Expert: Libby Bonner - 12/19/2008

Question
My pdoc asked these questions before prescribing drugs(Abilify and Zoloft). I am 26 years old.
1. Why did I choose him out of many pdocs?
A: I chose him because he had specialities in mood disorders and CBT.
2. Was I sexually abused?
A: no.
3. Did I feel any hallucinations?
A: no
4. Did I have suicide thoughts?
A: Yes, I did. I have thoughts like I want to die or I want to kill myself or I want to kill my father who has abused me emotionally. He is 70 years old.
5. I have had a physical weakness and i have been made fun of over it by siblings, cousins and so on. Now It is fixed I want to take revenge from them and want to slap on their face.
6. I swore at my dad when I was around 20 years old. I felt no guilt feelings.
7. I was grown up with two schizo sisters. They have been over 10 years.
8. What exactly helped me the most in those years?
A: Reading stuff online
9. My mom died 4 years back.
10. I did not study for 6 years and I want to study now. My concentration level is extremely low and my mind gets easily diverted.

These were the questions he had asked me. I want to know he did not ask questions about other things that had gone inside my head over the years. Migraines, mind being fixed ona particular event and tormented me. Do you think he had enough info to diagnose me properly and prescribe me proper meds. I still think that my concentration is markedly improved after above mentioned meds.

Any thoughts please.

Answer
Asad, I can't go receiving your emails.  My expertise is very limited and I have directed it to specific questions of your the best that I could.

Why don't you TELL the doctor some of the other things that he didn't ask about.  And you need to tell him truthfully, if you have not, about suicidal and violent thoughts.

Will the doctor, or someone in his/her office, be doing CBT w/ you?  It does sound like it would be good for you to combine it w/ meds. You have such a lot of pain and anger that you need help getting over, or getting rid of, so that you can really get better.

Don't hesitate to ask him when or whether he plans to use CBT w/ you, if he has not brought it up yet.  Maybe he want you on meds-only for a little while longer.

I get the impression that you have not been free in your home to say what you have been thinking, nor to feel that you can use words to explain yourself and defend yourself.  I hope that will change as you get better and fee emotionally stronger.

I hope some of your exchanges have helped you, and I wish I had more to offer, but it's time for you to look for another expert.

You are 26 with many year ahead.  I hope you will be able to quiet some of your thoughts, or redirect them, and begin to have reasons to be optimistic about the future.

Best wishes.