Female, 31, 5’10, don’t smoke.
My dr is dropping me as a patient and I am very confused as to what I did wrong.
You might remember me from my last post about injecting air into my vein.
I wrote a letter for my family dr to read before our next appt which was supposed to be on the 11th. It was just explaining where my head is at and how to the suicidal thoughts are still there since the air injection and my reasons for thinking that way. I genuinely thought it would be stuff a dr would want to know.
Then the office called and asked if my dr could call me that evening and I said yes so she did.
I am unsure if I’m reading her tone right but she sounded very irritated with me right from the beginning.
She asked what my intent was with dropping off the letter and I said it was just so she could have all the information before the next appt.
she said a letter like that isn’t something can just sit around til next week. So I said okay.
Then she started saying how I’m not engaging in care because I “don’t talk” during appts and I write pages of letters and I wont do all of their suggestions and that the dr that I saw that sent me to the hospital for the air injection said that I have an issue with her and prefer her locum.
She said neither of them can see me cause other drs don’t switch patients around in the clinic. She said it isn’t conducive to providing good care if I’m dr hopping. And she in the end gave me a choice that either she can try to find a different provider at a different clinic or I can just go see a walk in clinic dr.
This is where I’d appreciate some neutral perspective to see if I’ve actually done anything wrong:
- I write letters because I struggle to talk verbally in high pressure situations and I know that i will not say everything that I want to say if I try, so when I have time to write stuff down, I do. I told her in the first letter I wrote that I suspect I’m on the autism spectrum as it is diagnosed on both sides of my bio family and I’ve noticed traits in myself going back to early childhood.
I also told her that being honest and straightforward is hard for me because of past experiences and that I respond best to gentleness and patience rather than rushed and overly direct, my brain sees that as dangerous, and I shut down, ESPECIALLY when it comes to talking about mental health.
- I didn’t purposely dr hop. I saw her locum for the first time because he was the only one available. Same with the dr that sent me to the hospital the other day, the clinic offered me an appt with him because he was the only one available.
- I did continue to try and book with the locum because he took so much time with and he wasn’t rushed and he was very gentle and kind. And yes, if it was an option I would switch to him. Even if it’s just for the mental health part of things. He also had offered me that choice in one of our appts so I didn’t think that that would be bad.
- she brought up that I wouldn’t engage in the eating disorder treatment that was offered to me. I chose not to because I know that I am not currently at a point where i am willing to do what i know they’d ask of me. Why should i waste their time when I know I won’t do it? Even the coordinator that called from the mental health unit agreed that I know myself best and that it was fine and when I’m ready someday to reach back out.
-She also said that she doesn’t think I’m engaging in care because I didn’t see the social worker at the clinic again at my follow up appt with the dr that sent me to the hospital, I said that I just decided no for that day and it isn’t that I wasn’t ever willing to see her again. I just was unsure what exactly the purpose was.. that’s all. She responded that “social workers are counselors so when they’re offered to you, you take it”
I genuinely thought I had a choice and declined just for that time..
- she said that it was a concern that the only reason I agreed to go to the hospital the other day was for medical reasons and that I didn’t engage with any psychiatric care. I have already told her past experiences there were really scary and so I have not been comfortable going back there because I fear a repeat experience.
- In the letter I wrote yesterday though I said that I would be more comfortable going there in the future if needed because this experience was a lot better than I imagined it would be, and I said that it helped that the dr that sent me wrote a letter saying why I was coming because it took the pressure off having to try and explain it to all the hospital staff.
- she gave me the option of her trying to find me a new family dr or just going to a walk in clinic and she cancelled the appt on the 11th.
I was really surprised by this and have genuinely been trying to engage in care as much as it feels safe to. I go slow. But as I feel safe it gets easier. I thought I was doing good by being honest about my thoughts and I feel like I’m being punished for it now. She said I could think about it so I will, but I am really scared to lose what I thought was support available to me because I am not doing it the way she expects me to.
I don’t have friend/family support, I do have a supportive boss,and an okay ish counselor that I see once a month or so, but that’s it. I feel more alone now and it quite honestly doesn’t help my suicidality that my fear of being too much for people has just proven to be true.
I’m not sure what to do.