Dear Mari
i see that my post was confusing in some areas. i apologize!
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Originally Posted by Mari
My summary is that you find the
supportive / sounding board / availability more important than the other things like prescribing skills and CBT-type skills.
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at the moment. because i feel like doodoo. long term i want someone who can help me learn how to mitigate and even prevent these states. i have done some work on my own but some pro input couldn't possibly hurt. to this end i need a tdoc with different orientation i think. CBT is very thinky therapy and i am not particularly looking for that either at this point. i am thinky enough as it is and if you yank on my thoughts... it can be the never ending story. i want someone like the T i had in California who worked with feelings through various channels, without trying to "translate" everything into a thought process. don't know what you've got till it's gone.
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Somehow I had not pictured a big main state psych clinic that requires travel. People on medicare here (our version of state care) usually go to local clinics. They often have a degree of choice of pdocs but not always. Partly that is because the clinics might be in small towns that have shortages of pdocs.
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i apologize. my post was entirely misleading in this regard because i said the state clinic was "far away" - it is less far away than pdoc actually. also there is not just one for the entire state... it is the one considered "local" for my area, even though it is in a nearby town. technically you can go to any one, even non-local but i don't know if you get to choose a doc any more (used to), or whether, after the first visit, they keep you with the same psychiatrist and psychologist (i believe you necessarily see both).
my mention of seeing my currrent pdoc at a
state-conventioned private clinic (distinct from a state clinic, but offering state-covered pdoc services) may also have been confusing. i lived in another town. that is how i met my pdoc. that is too far away and i now see him at his private practice as a TDOC.
thank you for listening and trying to help me sort through things.
~ waves ~