I want to really know his parameter for calling 911. Previously, I said I was safe before telling him about a parasuicide the week before and he called them. On this trip, I had SI thoughts, but proudly was able to do Opposite Action skill and remain safe. How do I honestly tell him and trust he won't send me to ER?
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Members offered thoughtful advice on how to have an honest conversation about suicidal ideation with a psychiatrist without triggering... Read more
I did write down notes including the skills I used and that they were successful.
Hi Darcy, have you thought about asking him what his parameters are? . . That may be the simplist way to approach the issue . . After all, why wouldn't he have a discussion with you about that? . . I think he owes you that much, as you are another human being and not an object without the ability to think and feel. . You also have the right to try another psychiatrist if you aren't satisfied with this one and with the way he relates to you . . My best peace, love, and good vibes to ya, Darcy . . Sam . .
I tell my therapist all the time when I am having suicidal ideation rather than actual thoughts of following through with it. I tell him the skills that I use (whatever skill/skills I used or am using and how it worked or did not work) and that I’m safe and not going to act on the thoughts. We have a great working relationship and trust so he trusts that I will remain safe and I leave his office and be safe. When I want to talk about something I don’t want him to put in my notes as long as I’m not going to hurt myself, someone else, children, elderly etc. I ask him if we can talk off the record and he will stop taking any kind of notes and just listen.
Hope this helps a little.
First, it's worth saying — using Opposite Action to stay safe is genuinely something to be proud of. That takes real strength and skill.
The concern about being sent to the ER is completely understandable, especially after what happened before. The good news is that this conversation with your psychiatrist is absolutely Show Full Answer
I think your behavioral healthcare provider would leave that decision up to you, unless the situation is dire enough to warrant emergency transportation to a crisis intervention center that may be able to help you short-term.
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