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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 55500
Experience:  GP in the United States
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I had a depression caused by a family dispute. I was referred

Resolved Question:

I had a depression caused by a family dispute. I was referred to Primary care Mental Health. They ascertained that I was Very Impulsive, Manic and possibly BPD. They also determined that I had suffered from Infant Maladaptive Schemas? As if by design once the depression had gone, my wife died. I was then horribly devastated. I was again referred to Primary Mental Health Care. They re-referred me to a lower level of Primary Care who after assessment on the telephone re-referred me to Secondary Mental Health Care. I have visited them twice, whilst I was on a very good mood swing. I answered their questions based on how I then felt at that time. Consequently I have been discharged. Between times I have been suicidal on a number of occasions. I do feel safe and secure when within the secondary system. Looking at the Care System, I feel one the one hand that I have absolutely no need for Primary Care yet on the other mood swing I feel that I should be ensconced in Secondary Care Tier 3. From what I have said, am I safe 'at large in the Community and discharged?, or should I be under some supervision or hospitalised.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.

Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

Hi I'm Dr. Phil.

Dr. Phil, MD :

Can I ask your first name?

Customer:

David

Dr. Phil, MD :

Hi David. Nice to meet you

Customer:

Likewise

Dr. Phil, MD :

David, you definitely need urgent treatment if you are feeling like this

Dr. Phil, MD :

you need a doctor today if you are feeling so bad

Dr. Phil, MD :

or a mental health professional

Customer:

My feelings change quite unexpectedly

Dr. Phil, MD :

yes that makes this a dangerous situatino

Dr. Phil, MD :

situation

Customer:

I was happy in church this morning, when I started to cry. My wife died some 17 months ago and I had gone to church to make my peace with God and be near to my wife. I felt that I had no right to be there.

Customer:

I have cried since for 3 hours

Dr. Phil, MD :

I'm really sorry you are feeling so bad

Dr. Phil, MD :

That sounds very difficult

Customer:

Last week I was discharged from Secondary Mental Health where I had been an out patient for all but two visits. Unfortunately I was on a high at those times

Dr. Phil, MD :

Yes, you need inpatient hospitalization most likely

Dr. Phil, MD :

I would go to A and E

Customer:

I have felt for a long time now that I needed hospitalisation.

Dr. Phil, MD :

yes I agree

Customer:

I when run down feel the need to be supervised

Dr. Phil, MD :

Yes

Customer:

are you familiar with the care and Tier systems in Mental Health ?

Dr. Phil, MD :

No not really but I did a little research when talking to you

Dr. Phil, MD :

Plus, I know when someone needs to be hospitalized and you clearly do

Customer:

Tier 3 is medium secure hospitalisation

Dr. Phil, MD :

okay. That seems reasonable

Customer:

tier 2 can be as an outpatient

Dr. Phil, MD :

Okay. Tier 3 then

Customer:

thank you so much

Dr. Phil, MD :

you're welcome.

Dr. Phil, MD :

Did I do excellent for you ?

Customer:

I am now reduced to tears as someone seems to realise where I belong

Dr. Phil, MD :

Your mood is very labile

Dr. Phil, MD :

You need to call today

Customer:

if I was a PsychiatristI think my thoughts would be to sectioning ?

Dr. Phil, MD :

I see

Customer:

I hope to be hospitalised within the next 24 hours, thank you, XXXXX XXXXX did very well

Dr. Phil, MD :

thanks sir :)

Dr. Phil, MD :

Please don't forget to click the excellent face

Dr. Phil, MD :

I wish you luck :)

Dr. Phil, MD and 2 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 3 years ago.
I appreciate the excellent rating.

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