Seaneen is the three-quarter sized Irish writer behind The Secret Life of a Manic Depressive blog. In her spare time she enjoys tea, hurling insults at the television and tutting at those who tut at others on public transport. She lives in London with two cats and eight million other people.
Sod's Law Syndrome
24th March 2009
It is usually followed by you foregoing the appointment altogether, or attending and explaining that you did feel terrible but when you woke up this morning you were fine, so you're probably fussing over nothing, sorry for wasting your time, I'll see myself out, etc. It may also be accompanied by a sheepish expression and a sudden interest in your shoes.
Tragically, the moment you find yourself on the other side of the surgery door, the symptoms start to descend on you once more.
This cycle of events is maddening whatever the ailment, but it can be massively frustrating if you're seeking help for a mental health problem.
Psychiatric appointments are hard to get. Mental health services in the NHS are both overstretched and underfunded. Even though the common perception is that people with mental health issues see a psychiatrist about ten times a day, the reality is that we're mostly seen by GPs, therapists, social workers or psychiatric nurses. We're usually only referred to a psychiatrist for diagnosis or adjustments in treatment. A psychiatric appointment is the equivalent of being sent to the headmaster by an exasperated teacher.
There are no definitive physical medical tests to diagnose mental health problems. Your blood can't be taken and test positive for depression. The diagnosis relies on the testimony and presentation of the person experiencing it. So even if you've spent the past few months barely able to get out of bed ... if you then turn up at your appointment bright eyed, bushy tailed and humming What a Wonderful World, it can be difficult for the doctor to appreciate the extent of your problems.
This may lead to a delay in diagnosis, and a delay in - or even lack of - treatment. It can also instill you with a feeling of fraudulence that may discourage you from trying again.
Why do we become afflicted by Sod's Law Syndrome? Well, seeing a doctor - any doctor - can be nerve-wracking. Few people relish medical appointments. They're a tiresome chore that can bite into our working or social hours. Medical problems can also be downright embarrassing.
When it comes to mental health, it can be extremely discomfortting to discuss intensely private matters with a total stranger. In the same way we automatically answer "I'm fine" to the question "How are you?", we are socially conditioned into wanting to look as well as can be for people we don't know - even if we feel dreadful. Also, those in the medical profession are authority figures who we might feel inclined to impress.
- First of all, keep your appointment, whether it's with a GP or psychiatrist, even if you feel better.
- It may be helpful for you to write down your concerns so that you can refer to them throughout (and it helps sidestep the trap of selective memory, too).
- If you've been able to confide in somebody about your problems, or have a friend who's been with you and witnessed them first hand, then it's a good idea to bring them along. The other benefit of doing this is that they might have insight into behaviour you may not have noticed or may not have thought important enough to mention.
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