4/24/2011

how can you be completely honest (with a mental health professional) when you fear the outcome?

how can you be completely honest (with a mental health professional) when you fear the outcome?since ive started having mental issues (depression, anxiety, cutting, feeling unreal and paranoid at times, i think i had a few mood swings and may have had a few manic episodes, i have used drugs) ive had a hard time being honest, im trying to get help and im moving towards being more honest about my issues, but i do not think i can be completely honest because im scared that the outcome may be a bad one, particularly with admitting to them that ive used drugs (i can admit to everything else)

1. its only been alcohol and painkillers (never at the same time)

2. im not addicted to either

3. i do not have direct access to alcohol or painkillers as im not legal drinking age and i would not know where to get painkillers at.

4. ive had these problems before i ever drank alcohol or took painkillers

5. i fear that they may think i have a drug problem or that im a bigger risk then i really am.

Answer by Jennifer
Well to be honest with you? You are at risk! Since you have used both alcohol and pain killers..you must have gotten something out of it,right? You got a 'high' from both(not mixed as you said, I believe that) and that's the reason why you took them to begin with.I did the same thing with either drugs(pills) or the alcohol,although I'm not much on alcohol I just can't handle it.I did love my pain killers though..way too much and I found myself highly addicted,for 16 years I abused them and I'm finally sober 3 years now.Listen...why not come clean and just be honest? If you don't? Then just don't even go for ehlp at all...it's just going to start out as a lie anyway,right? So if that's going to be the case(you starting out lying)..why waste your time and your doctors time? Also? The fact is? They will consider you at risk for addiction..solely based on your history,but honestly? Their NOT going to base ANY of your treatment or therapy on your history of alcohol use or pain killer use! Period! Their going to treat you according to your mental health issues and not with your 'maybe' addiction,ok? They will 'maybe' warn you about the problems of addiction..'maybe',and start treating you according to your mental health history now.Like I said..and never gorget this,ok? Since you've used both alcohol and drugs(pain pills) in the past and you must have gotten some good feelings from it..That being said..and remember this,ok? You will always be at some kind of risk for addiction! Based on that fact alone! The fact is..you got some kind of 'good feeling' 'high' from your prior use of both those drugs..yes alcohol IS a drug.But anyways....I strongly advise you to be completely honest..otherwise it's going to be a total waste of time on both parts.It's up to you..but I really hope that you make the right decision for you and for your doctor..So they can treat you properly..and without secrets,ok? GOD BLESS.

Answer by Donna
Tell them exactly what you told us. You are not dependent on drugs or alcohol but it is an important symptom. Mental health professionals know that many clients have used drugs to try to numb their symptoms. It's referred to as self-medicating and it doesn't make you an addict. It does put you at possible risk for it , however.

They will definitely want to discuss this, but it won't change your treatment plan to drug treatment. That information will help them understand where you are coming from better, and that will help them help you. You are going in the right direction with your therapy, keep on going. There will not be a negative outcome to telling them this.

Answer by Sweet Tea
Everything you tell your therapist in private is absolutely confidential unless they believe that you're a threat to yourself or others. If you don't trust your therapist, you may request a second copy of your privacy statements and such. All papers you signed upon entering therapy are legally binding.

Also, if you've used drugs in the past, but not recently, there's not much chance that the therapist would even want to get you help - assuming you're clean. If you haven't used in the past week, there's no way they could even prove that you'd drank in the first place. Just say that you "used to" abuse drugs and alcohol.

Chances are, your therapist has seen hundreds of patients with worse drug abuse situations than the one you're in.

Answer by CagedAnimal
Just remember that they are only here to help with ur best interest in mind. You dont have to be afraid as they are bound and cant share anything u tell them unless u are expressing a current want to hurt urself or others. I am also dealinp with very similar diagnosis. Ive always found it easiest to open up in public places, like to meet in a park or for lunch. I think it helps to feel not so much like all the focus is on me and it feels more like just a casual conversation. But it important to share these things with someone u can trust, ull feel a lot better after u do. And ull be better equiped to figure out the Whys of the past and determine the Hows to approach the future. If u ever need someone to talk to or just vent, im a good listener and very nonjudgemental. Feel free to email, i know its sometimes easier to pour emotions to an anonymous party than a close friend or relative... Ra9ingMonkeys@yahoo. Good luck

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