tag:blogger.com,1999:blog-26666124.post803333290742438094..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: I Owe You What?Unknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-26666124.post-74036604460416746882016-06-05T03:22:29.651-04:002016-06-05T03:22:29.651-04:00A little late, but no, the visa form didn't gi...A little late, but no, the visa form didn't give any details.<br />But I ticked the box and got my visa anyway! :-)<br /><br />I'm now also facing the joy of loosing my license as our licensing authorities have decided that people with ('severe') mental illnesses can't be trusted to drive. Seriously, I declared my illness to the rta and now I might end up loosing it. Never had a speeding fine or drink driving. Just got caught crying whilst stopped in a loading zone. So not happy. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-67032245718727408612015-12-29T16:41:39.869-05:002015-12-29T16:41:39.869-05:00George: So what do you do when a patient says &qu...George: So what do you do when a patient says "I don't want my potential employer to know that I suffer from schizophrenia? It's all hard.<br /><br />BecB-- I do tell people not to drive, or not to go to work when they are delusional, or not to walk on the ice when they are frail, or not to drink and drive. Giving medical advice is different than answering questions that an agency asks for. Does China define what a mental illness is? Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-54995805581292440722015-12-29T05:11:04.763-05:002015-12-29T05:11:04.763-05:00Not really related to your post, but I'm super...Not really related to your post, but I'm super surprised that you've never told a patient not to drive! My doctor won't let me drive if I'm unwell, and I have to agree. You just don't have the cognitive capacity when you're that unwell. And thinking about it, if she has to write down what happened in the appointment for me because I'm too unwell to remember what she said, managing a moving vehicle seems a bit much. Although this is only an agreement between us, and not something mandated by the state. <br /><br />Again, not strictly related, but the last time I had a medical before a job,and I had to disclose what medications I took, and therefore the implication that I have a mental illness. It actually raised the question of reasonable accommodations in the workplace if I got sick again. My boss doesn't know what my chronic illness is, but now if I get unwell again I can negotiate a reduced load if I need it. Similarly for university. Perhaps these forms can open a conversation and allow the employee to tailor the job to their capabilities....? (or am I the most naive person on the planet?)<br /><br />Also totally unrelated, but did you know that in the application form for a visa for China, you need to disclose if you have a mental illness? They don't ask about any other medical conditions. Still haven't decided if I will tick that little box or not......Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-10983852262564409572015-12-28T15:04:49.005-05:002015-12-28T15:04:49.005-05:00I think these forms are a way that risk can be shi...I think these forms are a way that risk can be shifted to the physician. In addition to driving one of the riskiest forms I have seen is certifying that somebody can get all of their firearms back. They were typically confiscated by the police in some action that had nothing to do with with treatment. In practically all of the cases I was not the physician of record at the time. People may request an appointment for that specific purpose. My response it to clearly state that this is a law enforcement decision that has nothing to do with me. I take the same position of driving and typically refer people to courses or facilities that can certify their driving based on how they perform on a course.<br /><br />HR requests have a high mixed agency agenda. Many people including practically all physicians are coerced into signing consent for their employers to obtain embarrassing information about them. That includes information that may directly interfere with their employment status. If I do need to communicate with an employer, I make sure the person I am treating sees what I am sending and I let them know that there is no reason an employer needs to see medical information that is in place for treatment like actual medical records.<br /><br />This is a difficult area. I have talked with physicians where employers demanded specific records and interventions and were quite assertive about it. I have not had that experience, but agree that it does take time to carefully draft letters and reports that people want. George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.com