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Dr John B
Dr John B, Psychologist
Category: Mental Health
Satisfied Customers: 557
Experience:  PhD in Clinical Psychology, registered clinical psychologist.
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what can i do when my psychiatrists say yes Im stressed and

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what can i do when my psychiatrists say yes I'm stressed and my panic attacks are bad,but they wont give me anytime of work to deal with my issues. Ive work construction for the past 12 years with probably 4 weeks off in total in that span of time. if i take time off i don't get payed and ill be layed off. if i work I'm never going to get this resolved due to limited time i have for my self. since i work 40-50 week and have my two boys that are 8, and 11.I'm always busy and know i find myself on a short fuse with them and yell at them for small stuff that was never a big deal. i have to change before my relationship with them gets worse and all they know about dad is that he is always yelling.
Submitted: 2 years ago.
Category: Mental Health
Expert:  Dr John B replied 2 years ago.

Hi,

 

Sorry to hear of the difficult situation you find yourself in. If you are unable to attend classes due to time restraints I can provide you with an excellent free self-help program for Panic Attacks and Panic Disorder. This would be something you could work through on your own when you do have spare moments. Before I proceed I'll just check firstly that this (self-help) is a treatment option you are interested in? Also, can you provide some information about the classes you have been trying to attend? DO you know what therapeutic model they follow by chance? What happens during the classes?

Customer: replied 2 years ago.
not to sure, they are a drop in class to talk with a psychologist . but everyone has differant problems. and really dont like the group saetting thing. the only way im going to have time too do this is if i get time off work. and i dont understand why its such a big issue for the to do.
Expert:  Dr John B replied 2 years ago.
Panic Disorder is a formally recognized Psychiatric illness and I would be surprised if this wasn't grounds for sick leave. Have you received a formal diagnosis of Panic Disorder or has your Psychiatrist discussed with you why you do or don't meet the criteria?
Customer: replied 2 years ago.
Its kaiser and they told me they dont give time off for it.
Expert:  Dr John B replied 2 years ago.
Did they say you don't get time off for panic attacks or panic disorder?
Customer: replied 2 years ago.
They said they dont give time off for stress leave.
Expert:  Dr John B replied 2 years ago.

Ok, I see.

 

If you are having frequent panic attacks you may meet criteria for a formal diagnosis of Panic Disorder. This is not the same thing as 'stress' and I would suspect that you would have a much stronger claim for leave if you were formally diagnosed. Check here http://panicdisorder.about.com/od/diagnosis/a/DSMDiagnosis.htmI for a quick description of the criteria for diagnosis and tell me if you think you might meet the criteria.

Customer: replied 2 years ago.
yes i do , i get chest pains , tightning of body on inside and hard time breathing. and get snapy when i fell that way.
Expert:  Dr John B replied 2 years ago.
How often do you experience these episodes?
Customer: replied 2 years ago.
4-5 time a week and once it starts it dosnt stop it last 5-6 hours.
Expert:  Dr John B replied 2 years ago.

It is impossible to diagnose someone via Just Answer but if you are experiencing panic attacks several times a week and are also experiencing intense fear or concern about future attacks then there is a very real chance that you may be able to be diagnosed with Panic Disorder.

 

Panic Disorder is not 'stress' and as I mentioned earlier it is a formal Psychiatric illness that is renown for being intensely disabling. Has your Psychiatrist at least explained why he/she believes you don't meet criteria for this diagnosis? Do you have options for getting a second opinion/new Psychiatric review?

Customer: replied 2 years ago.
no they havent said. i might have to go outside to a doctor that im not covered for.
Expert:  Dr John B replied 2 years ago.

My recommendation is that you do get a second opinion for a potential diagnosis of Panic Disorder. If it is determined that you have developed this illness then I would expect you would have a much stronger claim for leave.

 

You can get an assessment for Panic Disorder from either a Psychiatrist or a Clinical Psychologist and if you wish to consider a Clinical Psychologist you can contact the American Psychology Association (APA) for assistance with locating a Psychologist; take a look at the APA locator service here. You can use this to find Psychologists in your area and there is a phone number you can contact if you want a referral arranged for you. Also, take a look at an article published by the APA here. It's an interview with a senior Psychologist and covers some of the things you should consider when you looking for a Psychologist.

 

In the meantime take a look at this excellent Cognitive Behavioral Therapy (CBT) based self-help program here. It will teach you everything you need to know about anxiety, panic attacks, panic disorder and what you can do to manage your own symptoms. I use this material with patients regularly and I find it to be very helpful. Alternatively you can access some published CBT based self-help material to learn more about using CBT techniques. I can recommend the book Overcoming Panic. A Self Help Guide Using Cognitive Behavioral Techniques, you can find it here .

 

I hope this has been of some help. If you have further questions or would like me to clarify any part of my answer please let me know. If not....I wish you the best of luck!

Dr John B, Psychologist
Category: Mental Health
Satisfied Customers: 557
Experience: PhD in Clinical Psychology, registered clinical psychologist.
Dr John B and other Mental Health Specialists are ready to help you
Expert:  Dr John B replied 2 years ago.

Hi John,

Was my answer helpful? If so, please select accept. If not, let me know and I will opt out of this question and open it up for the other experts.

Expert:  Dr John B replied 2 years ago.
Hi John,

I hope you've made some progress getting a new assessment for potential Panic Disorder. If I can be of further assistance or if you ever have other questions in the future please don't hesitate contact me directly.

Regards,

John

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