This is my first post related to psychiatry per se, i'm just three months old to this branch though my interest in it is older than that,still whatever i have perceived till now is that speaking in a primitive sense i somehow do not like working up any kind of neurotic case,i see people depressed anxious OCD n all but many times though i can put my self into there shoes but i really don't wish to do that because it seems to be weraing quite old shoes, the emotions which i have already experienced thiugh not to a pathological degree, i don like doing that n that makes me feel
'jus work up fast n leave, meet the criteria, reach somewhere, start the drug(meaning what cnsltnt says" that's all, i really don't like going into details of the case n feel what patient feels many times.
Quite contrary to this i really feel deeply engrossed when i see a psychotic patient with positive symptomps,well formed delusions(false firm beliefs nt shared by others), i'm at that time a kind of much involved with what patient is feeling, meaning at that time nothing seems more important than knowing what's the content, i just give a damn to diagnosis n what trtmnt to do, i'm so engrossed sometimes that i even don't like leaving the patient untill he explains all his content n his feelings regarding that,i really try to step into his shoes, n try to make him feel that i'm really trying hard to understand what's going on.that gives so much satisfaction to me, the satisfaction is equivalent to my working on computers and making computer programs(old days) when i used to do them without thinking about the results n about the time it would take, it has to be done, do hell if one says don get involved rather 'm hardly concerned if it costs a damage to my own psyche,but i really want to empathise in whole sole manner.
But very unfortunately there have only been very few cases of psychosis which i got to work up,rather a single one in real sense,others i could only talk to without doing a detail work up,that to was intersting but not much as the delusions did not involve the real world entities, i really like elaborate delusions well systematised n many times i even want to ask the question to the patient ( a picked up but which i like very much,n to those pt where there's no cognitive impairment) that "whatever u think may be right,but do u think whatever u have done till now ;has it made your life better,if not, then try not care about what's wrong just look forward to make things better for ur life." i know that doesn't help much n it's the drugs which show good improvement but whatever disorder it is, a well formed delusion really makes me feel the distress that the patient is feeling, perhaps that may not help much in treatment but that really satiates me.
from next post onwards i'd give some anonymous cases which i found intrstng.i'm not intersted in proving whether there's some disease n whether whatever is there is a delusion,i'm only intersted in the content of what patient feels.
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