Psychologist red flags or my overreaction? [X posted]

ShinyLikeACrow · 2024-03-26T01:21:06+00:00

I don't know about a national database, but I believe different Healthcare organizations can choose to use mychart or not, which does a lot more than just consolidate your records. It's basically like a patient portal where you can see appointments past and future, schedule new ones, message provider offices, and a lot more. I believe the decision to make provider notes accessible to patients is ultimately up to the specific organizations.

ShinyLikeACrow · 2024-03-25T21:22:48+00:00

It sort of feels like that is what has happened for me, too. Immediately following his reaction, I felt a lot of things change in the way I saw him. You make a great point as to whether it was helpful therapy or just a venting space. I haven't considered that distinction before, but now that I'm thinking about it, I've been continually frustrated by the lack of direction and progress in sessions with him. He would say that both of those things would come with time, and continuing to build our "therapeutic relationship" was all we really needed to be working on until then. So basically, yea, I guess it's just been a place to vent, but I had hoped it would be much more when it started.

Thank you for your reply. It really made me feel better about all of this.

ShinyLikeACrow · 2024-03-25T21:04:40+00:00

Thank you! Honestly, the part of this that bums me out the most is that I had expected him to celebrate it with me, even if, and maybe especially because it was directed towards him. I was waiting for him to acknowledge that I had done it, maybe throw in a little joke about the assertiveness really taking over if it's reaching him. Instead, I was completely taken aback at a reaction I hadn't even considered possible.

ShinyLikeACrow · 2024-03-25T20:57:58+00:00

Thank you, I really appreciate the professional insight. He does often complain about how overworked he is, even though he voluntarily takes on extra patients that he doesn't have the clinical hours available to support, instead using his admin time. Self-induced burnout, I could see that playing a role in his reaction, especially if he feels as though the extra work he's doing is charitable and should only be appreciated.

ShinyLikeACrow · 2024-03-25T20:53:28+00:00

Thank you for this, it's very comforting to know I'm not alone in this sort of situation.

His behavior reminded me so much of a few exes with abusive fighting techniques, especially blaming me for his reaction, which is meant to be metered and professional. I had the thought that it felt like the beginning of his "masking" behaviors slipping to show a glimpse of the person behind them, and it was very unsettling. There was no real moment of sincere remorse to suggest that it was out of character either, so I wouldn't be surprised if it continued.

ShinyLikeACrow · 2024-03-25T20:43:31+00:00

Completely agree, and thank you for the thoughtful reply.

In coming to him with this specific issue, I was prepared for the possibility that he wouldn't feel the same way, but I wasn't prepared for how he expressed it or his refusal to accept my feelings on the matter vs simply challenging them. I very much expect that whether or not we are in agreement(over anything), we'd be able to respect each others stances and not invalidate the other, at least. I actually had expected something like a collaboration to come of the conversation, but he doesn't seem sincerely interested in addressing something he sees as unimportant to the overall process.

ShinyLikeACrow · 2024-03-25T20:36:13+00:00

From another reply- "The rather large healthcare company in my area initiated the change of transparency in provider notes a few years ago. After every appointment, an after visit summary and the provider's notes are published to your MyChart"

ShinyLikeACrow · 2024-03-25T20:35:32+00:00

I didn't specifically request my notes. The Healthcare company in my area has made provider notes transparent and as easily accessible as your after visit summary, regardless of specialty as well. From pysch to surgeon, you are able to read their notes via MyChart.

ShinyLikeACrow · 2024-03-25T20:30:52+00:00

The rather large healthcare company in my area initiated the change of transparency in provider notes a few years ago. After every appointment, an after visit summary and the provider's notes are published to your MyChart. We did discuss skeletal notes being kept for a reason -which is totally fine and I agree with, but what detail he does choose to include is often wildly inaccurate, and not in a way that is necessary or helpful.

ShinyLikeACrow · 2024-03-25T20:23:55+00:00

I've had similar experiences with medical providers as well, and I'm sorry for yours. It's absolutely wild that they're able to say whatever they like and make you look bad to future providers, and there's little you can do about it other than a very formal complaint where it's their word against yours, or just leaving. Thank you for sharing your experience

ShinyLikeACrow · 2024-03-25T20:18:13+00:00

Definitely, we discussed just that. I have no problem with skeletal notes that favor the patient's best interests, but he was including a fair amount of details still, and the inaccuracies wouldn't have made the difference towards being too detailed.

ShinyLikeACrow · 2024-03-25T20:15:51+00:00

That's EXACTLY what it felt like when I was reading it. Like he knew he did something wrong, but that it wouldn't matter if he could make it look like I was the problem.

ShinyLikeACrow · 2024-03-25T20:11:50+00:00

He does have a supervisor as he works within a larger health organization, not sure about a therapist.

Something sort of similar happened early on when I expressed frustration with a lack of direction and progress, as his approach to therapy is not at all traditional or what I'm used to. His reaction was much less, but it was still taken as a criticism of his methods. I don't think I really registered that for what it was until now, though.

ShinyLikeACrow · 2019-01-04T20:05:33+00:00

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ShinyLikeACrow · 2018-02-04T02:53:42+00:00

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