I have, what I like to call a "marmite psychiatrist" in that some people love him and others hate him but no-one ever feels ambivalent about him!! He has quite a tough attitude, he won't take any nonsense and can smell a patient "playing" him from a mile away, I, however, very much fall into the love him category.
My psychiatrist (Who I shall call Dr S) and I have been seeing each other for about 10 years which is longer than I have been with my husband, in fact I remember discussing the wisdom in entering into a romantic relationship with Dr S, he has had a huge bearing on my whole adult life and has in no small part contributed to my recovery and I will be forever grateful to him.
With the impending move on the cards I had sent him an email asking for an appointment to discuss what might happen about my psychiatric care for when I move, do I need to move into specialist services down there, or will all my care be done by primary care? Will he make a direct referral or shall we leave it up to whoever my GP ends up being when I move, that kind of thing. He has just been on holiday, however, and so I thought I would pop in to see his secretary today as I happened to be in the vicinity, and make sure she asked him to do it with some degree of urgency because I move at the end of the month. He happened to be in his secretary's office when I got there and said he had a bit of time so why didn't I come straight through.
To be honest, I was slightly blown away by the generosity of a consultant psychiatrist who was willing to see a patient who wasn't especially ill at that moment in time but as we chatted I was struck by how kind he is. Dr S reminded me that in Britain we have a NATIONAL health service and so he told me he wouldn't forget he had ever known me just because I moved, that he was willing to enter into dialogue with anyone I might be referred to or to talk to my new GP to talk through my care, the things he has learned about me in the decade he has been treating me and to talk about the treatment he would be recommending I receive had I stayed in Aberdeen and that he would like to see that continue once I move to Englandshire!
he also informed me that there were only a couple of hundred miles involved and so if I wanted he would be happy to arrange an appointment with me if it was really needed and would be helpful and even for me to continue to have access to him and his team as an in-patient if that was necessary and I asked for it, as he knows I would only do that if it were truly necessary in my opinion, he has always trusted my opinion when it comes to my own mental health. I have always maintained a sense of rationalness about what would make good treatment even when I have lost all insight because of my illness, it is good to know he will trust me even from a distance to be sensible in my access to his team! (I don't envisage needing to be in hospital at all, let alone the familiarity of one that will be 10 hours away, but I feel really good to know it is there!).
I was offered another appointment to see him before I leave so we can discuss with slightly more forethought the options open to us, but I found his offers to be wonderful and unexpected but marvelous.
Another thing happened today which has been one of the reasons I have had such a good working relationship with him. He is very good at telling how things *actually* are and not just been blown away by the obvious and getting caught up int he unimportant things. Today I am incredibly anxious and it is visible, my fingers are tapping, my legs are shaking and I am generally unsettled, I look like I am in a right state, but he could tell that it wasn't really a major concern for me, that talking about the future was more important than the immediate and that in fact, I wasn't quite as bad as I looked, that I have learned to live with quite a high level of anxiety and so I would be just fine the way I was.
I actually worry about what my life will be like without the input of Dr S, he has been amazing to me and has been a source of constant support that I have always struggled to imagine losing. Even though we thinking about discharge before little Allsort came along, I always knew that if I needed him he was only a referral away, obviously that will change, he might be saying he can be there for me but things will need to be falling apart a lot more to have access to *him* rather than other psychiatric services.
Thank you Dr S for all you have and continue to do for me!