Wondering if a psych stay would be considered a relapse?

Twoyearnurse · Aug 7, 2015

Do they already know you are seeing a psychologist?

In my contract any psych help has to be reported on. If/when I do need help with psychological issues it would require reporting from my therapist, and at some point a letter from my therapist staying I am safe to practice.

Are you afraid something is going to come to light that you haven't disclosed to your monitoring program yet?

Or are you struggling with your mental health currently and are afraid the program will take negative action against you?

If it IS that you are needing more help than you are receiving I say go for it! Mental health is SO important in this process.

dirtyhippiegirl, BSN, RN · Aug 7, 2015

I have an extensive psych history which I disclosed to my monitoring program and evaluator -- my state doesn't seem as strict as others in requiring psych f/u and my evaluator only made immediate recommendations for etoh treatment. I don't see a therapist but I follow with a psychiatrist; all I am required to report is changes in my medications. (Although they have a HIPAA waiver for anything that they want.)

I am actually doing well now. The bump I experienced a few months ago self-resolved. However, I have been off all medications in preparation for IUI for fertility issues. (I take the type of medications that you really should not be on at all while pregnant.) My psychiatrist, my husband, and myself are all on the same page with the idea of getting a psychiatric emergency plan in place because statistically I may have issues during and/or after pregnancy. One of the issues we were talking about is what factors would necessitate inpatient hospitalization in the event of post-partem depression or psychosis? Of course, my first thought was to wonder whether something like that would be considered a relapse with my program although it is not stated anywhere in my contract that it would be considered a relapse.

I'm hesitant to just ask my program for the obvious reasons. I want to divulge the legal minimum required.

catmom1, BSN, RN · Aug 8, 2015

I think your attitude of disclosing an absolute minimum is the right one. I have seen too many crucified by the BON's in the interest of "protecting the public."

Good luck in all that you are dealing with! :hug:

Catmom

Long Term Care Columnist / Guide · Aug 9, 2015

I think you're OK as long as you can stay out of IP. But if you do need that kind of help, don't hesitate to get it because of your program. Your mental health is far more important.

Omaapecm, ASN, RN · Aug 9, 2015

Read your agreement carefully and make sure your compliant with everything they have asked. Sounds like you are. just remember to out your health before your contract

Biosphere · Aug 21, 2015

Not necessarily but generally they like to be aware of all treatment so that they can evaluate for themselves. Weather or not you should disclose this information is another thing. In my opinion the most minimum information necessary would be the best step. Read the contract and tread carefully. if you not doing anything wrong , you have nothing to worry about.