I’ve just begun seeing this psychiatrist for treatment for ADD after having been diagnosed by a different doctor who, unfortunately, was too far away for me to see him regularly.

First, I go over history, habits, etc. with her.

Me: “I’ve read that [Drug #1] is more commonly used to treat this, but [Drug #2] has less anxiety-inducing side effects, and I think that that might be the better choice for me—”

Doctor #1: “Oh, no, you don’t want to take either of those. They can both be addictive, but [Drug #3] works just as well and doesn’t have nearly so many terrible side effects.”

Me: “Oh, all right! That sounds a lot better. Let’s try that!”

She then goes over what she says are all the potential side effects I need to worry about and writes me a prescription. Two weeks later, I return for my first follow-up.

Doctor #1: “So, how do you like them?”

Me: “I don’t know. They make me sick to my stomach. Most days, I throw up for the first time pretty soon after taking them, even if I’m sure to do it with food and without anything else that might upset my stomach, so I don’t think they’re actually being properly absorbed, and then I’m sick throughout the day. When I can keep them down, I still get very nauseous. I’m having headaches and feeling really tired.”

Doctor #1: “That’s normal while you’re starting the medication. You just need to keep taking it; your body will adjust.”

Me: “Even though I’m throwing it up almost every day?”

Doctor #1: “Yes, it’s still getting into your system. You’ll see.”

Me: “And the headaches and tiredness?”

Doctor #1: “The headaches will go away, and tiredness isn’t a side effect of this drug. You need to make sure you’re maintaining a good sleep schedule; that way, you’ll be able to separate your regular feelings from the medication. Just stick with it.”

Two weeks after that, I go back again.

Me: “I haven’t been getting sick quite as much, but the headaches and drowsiness are really bad, even on days when I’m getting eight hours. Also, does this medication react with alcohol at all? Because I was at a party and I had a drink, and I started feeling way too intoxicated for just having had one drink.”

Doctor #1: “What? You must never drink while you’re taking this medication! You shouldn’t drink at all — it’s so bad for you — but if you drink while you’re on this medication, it will kill you!”

Me: “I told you in the intake interview that I drank occasionally. Why didn’t you warn me?”

Doctor #1: “You shouldn’t drink at all! It’s terrible for you! You’re so lucky nothing else happened to you!”

So, I give up drinking. At her insistence, I keep taking the medication, in part because she’s told me that she won’t prescribe me anything else, despite me requesting that she change it multiple times. I assume that since she’s a doctor, she must know better than I do, even though the side effects still remain and I haven’t noticed many changes in my symptoms.

After ten months, I start seeing a psychotherapist for different reasons, and when she hears about what’s been going on, she insists that I take her referral to a different psychiatrist.

Doctor #2: “So, you’ve been taking [Drug #3] for eight months? Have you noticed your symptoms improving?”

Me: “A little, I guess. I think it’s hard to tell because I’ve been so tired lately. I know that that’s not supposed to be a side effect for [Drug #3], but I’ve been making sure I get enough sleep and it’s still a problem.”

Doctor #2: “You noticed you were becoming tired after you started [Drug #3]? You know, just because something isn’t one of the listed side effects, it doesn’t mean it can’t possibly happen. So that’s made it hard for you to tell if your symptoms are improving?”

I’m encouraged that he hasn’t just dismissed me.

Me: “Yes, definitely. And the headaches. They’ve been so bad that I can’t focus at all sometimes.”

Doctor #2: *Taking notes* “Are those all the side effects you’ve noticed?”

Me: “Well, it doesn’t happen as frequently now, but probably once a week I’ll end up throwing up from the meds.”

Doctor #2: “Once a week isn’t frequent?”

Me: “It used to be almost every day. My old doctor said it was just my body adjusting to the medication.”

Doctor #2: “How long did that go on?”

Me: “The first few months? When I first started, I’d be sick throughout the day, but after a while, it would just happen right after I took the pills. Now, though, I’m usually just nauseous for a while, but sometimes that gets so bad that I need to lie down.”

Doctor #2: “So, we’ve got drowsiness, nausea, and headaches. Anything else?”

Me: “No. The only other weird reaction was when I drank, which I found out I wasn’t supposed to do.”

Doctor #2: “Not supposed to drink?”

Me: “Yeah, my other doctor told me afterward about how it can be deadly, so losing some of my equilibrium seems like a fair trade-off since that’s the only bad thing that happened.”

Doctor #2: “There are warnings about drinking on [Drug #3] because it can increase the effects of alcohol on your system, but the only life-threatening concerns are for binge drinkers, because [Drug #3] could exacerbate liver damage. Your doctor told you drinking on [Drug #3] was prohibited?”

Me: “She basically told me that it would be fatal.”

