusing question I asked was am I psychotic? So he said no. (Even with my radio and paranoia? Huh? Then what?) So I said why do I take AP’s then? Do I even need them? So he said yes I do need meds. So I asked if I am not psychotic then why am I diagnosed sza? So he said sza’s aren’t psychotic all the time.
Oh ok it’s probably my confused understanding of the word lol! As I thought about it, and what a past pdoc said, I came to understand it like this - I have not got grey hair but I have grey hairs.
Dr filled out referral form for therapist and said they’d call me soon and then he discussed with students what therapy would suit me best. Psychodynamic? Cognitive? Supportive or educational? Etc etc.
The topic of my marriage came up as well. Dr could see I was struggling with being married and my husband’s illness, and he asked me do I want to be married? So I said sometimes yes sometimes no. Explained about my separation where I was so happy, then depression set in and went to hospital and then returned to hubby and was also happy - till this year. Explained to dr about my stress with hubby and his business stress.
So the marriage will be addressed in therapy, probably with hubby as well
Medication wise dr didn’t want to change anything, said the antidepressants haven’t stopped working and when I suggested I go on risperidone instead of amisulpride, due to costs, he said no because it made me lactate.
So amisulpride is still the best for me, along with haloperidol .
And that’s about all my news!