I went to an after hours surgery the other day to get a medical certificate for a day off work. It wasn't a cop out, I'd fabricated the reason for taking the day off but the real reason is an intense recurring depression I've had since I was 16 (now about to hit 30). Without going into the how's and whys it was triggered, it cycles in and out of my life usually by a catalyst of some kind of emotionally intense event. I'll be the first to admit that I've experienced symptoms of mania and depression, both hall marks of the bipolar condition. But based on the prolonged introspection that seems to be incidental of depression, it's had more to do with my personal psychodrama and sporadic drug use than a genuine chemical bipolarity. Anyway I regrettably opened up to an extent to the GP at an after hours surgery after making an initial statement of feeling generally low, being fatigued, listless and an inability to concentrate (foolishly I thought I'd attempt to gain treatment for my real condition whilst justifying my sick leave work alibi). I effectively told him about my most recent foray into depression and the trigger event when I was 16. In 10 minutes he "diagnosed" me with bipolar and was initially going to right me a script for lithium but my earlier protestation about SSRI's and bludgeon medication made him rescind to a "milder" prescription of sodium valproate (a substance that was incidentally found to be successful in the treatment of epilepsy and subsequently made a transition as an attempted mood stabiliser for the fabled BPD). Of course he strongly recommended I visit a psychiatrist for further evaluation and I strongly advised for him not to notate everything we discussed in his assessment notes..I haven't had further assessment, nor have I picked up the script of sodium valproate. I got home and read up about the side effects of taking this drug for the condition I was purchased into- they weren't nice, and I'm sure anyone reading this who has taken medicine (chose not to use quotation marks) knows better than I about the reality of some of these drugs. Well point is, is a 10 minute assessment sufficient justification for the prescription of a serious psychotropic? regardless of his ardent recommendation for psychiatric evaluation and perhaps the (according to the medical establishments) justification for doing so, was it ok that a GP at an after hours surgery so readily prescribed someone a medication that has real and potentially extreme side effects after really, a non qualified and cursory evaluation? I honestly feel toward those reading this who have been diagnosed and treated for bipolar and have gained a sense of wellness and repair after the ongoing treatment and the adjusted application of medication from their various practitioners, a sense of respect and good will. And perhaps an element of envy that I really have so little faith in the practitioning of my own "condition" and also so little opportunity to freely consult and mediate it's nature. Anyway it's become an added dimension to my melancholy now, rather then seeming like a step toward alleviation and I know I should probably get another assessment. I'm just concerned I'll be sold into some kind of life long mental condition and all I really want is a cause to hope, not another layer of condemnation. Anyone's opinions and perspectives are welcome and appreciated.Reply Follow This Thread Stop Following This Thread Flag this Discussion
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