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Re: first psychologist appointment

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,

I'm confused by the wording in your post. Did the psychologist rule OUT

OCD?

My OCD'er has done very well on Prozac for 5 years. She has had to have

a 2nd med. added and then taken away again periodically, but the Prozac

really turned her around. The first few weeks she was on it, her

anxiety actually increased, then around week 6 we started to see

improvement, will immense improvement by week 12. We started at 10

mgs., up to 30 mgs. and remained there for a few years. Now she is on 60.

Dina

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,

If I remember, you have the little girl with spitting and cannot eat, who

suddenly got better. To me, this sounds classic ocd. Why did your psychologist

rule it out and it is one who is an expert in ocd and/or anxiety disorders? I

don't mean to go against someone you trust, but I wouldn't rule out the ocd

diagnosis. Your story is very, very common on this ocd board.

Kind Regards,

lisarmomof2 <lisarmomof2@...> wrote:

I had the first appointment with the psychologist today, without

.

Based on the diary of symptoms I have kept and our interview, she

diagnosed as Anxiety with paranoia, severe; rule out OCD; rule

out paranoid delusions.

She suggested weekly therapy although did not specify what type of

therapy she would be doing and also recommended a psychiatrist to

prescribe Prozac.

I am a little reluctant on the Prozac suggestion. Anyone have good/bad

experience they would like to share.

Thanks!

---------------------------------

Be a better friend, newshound, and know-it-all with Mobile. Try it now.

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I am sorry. Because I work in the medical field, I just assume other

people understand medicalese.

By rule out OCD they mean that they want to see her and observe her

symptoms more before they made a DEFINITE diagnosis of OCD. They did

not mean that she does not have OCD just that before they put that

label on her, they want more supporting data.

The feel she definitely suffers from the anxiety and paranoia but are

holding off on putting the OCD label on her for the time being. I

think that it is because the compulsive or ritual part of the OCD has

only been present for a short time and now has gone away.

I agree with their diagnosis for the time being but I am keeping a

close eye on her and journaling her symptoms. She has weekly

appointments with the psychologist scheduled for the next six weeks.

I will try and get hold of the psychiatrist tomorrow for a medication

evaluation and go from there. I am pretty hesitant on the Prozac.

, the psychologist who she will be seeing has a lot of

experience with kids like although he has only seen a few so

young. There are not a lot of mental health providers in our rural

area.

> I had the first appointment with the psychologist today,

without

> .

>

> Based on the diary of symptoms I have kept and our interview, she

> diagnosed as Anxiety with paranoia, severe; rule out OCD;

rule

> out paranoid delusions.

>

> She suggested weekly therapy although did not specify what type of

> therapy she would be doing and also recommended a psychiatrist to

> prescribe Prozac.

>

> I am a little reluctant on the Prozac suggestion. Anyone have

good/bad

> experience they would like to share.

>

> Thanks!

>

>

>

>

>

>

>

> ---------------------------------

> Be a better friend, newshound, and know-it-all with Mobile.

Try it now.

>

>

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Hi ! Well, still remain a member of this group. I see why psych

thought " paranoia " - and of course anxiety - but so many of us here

wouldn't rule out OCD. AND Prozac is also used for OCD. AND with

therapy, it's probably handled similarly. (Really, with some OC

behaviors, we may use the term " paranoid " in the wrong context maybe,

but may think of sufferers as being paranoid about things:

contamination, fears something will happen, etc.).

Keep us updated! Many very young kids have gone on Prozac or other

SSRIs and done well. As you've probably read here, what works well

for one person, may not for another. If you get a liquid

prescription, you might try going to a pharmacy that can " flavor "

anything as it apparently tastes terrible.

>

> I had the first appointment with the psychologist today, without

> .

>

> Based on the diary of symptoms I have kept and our interview, she

> diagnosed as Anxiety with paranoia, severe; rule out OCD;

rule

> out paranoid delusions.

>

> She suggested weekly therapy although did not specify what type of

> therapy she would be doing and also recommended a psychiatrist to

> prescribe Prozac.

>

> I am a little reluctant on the Prozac suggestion. Anyone have

good/bad

> experience they would like to share.

>

> Thanks!

>

>

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Ohhhh! okay, thanks for the explanation!

> By rule out OCD they mean that they want to see her and observe her

> symptoms more before they made a DEFINITE diagnosis of OCD. They did

> not mean that she does not have OCD just that before they put that

> label on her, they want more supporting data.

