5/21/2011

Mental health diagnosis when patient refuses assessment?

Mental health diagnosis when patient refuses assessment?I have been a professional psychologist and with the law changes in 2000 and a accident I was unable to qualify and still be called professional. the laws and rules have changed, however I need some help.

A woman that I know very well has been sexually abused by her father and psychologically abused by her mother. the Mothers illnesses seem to be paranoia over the men in her daughters life just after money and then will leave them or are having affairs. the mother is proactive in conveying her wishes and paranoia's in rants which can last considerable time (years).

There were also deaths within the family (parental as well as a sister) and around the same time the mother became menopausal.
The son suffers with Agolia and is withdrawn from the family who are embarrassed about the issue.

the woman in question has long since wanted a relationship and married the father of her child, the couple had a good relationship which was marred by the mothers ravings.
The couple split up due to him witnessing the abuse as he wanted the woman to move away from the abuse and though it would speed matters along.

The couple got back together some months later, as the woman did not believe that they were financially secure, though she was making payments on behalf of the guys business. She would later go on to say that the man was not working, which her mother was not aware that he was working hence her ravings were based on his unknown reason for absence leading to the affair allegations.

The mother was emotionally abusive toward the woman, telling her her false fantasies which were becoming real to the woman. there is a distortion of reality from the woman and events are not as they would appear in tangible documents marking the events.
the woman is in the false belief that the man was unfaithful and that is why their relationship ended, the woman does not recall the abuse from her parents.

The woman seems to be suffering delusional disorder, though she presents a weak schizophrenia case.
She reads letters and claims they say something different to the content.

She has admitted - "you confused me so, just when I think I have my head sorted"
and makes the admission of living a double life.
When presented with the facts, they become distorted when her delusions are challenged and has made false police reports.
I am concerns also as she is actively destroying evidence which supports the true facts.

the woman is refusing to take an assessment and is accusing many people of lying, I do not seem to be able to make headway in finding a person that would be able to start the process by reviewing her swarm testimonies, and the documents showing the facts which differ considerably.
The difference being that the delusions are from what I have noted are the ravings of the woman's mother.
There are elements of sexual abuse, psychogenic amnesia and a 6 year old child is in distress and there are also signs of sexual abuse of the child.
I have called mental health and they cannot take my referal and they also cannot take steps based on not seeing the person face to face. Social services have been lulled with a fantasy story which is plausible and are favouring the easy route.
I have invited them to review the documents on 4 occasions and they have refused.

What should I do? where can I get a initial review?
What do I need to do in court to move forward?
Do I need to section her, and how? I'm bared from doing this and cannot make the referral.
Thanks for the abusive comments toward me, I was a professional psychologist, but I was involved in a hit and run and suffered amnesia and had to learn how to do a lot of things, Psychology was not one of the things that I had a pressing need to relearn.

I see that the stereo-typical typing is quiet common place, yes the child is mine and yes I have evidence of the child's sexual abuse, CYPD have refused to look at the documents and witness statements from 11 witnesses where the child has reported concerning things, acted in an adult way.

I too would have gone down the route that she is telling lies, however the 'lies' match the story I know of the abuse from her mother. yes she has not long moved away from the source of the abuse, but still it seems to be occurring ( having been there to witness the psychological abuse).

It would seem that the correct channels have been blocked because of my relationship to the woman and child, and yes they seem to be singing from the same hymn she

Answer by Frank Thomas
If you are a real psychologist, you should know very well that you can't diagnose someone without seeing them in person. It sounds like you're obsessing and meddling. Leave these people alone and work on your own problems. I'm having difficulty taking you seriously because your written account is messy, poorly formatted, and full of grammatical and spelling errors. Just mind your own business.

Answer by Joy
I'm not at all sure that I understand the entire issue here to be honest but at the end of the day you can't force this woman to have an assessment even if you are practising as she is not a danger to herself or another. Who exactly is abusing her 6 year old child? If that is provable that may be a place to start but do you want to alienate the woman by taking this route first?

She may well be delusional but that's not easy to prove either especially if her mother is backing that up. Does the woman live near or with her mother who is causing a lot of the problem? You are not the father of her child by any chance are you?

I can't see why or how you are this involved in a patient's/friend's life to be honest. If the woman and her mother are singing from the same hymn sheet how can you expect to take any action? It occurs to me that she is not necessarily delusional but lying. If this is her evidence you can't say anything if she's destroying it - that is her right to do so.

As you rightly point out you have no authority to take action never mind get her sectioned. You can't take any action other than report the suspected child abuse of the 6 year old and if there is no evidence I suspect it will lead no where. At least you will have done what you can. If you are not the father of the child then I can see no reason for your involvement at this personal level, it is not at all professional. I think you need to take a step back from all the emotion before you reconsider what is going on for yourself.

Answer by placidazure1
You were never a professional psychologist.Your ignorance of abnormal psychology is blatant,as is your ignorance of grammar and sentence structure.Your inability to cogently discuss a case file-or even intelligently relate a progression of facts illustrates that you possess a rudimentary education.
What you do come off as,is an ex-boyfriend with an inability to:A)Grow up,and B)Let go.

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