Doctor #2: “All right. Well, first of all, that’s not true. Second, since you’re having such bad side effects from [Drug #3] and you haven’t noticed much improvement, I’d recommend switching medications, all right?”

He ended up prescribing me [Drug #2], the same drug that I requested from my first doctor during our first appointment. It’s been a month, and all the drowsiness, nausea, and headaches are gone, along with a lot of my initial symptoms. Let this be a warning: if your doctor refuses to work with you to find an acceptable course of treatment and you have any other options at all, explore them! An MD doesn’t always mean that the doctor knows best.

I am, by my own admission, rather overweight. I also have very painful periods, so I end up going on birth control to regulate them. As I am overweight, I have to get a blood pressure check every six months before I can get another prescription, so I’ve signed up with the University Doctors’ Surgery while I am studying at the other end of the country.

It’s a hot summer’s day when I come in for this appointment, and I’m wearing a short-sleeved shirt. As my appointment is deemed low-priority, I get assigned to whichever doctor is available, so I haven’t seen this doctor before.

After taking my blood pressure and removing the cuff, he spots some marks on my arms.

Doctor: “How long have you had those?”

Me: “Not sure. Maybe about a year?”

Doctor: “And you didn’t think of mentioning them before?”

Me: “I didn’t think they were a problem. Are they?”

Doctor: “They look like symptoms of excessive cortisol. It would explain why you have so much excess weight. If they are still there in six months, let us know. They’ll probably have to do brain surgery to fix it.”

Me: *Internally* “WHAT?!”

Me: *Externally* “Okay?”

I don’t deal with this news very well. My hair is the one feature I like about myself, and it seems like a massive thing, so I just go into denial and cover up the marks on my arms.

I’m still doing this when I go home for the holidays, even though it’s getting hotter, and my nan — who was a nurse before she retired — pulls me aside one day.

Nan: “Aren’t you hot in that, [My Name]?”

Me: “Yeah, but it’s okay.”

Nan: “You must be boiling!”

She keeps badgering me until I blurt out the whole story. She looks sceptical.

Nan: “Can I take a look at these marks?”

Reluctantly, I take off my jumper, and she looks at them for two seconds.

Nan: “When you go back for your next appointment, go to any other doctor; don’t go back to that moron. He’s seeing zebras.”

Me: “Huh? What do you mean?”

Nan: “Those are f****** stretch marks.”

So, six months of worry because a doctor didn’t recognise stretch marks. Great!

I have been overweight for my entire life. It’s something I’ve come to terms with, and I don’t consider it to be the end of the world as long as it doesn’t prevent me from keeping an active lifestyle. I did a lot of damage to my body and psyche dieting in my youth and I don’t want to revisit those times, instead preferring to be as healthy as I can at the weight I happen to be at for the moment.

I also suffer from hypermobile joints. They make me overly flexible and occasionally give me pretty bad joint and muscle pain from overstraining them. They also put some limits on how physically active I can be, and I have to factor in recovery time every time I do something physically demanding. Again, I don’t consider it the end of the world, and after twenty years, I have a pretty good idea of how my body works and what I need to do to take care of myself.

I recently moved to a new town and have to deal with the hassle of finding a new physical therapist. I’ve put it off for too long, but after an intense period of getting my home in order and lifting heavy things, I can feel that I’ve overdone it and that I might need to change my PT routine a bit. I ask around, get a few recommendations, and make an appointment with a physical therapist who’s supposed to be an expert on my type of troubles. We have public healthcare in Sweden and this PT falls under that.

I’ve had a lot of bad experiences with members of the medical profession in the past, so whenever I meet someone new, I tell them that unless my weight is the direct cause of whatever medical issue I’m having at the time, I’d prefer not to discuss it.

Therapist: “Of course. Why don’t you tell me a little about what you’re dealing with?”

Me: “I recently moved into a new apartment and I’ve been carrying a lot of heavy boxes up and down the stairs, so my knees and shoulders are worse than usual, and my right hip is making this weird clicking sound that it hasn’t been doing before.”

Therapist: “Do you have an exercise program?”

Me: “Yes, I brought it with me. That’s my main reason for coming here. I want to know if there are any easier versions of these exercises that I can do while I wait for the pain to get better? I know I need to rest for a few weeks, but I don’t want to stop working out entirely.”

Therapist: *Looks at my program* “Oh, no, this won’t do at all. I’m going to give you some new exercises. How often do you do this program?”

Me: “I do the full one three times a week, and a shortened version every morning.”

The therapist shakes her head and starts compiling new exercises.

Therapist: “All right. You need to do this full program every day. We’ll go over to the gym and I’ll show them to you later. Now, I’d like to discuss your diet.”

I look at the program and I immediately see that this is not going to work for me. I asked for a lighter version of my normal program, but she’s given me a much tougher one and added several new exercises, including push-ups, which my last PT explicitly forbade me to do, ever, because my wrists can’t take it.

