Therapy concerns

[tr_80504 (imported)]

I am to go to my first therapy session this month and have concerns about what does and what doesnt get back to my insurance company and what could end me up in a ward somewhere. I am being sent to therapy by my GP and my Endocrinologist for a length of time to be determined.

I want to be totally honest with him. I have done some pretty dumb things and continue to do some of them that might screw up me as far as insurance or even just my medical history.

Can anyone tell me how patient therapist confidentiality works and how it applies to information shared with you insurance. Am I just over thinking this or are there some real concerns that I should have.

[kristoff]

I am to go to my first therapy session this month and have concerns about what does and what doesnt get back to my insurance company and what could end me up in a ward somewhere. I am being sent to therapy by my GP and my Endocrinologist for a length of time to be determined.

I want to be totally honest with him. I have done some pretty dumb things and continue to do some of them that might screw up me as far as insurance or even just my medical history.

Can anyone tell me how patient therapist confidentiality works and how it applies to information shared with you insurance. Am I just over thinking this or are there some real concerns that I should have.

Discuss the matter forthrightly with him. He can always use bland summaries and NOS categories and codes that say nothing, i.e. "life issues" ""mid-life issues" etc. Used to do it all the time. Insurance company never got nor looked at any actual patient files.

[bobbie (imported)]

I may be off base but as far as I know the insurance company only gets medical codes from your doctor. They are standard code for a treatment. There is a number xxxxx to set a broken femur. Insurance company would just pay for this if no other codes were also preformed. There is a code to do a circumcision. The insurance company may question justification or reason to preform this. Most insurance companies no long will pay for rutain circumcision. The doctor may have to supply a second code for the justification such as redistricted foreskin.

Going to a psychiatrist, physiologist, doctor, they supply the insurance company medical codes for the treatment preformed. Could be counseling, group counseling, family counseling. Pharisaical evaluation, and so on. Each one has a medical code number a 5 digit number. Most often there will be a secondary number that will define the service with little more detail. You doctor will send that number to the insurance company, Not what you say or tell.

Now if a procedure is not normal, experimental or not something done in the acceptation practices the doctor my need to explain more detail. This would be more in line in getting a name brand drug that is not on the insurance list of drugs. A procedure that is not covered.

I am sure someone will correct me a lot on this. I have my Bullet proof vest on. :shot191:

[OneBallBoi (imported)]

I can understand where you are coming from.. To me the whole act of going for counseling is humilitating. I was sent to counseling for one entire year because the doctor thought parent relationship issues because I said my Mom had dimentia. Just walking into that wating room, I thought everyone was looking at me and thinking he ain't all there. I found it very humiliating to go to counseling. And after 1 year, I do not think it accomplished one single thing. I did not want any of it on my medical records, but I am sure that it is. I think anyone who frequents here, has to have mental issues but does the world have to know.

[speedvogel (imported)]

Although there are exceptions, your medical files are a private matter between you and your therapist and/or doctor. Insurance payments are based on the codes they receive which are usually manipulated to grab as much money as the professional can get. I would not worry about that; privacy is a big, big deal to mental health professionals.

Speed

[Jean Op den Kamp (imported)]

I can understand where you are coming from.. To me the whole act of going for counseling is humilitating. I was sent to counseling for one entire year because the doctor thought parent relationship issues because I said my Mom had dimentia. Just walking into that wating room, I thought everyone was looking at me and thinking he ain't all there. I found it very humiliating to go to counseling. And after 1 year, I do not think it accomplished one single thing. I did not want any of it on my medical records, but I am sure that it is. I think anyone who frequents here, has to have mental issues but does the world have to know.

Dear Oneballboi,

One year lost and accomplished nothing that sounds bad.

There is a little trick: You need somebody you can trust, you need to feel free to tell anything. If the matter of your problem is so hard for you, start the conversation with an actual problem you both can see and feel. That feeling you get at the waiting room is such a nice item to start about.

Bring it up to him at the first moment. You will find out if he takes you serious,

you will get a feeling if he understands. Next maybe ask him about the medical records, and their possible result on your future. You understand?? Bring up what bothers you most at that moment, and then just let it grow

I really think you deserve something more then nothing in a year

As for me, if I take all my mental issues as a doom, I might die on the spot.

I need a psychiatrist with a big feeling for humor. Talking our way through that shit in a nice friendly conversation having some fun and at least a nice time. And if lucky, get some coffee. Yeah, I am completely nuts, I know, but wasn't that the reason I was there..............

It works, I guess that is the most important part

loveUall

Jean

[tr_80504 (imported)]

Well I went to the therapist that my Endo sent me to last week and met with my endo today. She told me that the therapist said I wasnt depressed and didnt see any other signs of a mental disorder. So that was good, she than told me she wanted to start me on 37.5mg of paxil to see if that would kill my libido. I told her that would be great if I was just wanting to kill my libido but I really desire my T level to be down to what it was in the past 54ng as that is when I felt best. She then said lets start with paxil while she submits lupron to my insurance company and see if it will go thru. I will not hold my breath for that as my understanding is that lupro is very expensive.

For now I am on 400mg of spironolactone and starting tomorrow 37.5mg of paxil

[Dana Lane (imported)]

Well I went to the therapist that my Endo sent me to last week and met with my endo today. She told me that the therapist said I wasnt depressed and didnt see any other signs of a mental disorder. So that was good, she than told me she wanted to start me on 37.5mg of paxil to see if that would kill my libido. I told her that would be great if I was just wanting to kill my libido but I really desire my T level to be down to what it was in the past 54ng as that is when I felt best. She then said lets start with paxil while she submits lupron to my insurance company and see if it will go thru. I will not hold my breath for that as my understanding is that lupro is very expensive.

For now I am on 400mg of spironolactone and starting tomorrow 37.5mg of paxil

Everyone may be different but please research Paxil before you get hooked on it. I was on Paxil for a year and it kinda destroyed me! It is VERY VERY hard to get off of. My shrink had to end up putting me on Prozac and it took months to finally get my life back. If they need to give you something like that to kill your libido tell them to try wellbutrin instead.

[mrt (imported)]

Wellbruten is not a good choice to kill sex drive. Its often prescribed for people who loose sex drive on other mental health meds because it doesn't have this side effect and may even increase sex drive in some cases.