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Consent issue
I have needle phobia with a 5 minute tolerance. So I can tolerate a blood draw. It is only in the arm, 99% of the time my hand is fine. It is a phobia, it makes no sense and I will not "get use to it" double bonus, it triggers conversion disorder in the form of non-epileptic seizures and catatonia. I will require Ativan for a week and aterax for over a month. what do I need to stop IV in the arm. I have a medical alert, I tell everyone not to, I have a letter stating not to and a rather graphic explanation what happens. I discussed it with the nurse, I discussed all the accommodations that will work, including that if you need an arm IV, give me Ativan first. I have been told there was nothing illegal about her placing the IV in my arm. She was even nice enough to document I refused an IV, she placed it anyhow, was forced to remove it, and then documented it triggered a seizure. what am I missing, because my firefighter training said I'd be in legal trouble if I did that. I need a way to stop IV placement until there is a need and with accommodations. It's not like I say set a pik line or give me morphine. I have a prescription for Ativan and it is for conversion disorder, so it's not an inappropriate request. The abuse I've suffered by claiming I have conversion disorder is a whole other nightmare, I have a very, very good reason to do everything in my power to avoid "testing" for catatonia. It is not a claim, I have a positive testing diagnosis.
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Pseudo Seizures
It is a trauma response. I've never failed a "test" yet, and the unethicalness of those tests is scary and considered torture because people like you do not have a test condition for a genuine reaction. I find your response that you don't have time to comfort scared children upsetting too. Try addressing why they need attention, and show them how to get the attention they need constructively. I have no doubt I am a unicorn, but raining disrespect isn't the answer for "faking" either. Imagine a kid in a psych facility needing psychologic, not physical help. Not getting it from you I see.
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Pseudo Seizures
NEPS is a situation where the subconscience mind is triggered and desides to manifest a seizure. lucky me double whammie, catatonia follows. It is not faking. Lose the if I can't treat it who cares attitude. faking is a medical problem. Instead of raining hate on "fakers" consider why they need the attention, and if you insist on tests, best decide when the test shows they are not faking, passing generates more hate than failing. 1 hour in the most uncomfortable position you can imagine baby, and the nurse was livid she had to straighten me out. The most disgusting test is placing anxiety medication 6 inches away and say take it when you can. If I can, I don't need it, if I do need it, relief is never coming when the need is genuine. This rewards the faker, punishes the genuine
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Seizures Real vs Fake
Reading a few answers. lose the ammonia test. ammonia is the strongest simulus irritant, it's only value is an exagerated stimulus result. dropping the hand in the face is not nearly as effective as placing the hand on the face. Of all tests, this is the least threating, it is mearly super annoying, and you will move the hand if you can in less than 2 minutes
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Seizures Real vs Fake
Start by saying faking is a medical problem. All testing protocols are for epileptic because they need rapid treatment. NEPS are nightmares. The mind decides, for whatever trigger, that it is having a seizure and manifests one. Since your mind doesn't know what a seizure is, there is no typical NEPS. weither faking, or NEPS, they need help, not nothing I can treat attitude. Conversion disorder has NEPS followed by catatonia. best define the parameters for faking and not faking if you are determined to test a patient
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suspected fake seizures and I.E.D.?
Warning avoid "tests" I suffer from NEPS 90% of seizure "tests" are for epileptic. I am going to say NEPS is a real possibility. Since they are psychogenic, every persons manifestation is unique which pretty much means no test works. My issue is anxiety trigger and suppression. that is typical of conversion disorder, contact a neurologist, and pray they are sympethetic, warning research everything they say, trust nothing. the sytigma is bad as you already are keanly aware. the problem with tests, only a positve result stops ther test. I can not begin to describe what they have "tested" me with because I also have catatonia, and there is nothing I can do to stop them. "passing" their tests pisses them off. If you insist on "tests" set parameters. Faking is a mental illness, take it as a call for help, not a manipulative tactic. Work with professionals. the only catatonia test I recommend, put the hand on the face, it is non-threatening and very annoying, you will pull your hand away if you can.