Me: “Sorry, I don’t think this is going to work. This whole program is going to take over an hour. I don’t have that much time every day. It’s also going to put too much strain on my joints, which are already hurting. That’s what I came here for!”

Therapist: “Well, honey, I know you don’t want to hear this, but your BMI is way too high. Unless you lose weight, you’re never going to get rid of the pain. I want you to do this program every day and add in at least thirty minutes of cardio every day, and now we’re going to talk about your diet. How often do you eat fast food?”

Me: *A little stunned* “Um, sometimes, I guess. But I prefer to cook for myself. Sorry, I think I said at the beginning of this appointment that I don’t want to discuss my weight.”

Therapist: “Yes, I understand that it makes you feel uncomfortable, but you need to face facts, honey. You can’t sit on your couch and eat fast food all day. You need to lose at least thirty kg or your pain is just going to get worse. How often do you eat vegetables? You know broccoli is very good for you, right? You need to eat more broccoli.”

Me: “I eat vegetables every day; I’m practically a vegetarian. Look, I know my weight doesn’t help matters, but I’m here because I’m in pain now, because I’ve overstrained myself, and I want to do something to make it better now, not in some kind of hypothetical future where I’ve magically lost thirty kg by eating broccoli. Can you help me with that or not?”

Therapist: “Honey, I can’t help you if you don’t want to help yourself. I’m telling you this for your own good.”

Me: “I am aware that I am overweight. I have been overweight my whole life. I’m not here because I’m overweight. I’m here because I have overstrained my hypermobile joints, and your solution to my problem is to overstrain them even more?”

Therapist: “I know it’s hard to hear, but you need to take better care of yourself. I want to help you do that, but you need to put the work in yourself!”

At this point, I realised that there was no way I would get through to this woman, so I just stood up and left.

I didn’t really feel like making a new appointment with another physical therapist after that, so in the end I just ended up modifying my exercise program myself, and after a few weeks of active rest, I could go back to my normal routine. I’m still overweight, I still have hyper-mobile joints, and eating broccoli (which I do quite often because it’s delicious) hasn’t cured me.

I was diagnosed with gestational diabetes when I was five months pregnant. My OBGYN referred me to a dietitian for a consultation. I went with my mother-in-law since the office is hard to reach with public transport. 

During the consultation, my mother-in-law kept telling the dietitian that I always eat a lot of rice, noodles, and Asian food in general that has high sugar levels. She’s not completely wrong, but I am also okay with switching to a low-carb, low-sugar diet. Then, my mother-in-law suggested that I eat at her place more often since she always eats healthy. My dietitian seemed happy, and I just said yes to keep the consultation going.

Fast forward to the next consultation with my dietitian, one month later, the week after Christmas. This time, I went with my husband.

Dietitian: “Hi! How was your Christmas?”

Me: “It was good. We celebrated at his parents’ place. My mother-in-law always prepares the Christmas dinner.”

Dietitian: “Were you able to keep your blood sugar level low and stable?”

Me: “Yes. The highest was 6.2, and it was after a slice of pie.”

Dietitian: “Oh, good! What did you eat other than that?”

Me: “I knew I wanted the pie, so I skipped the mashed potatoes and only ate the roast beef and beans. I skipped the sauce and compote. I also only ate a small slice of pie.”

Dietitian: “Didn’t your mother-in-law say that she always cooks healthy?”

Husband: “Ignore her. She always says that, but then always cooks mashed potatoes with gravy, salad with tons of dressing, and prepackaged juice.”

Dietitian: “Oh.”

I love my husband and how realistic he is about everything.

My family has a history of anxiety, depression, and OCD. I have had anxiety my entire life and it seems to have manifested as early as three years old, but I’ve never really needed medication for it as I coped with meditation and therapy. I had some slight OCD tendencies but compared to my sister and grandmother I never really thought I had it because it wasn’t “that bad”.

I also developed PTSD during the global health crisis because my boss at the time isolated me and wouldn’t let me speak to any of my coworkers and generally refused to let me do my job while screaming at me for two to four hours a day about how we need to do our jobs. Basically, she threatened me with my job during a global health crisis, while going out of her way to make it so I couldn’t do my job, to cover up her own inadequacies.

After experiencing symptoms six months later, I finally go to a psychiatrist, who diagnoses me. I later go to see a doctor, as being stressed out for so long can affect your physical health and I want to get fully better.

General Practitioner: “So, any new medication since we last spoke?”

Me: “Actually, yes, I am on 20 mg of fluoxetine.”

General Practitioner: “What are you taking it for?”

Me: “Anxiety… and depression… and OCD… and PTSD.”

General Practitioner: “…”

Me: “It is a h*** of a drug.”