>

> The feel she definitely suffers from the anxiety and paranoia but are

> holding off on putting the OCD label on her for the time being. I

> think that it is because the compulsive or ritual part of the OCD

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, at risk of adding to confusion, I'm also wondering

about " paranoia " as a diagnosis in child (she is just 7, right) it

would make me a bit hesitant about the psych. But then you have only

just met him. Paranoia is often associated with disorders having

adult onset and maybe part of a personality disorder. I did not care

for the personality disorder of " shizotypal " applied to my dd when

she was at UCLA. If her symptoms did develop further along those

lines then I would accept it in her as she approached adulthhood, not

as a child still developing. Her ocd was prominent at an early age,

and as it turned out the more odd/bizzarre thinking of her worst

spell kast year (though she still has OCD) dimished-likely with

better nutrition, and maybe brain stabilizing some with maturity?

In OCD a thought can sort of become reality to OCD sufferer b/c of

the impact of the chronic doubt-They cannot reassure themseves that a

mere thought is not significant or real if any doubt at all exists. I

could see how that might be construed as paranoid. Although waiting

to observe symptoms in order to diagnose OCD does sound fair.

nancy grace

> > I had the first appointment with the psychologist

today,

> without

> > .

> >

> > Based on the diary of symptoms I have kept and our interview, she

> > diagnosed as Anxiety with paranoia, severe; rule out OCD;

> rule

> > out paranoid delusions.

> >

> > She suggested weekly therapy although did not specify what type

of

> > therapy she would be doing and also recommended a psychiatrist to

> > prescribe Prozac.

> >

> > I am a little reluctant on the Prozac suggestion. Anyone have

> good/bad

> > experience they would like to share.

> >

> > Thanks!

> >

> >

> >

> >

> >

> >

> >

> > ---------------------------------

> > Be a better friend, newshound, and know-it-all with

Mobile.

> Try it now.

> >

> >

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I am not really too concerned at this point what " diagnosis "

or " label " they put on her as that will be refined with time and as

they get to know her. My biggest concern right now is getting

started in treatment. I used to work for a psychiatrist and I know

from experience that it is not unusual for a dr. to change a

diagnosis or add other diagnoses as they get to know the patient and

their condition(s) become more defined.

> > > I had the first appointment with the psychologist

> today,

> > without

> > > .

> > >

> > > Based on the diary of symptoms I have kept and our interview,

she

> > > diagnosed as Anxiety with paranoia, severe; rule out

OCD;

> > rule

> > > out paranoid delusions.

> > >

> > > She suggested weekly therapy although did not specify what type

> of

> > > therapy she would be doing and also recommended a psychiatrist

to

> > > prescribe Prozac.

> > >

> > > I am a little reluctant on the Prozac suggestion. Anyone have

> > good/bad

> > > experience they would like to share.

> > >

> > > Thanks!

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > ---------------------------------

> > > Be a better friend, newshound, and know-it-all with

> Mobile.

> > Try it now.

> > >

> > >

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You are right . as it is still very early in diagnosis and

treatment. Did not mean to question your approach. I hope your

daughter begins to feel better.

nancy grace

> > > > I had the first appointment with the psychologist

> > today,

> > > without

> > > > .

> > > >

> > > > Based on the diary of symptoms I have kept and our interview,

> she

> > > > diagnosed as Anxiety with paranoia, severe; rule out

> OCD;

> > > rule

> > > > out paranoid delusions.

> > > >

> > > > She suggested weekly therapy although did not specify what

type

> > of

> > > > therapy she would be doing and also recommended a

psychiatrist

> to

> > > > prescribe Prozac.

> > > >

> > > > I am a little reluctant on the Prozac suggestion. Anyone have

> > > good/bad

> > > > experience they would like to share.

> > > >

> > > > Thanks!

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > ---------------------------------

> > > > Be a better friend, newshound, and know-it-all with

> > Mobile.

> > > Try it now.

> > > >

> > > >

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You are right . as it is still very early in diagnosis and

treatment. Did not mean to question your approach. I hope your

daughter begins to feel better.

nancy grace

> > > > I had the first appointment with the psychologist

> > today,

> > > without

> > > > .

> > > >

> > > > Based on the diary of symptoms I have kept and our interview,

> she

> > > > diagnosed as Anxiety with paranoia, severe; rule out

> OCD;

> > > rule

> > > > out paranoid delusions.

> > > >

> > > > She suggested weekly therapy although did not specify what

type

> > of

> > > > therapy she would be doing and also recommended a

psychiatrist

> to

> > > > prescribe Prozac.

> > > >

> > > > I am a little reluctant on the Prozac suggestion. Anyone have

> > > good/bad

> > > > experience they would like to share.

> > > >

> > > > Thanks!

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > ---------------------------------

> > > > Be a better friend, newshound, and know-it-all with

> > Mobile.

> > > Try it now.

> > > >

> > > >

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