The person who walks into a psychiatrist’s office looking for help is not necessarily the patient.
Often, they are simply the family of the patient.
Sometimes, they themselves have something – possibly a disorder, but maybe just an emotional or attitude problem — that would seem somehow lesser in magnitude than the psychiatric diagnosis the person who is or should be the patient has actually got. Read more on Families Often Indicate Psychiatric Problems…
There’s a joke about a woman whose blood pressure was 180/90. She didn’t think she had reason to be concerned. After all, she argued, 180/90 is the mathematical equivalent of 2/1 and that doesn’t seem so high, does it?
I once treated a young man of color, obese and sad looking, whose numbers were close to this – 170/100. And I was not laughing.
This young man was schizophrenic for sure, but pretty harmless. Life had beaten him down enough that his jail experiences — assault, as directed by disembodied “voices” — had him so frightened that he would never do anything the voices said. Not now, not ever, and I believed him.
As a psychiatric physician, I always managed to get “vital signs” on all patients. That should not have been a battle, but it was. I did not understand nor relate to the medical assistants who took them. Why? 18 months training after high school and they had not been nice to me — not at all — criticizing my lunch and the fact they did not think I worked hard enough.
I was concerned when I saw a blood pressure of 170/100. Patient said he had been on some kind of medicine. The best I could get with one of my “naming medicines and seeing what it sounded like” was hydrochlorothiazide — maybe. And of course the relevant parts of the chart were missing, as was the case more than actually finding anything.
He said he had stopped his medications a couple of days before because they gave