I don't think I mentioned it on here, but about three weeks ago I went for an initial hour-long assessment for the second opinion I requested at the beginning of the year. Today I had to go back for another hour.
By the time the appointment letter arrived I no longer felt so strongly about having a second opinion, and wasn't bothered by which particular label I had, and I considered cancelling, but then I decided I would go anyway, out of interest. At the start of the year I was angry with services. I wanted the BPD issue cleared up once and for all, because I felt that having what I considered a misdiagnosis had negatively affected my treatment. And I also felt that my psychotic symptoms had never been taken seriously.
The first appointment felt awkward, because the junior doctor asked the questions while the consultant observed, and I couldn't help be aware all the time of her just sitting there,
watching. I was also in a rather strange place mentally and I can't quite remember what I said. Today was much easier because it was only the junior doctor, and I was feeling more articulate.
We covered a lot of ground, all the history and symptoms that you'd expect a psychiatric assessment to cover, but that no one has ever actually sat down and gone over with me. Some things are hard to explain, and other stuff is just plain embarassing, but I was more open about those psychotic symptoms than I ever have been. Partly because no one has ever really asked me about them before, but mostly because when I have attempted to tell people I have pretty much been dismissed, and I carry the paranoia with me that I will be accused of lying.
The doctor said she needed to have a discussion with the consultant and then I have to go back again and they will talk me through their thoughts. I'm not too happy about this - I would far rather just be sent a letter and be able to open it and process it in my own time. I have this fear that they're going to say I
am borderline after all, and just making everything else up, but I told her that and she said it certainly wasn't something that immediately occured to her.
So I guess we'll see. I don't see that they're going to come up with anything dramatically different, and it's not as though it's going to change my actual treatment. But it might change some things - for instance I always feeling uncomfortable calling my symptoms psychotic, though I don't know what other word to use, and I don't feel I have the right to ever describe myself as manic. It's as though having a hopefully more accurate name for my illness would somehow give me more power over it, enable me to better separate it from myself, and master it.