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shadfly
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31 Oct 2009, 3:58 pm

I guess it all depends on why you are there in the first place. I go because of bipolar, and basically a quick checkup every 3 months and prescription refill. On the surface, that approach seems to be working, most telling by the fact that I am now fairly stable, and looking into other aspects of my psychological constitution, such as the possibility of AS.

So what does the psychiatrist look for in a checkup: Are you stable or messed up? If stable, case closed, keep doing what works, send in the next patient. If messed up adjust or try new meds first. If things are still bad or get worse, try other approaches.

Also consider that Canada has public health funding for psychiatry, with a fixed fee per visit, no extra billing allowed. Plus caseloads are quite high as there is a doctor shortage. A psychologist, on the other hand, who gets paid by the hour by the patient (or his private insurance if he has it), would be more open to taking the time to explore options, because it's on the patient's dime. In rare cases such professionals also use a sliding scale or do work pro bono.

A psychiatrist deals with mentally ill patients, some who are really crippled by their illness. They require (and deserve) alot more of the doctor's time and energy.

A patient who is stable and is ready and capable of taking the next step really requires little else, other than a doctor' blessing.



MizLiz
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01 Nov 2009, 4:39 pm

Spokane_Girl wrote:
MizLiz wrote:
So his implication was that children simply "grow out of it"?

What a quack.



According to wikipedia, only 20 percent of adults no longer meet the AS criteria. Does that mean they have no symptoms of it or they still do but they are just not impaired by them anymore? Or do they no longer meet enough in the criteria but still on the spectrum?


It could mean that the criteria are wrong, just like how girls don't match the criteria as much as boys do. That doesn't mean they don't have it.

We need to remember that psychology is a subjective "science" :lol:



hush6
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01 Nov 2009, 6:22 pm

1.The criteria is heavily flawed.

2. The criteria for Adult AS should completely different.

I'm maybe even thinking there should be 2 adult criteria, one for people who had early dx, and for those getting their first dx as an adult. They are different, very different.



Shebakoby
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01 Nov 2009, 9:16 pm

FrogGirl wrote:
what rock has your current Psychiatrist been hiding under? Of course adults have Aspergers. Jusst becasue there wasn't a name for it wehn we were kids, doesn't mean it doesnt exhist. What is still difficult is to get people to realize that adult women also can have Aspergers too.


In Canada? You'd be surprised. Lots of Psychiatrists are substandard here because they for some reason don't get all the info the US ones do.



Xelebes
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02 Nov 2009, 1:54 am

MathGirl wrote:
shadfly wrote:
I was at the skrink for meds refills today (BP) and I asked him if it's possible that I might have AS. He said he's only heard about it in children, not in adults, there has been no research on adult AS, it's not in DSM4, and even if I did nothing could be done about it, it's not treatable. He had never heard of AS being diagnosed in adults before, and didn't know who could do it. I mentioned the Redpath Centre in Toronto, of which he was unaware. We agreed I knew more about it than he did and left it at that.

So I'm thinking maybe time to find a new doc who's more in tune with the times. But I imagine his attitude/lack of awareness is probably more the rule than exception for GP psychiatrists in parts of Canada.

Any thoughts?
I live in Toronto and my family doctor has made a referral to CAMH for me. I will be seeing a specialist there in a week if I'm lucky. So yeah... try CAMH. However, it was probably easier for me because it was my school psychologist who got the family doctor to make a referral. Without the psychologist, it would have been more difficult.
It's funny, my psychiatrist and doctor are also, like, "Asperger's is not treatable" (implying that this means that since there are no drugs to cure it, there's no point in getting a diagnosis, I suppose). When I told my doctor that I have concentration issues, she tried prescribing me Concerta right away. All that these doctors want to do is to stuff people with drugs. 8O


The psychiatrists I ran into were willing to consider the importance of a diagnosis of AS for the simplereason that it was a PDD and that it could/would qualify me for PDD program/funding if I felt so necessary to take it up. Being out of work for so long as I have been, I might have to seriously consider it. The program would also qualify me for living aids if I so needed them.


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Shebakoby
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02 Nov 2009, 2:08 am

I asked the community mental health organization around here to find me a therapist or shrink that knows how to deal with people who have Asperger's Syndrome.

I asked them this a year ago.

I still have not heard back from them.



thewrll
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02 Nov 2009, 8:12 am

Wow the person that diagnosed me I believe heads a department at the University of Washington.



IMForeman
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02 Nov 2009, 10:28 am

Of course it's great that children with AS are caught early on and intervention starts before major damage is done to self esteem and whatnot, but it frustrates me that adults who have suffered terribly because AS was NOT dianosed when they really needed it are suddenly completely out in the cold because they're not children anymore. Sure for some they may develop coping strategies until they don't need intervention anymore, but I feel I don't fit into that group as I still have really crippling difficulties coping with the world. Getting a referral to someone who even knows about AS in any depth at all has been a very long road for me and it's not over yet.



ruveyn
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02 Nov 2009, 12:40 pm

Get another shrink.

ruveyn



shadfly
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02 Nov 2009, 6:41 pm

Problem is, the grass is always greener... many new referrals are at best anticlimatic and at worse an experience you were better off without.