How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Kate McCoy, M.Ed, NBCC, LPC Your Own ...

Kate McCoy, M.Ed, NBCC, LPC
Kate McCoy, M.Ed, NBCC, LPC, Therapist
Category: Mental Health
Satisfied Customers: 5506
Experience:  Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
54658078
Type Your Mental Health Question Here...
Kate McCoy, M.Ed, NBCC, LPC is online now
A new question is answered every 9 seconds

Please help me think through the following before my next visit

Resolved Question:

Please help me think through the following before my next visit to my doctor.

Issue: patient access to medical records and process notes (for psychiatric patients) is restricted. This is what is being done. The laws have a loophole for this. I have been checking. And, when I request my records from previous psychiatrists, they deny access, they send summaries, short summaries instead.

Here is my situation: I want to see my psychiatric record and my doctor’s process notes (psychotherapy notes). I want full access. What is my current doctor going to say about my record and her notes? I really want full disclosure, but I suspect I won’t get it. Here is what I am going to say: what do you think of this situation?
I will try the following:
1. You (my doctor) could say to me: these are my notes. You keep your notes about me, and I don’t get to see them, and I keep my notes about you, and you don’t get to see them.

(But there is still a problem. There is still a difference. She is not being professionally observed. I am under observation. Therefore…)

2. After 4½ years, I want to understand, learn, know more – from what you see about/in me. Can you honestly sit there, look me in the eye, and tell me, honestly, that I know everything you are saying in your notes? Is there anything, anything at all, that I don’t know? I want to know everything. How would you feel – via empathy – how would you feel, if you were in my shoes? Would it be okay for me to watch you, study you, analyze you, and then keep my conclusions a secret? Would that be acceptable? Of course not.
3. I want us, together, to go through sections of your notes – and not just selections you approve because they are less “sensitive!. I want full disclosure. You demand it, expect it of me. So I should expect it from you. How would you feel if I came to your office and announced that I would share only 50% of my situations with you? You might say: okay, your loss. But I don’t do that. Don’t do that to me.
4. We are supposed to be equals – with mutual respect! You have said this over and over again! How can we possibly be equals if you keep information hidden from me?
5. Look, I respect you. I have a great deal of admiration for you, as you know. So respect me. Help me learn about me. I have more than just a burning desire, as a professor, to know as much as possible. I have more than that! I have a clear, indisputable, right to know.
6. I don’t care what Dr. (x) has said about me. I don’t really care as much about what Dr. (y) says about me. But this is different! You are different. My interaction with you has been on a much deeper, longer, and more profound level.
7. I have a Ph.D. from Columbia University. I am as educated as one can be! You must respect me! Please don’t insult me and don’t treat me like an inferior!
Submitted: 2 years ago.
Category: Mental Health
Expert:  Kate McCoy, M.Ed, NBCC, LPC replied 2 years ago.

Hi, I think I can help you with your question.

 

I think you make some very valid points. Here is what seems to work about what you said:

 

How would you feel in my shoes?- this makes your doctor think about how you feel and possibly empathize with you.

 

Can you tell me anything in your notes that I don't know that you feel would help me?- you say this in general in your points. It would help to give the doctor options of sharing the information verbally and find a way to help you with it.

 

You ask for my full disclosure. I would like the same.- puts you and the doctor on equal footing. Plus it is a very valid point all by itself.

 

Sharing the notes encourages mutual respect- helps point out the trust issue between doctor and patient.

 

What doesn't work:

 

Any emotional response- i.e. you must respect me, don't treat me without respect, don't do that to me again, etc.- when you become emotional, it's too easy to reduce you, as a person, to someone who is illogical.

 

You analyze me so I should see my notes.- the idea is good, but it phrasing it that way makes it seem you are looking for an excuse to see the notes.

 

Expecting to go through the entire pages of notes line by line.- no doctor has the time or inclination to run through the pages and pages of notes they have. Plus sometimes they just jot down a random thought that may not mean anything when they say it. They are not going to want to share that.

 

You have a very well thought out argument. Although the law is on the doctor's side, you do make credible points about why you should see your notes. It is definitely worth the try.

 

I hope this helps,

Kate

Kate McCoy, M.Ed, NBCC, LPC, Therapist
Category: Mental Health
Satisfied Customers: 5506
Experience: Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
Kate McCoy, M.Ed, NBCC, LPC and other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education