I don't know if this is bad or good?

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#1 May 26 - 12PM
Anonymous (not verified)
Anonymous's picture

I don't know if this is bad or good?

This week a had a patient who I'm pretty certain is a psychopath.

I won't/ can't get into anything about the patient of course.

My issue is my reaction.

My nervous system went off like the fourth of July. My hands were sweating so badly that it left marks on my paper... my underarms soaked my silk blouse, my heart was pounding, and my breathing became very shallow- such that for a few seconds here and there I had to take some deep breaths to take in more air.

He was only in my office for about 3 mins and all of that stated happening. As a neuropsych of course I spent a total of about 4 hrs with thim. It was the hardest thing I had to do this week.

On some level I see that my body 'learned' ..... in some ways it was reassuring that when I do go back out there and start dating it won't necessarily be a "hmmmm now is that a red flag" "was that a red flag" "let me think about this" My body seems to be like... look Jess --- no more of these F ers are getting near you anymore. ENOUGH! So for that, I am thankful

HOWEVER --- herein lies the problem.

I'm a frigging psychologist!!! I HAVE to interact with them fairly regularly. :o(

I CAN'T go through that at work.... bc while with him I was invovled in a great deal of self talk ("you're safe Jessika"; "you're in the power position here"; "pretend you have a brick wall up betwn the two of you." "don't smile at him"; "don't give him any emotion" ; "you can come out and tell him to cut out the charming complements" "you can tell him to cut out the nasty rude comments" --- yes he did BOTH.

So --- when with a patient, I dive into their world usually. I know it sounds corney, but I hyperfocus on them ... everything about them - bc that is just what you have to do. However, bc of all the N/Ps in my life and this last P being the worse experience I have ever had .... my system wouldn't allow me to dive into him the way I do with others. It just wouldn't.

This was a very very tough patient. Stood up to look at my degrees to determine if they met his standards.... called me by my first name immediately ... commented on my blouse and even my bra!!!!

So .... my N/P radar is obviously internalized---- however I wish there were a way I could switch if off when at work. BC they really can't hurt me there. Sure they are disrespectful, however I can handle that with a reprimand and boundaries-- so I wish there were a way to tell my system that I have to work with these guys sometime and that I'm safe at work.

I guess I should take Xanax to work and if one of them come in excuse myself to the bathroom and take it ;o)

Jessika

May 26 - 6PM
missyjade
missyjade's picture

PTSD

It sounds like PTSD. Apparently, something was triggered while you were in the presence of ths psychopath. The body reacted because the the brian cannot distinguish if the triggered experience that happened in the past is happening all over again. It's good that you are calming yourself by reminding yourself that you are in a safe place now. You are familar with this behavior because of a past experience but you are taking the steps to keep you safe. A good book on this is "the Body Remembers" The Psychophysiology of Trauma and Truama Treatment, written b Babette Rothschild.
May 26 - 5PM
Amazed
Amazed's picture

Jessika,,the "tough" or not so tough,,patients

YOU identified this guy RIGHT OFF THE BAT...this is excellent, as you are learning and applying your KNOWLEDGE which is competence, and confidence. Don't be afraid, to cut them short, as you have and must protect yourself (comments about the blouse,,don't permit that crap!!!!!!!!) You have a great blouse,,fu***k the psychopath who wants to get in on it!!!! You have your testing, and health questionaires, and delving into them, the hyperfocus,,,don't be afraid to relax now,,in your competence. Not to slack off, but to say,,wow,,,I am skilled. I am identifying something here. Okay,,,let's go with it. Still open. Still focused. But aware. Aware. Not to be taken advantage of. ( The very path of Dr. Hare!!!) It is AMAZING to be able to "sense" or have an "intuitive" sense about patients. People. No longer are you unaware of these people. No longer are you inexperienced. Not longer are you not able to see them, for what and who they are. You know. It is okay. Yes. It becomes a 'bodily' or "phsycial" knowing. You feel it, you sense and know when you are in the presence of a psychopath. You ask a couple questions,,,and there you go...you see it all coming into focus. Let's all,,be happy,,,,,and perhaps not date these pathological types.,,,,,
May 26 - 6PM (Reply to #12)
Jessika (not verified)
Anonymous's picture

Yes

Amazed... that is definitely the good part of it. However, as Barbara mentioned --- "detached" ----- that is my new goal. It will be imperative I think. I was always detached prior to my last P ... but now (obviously PTSD related) they trigger me right into a feeling of panic if I am around them.
May 26 - 9PM (Reply to #13)
Barbara (not verified)
Anonymous's picture

Jessika

A good book "THE BODY NEVER LIES" by Alice Miller it is a function of PTSD and, as Gavin DeBecker calls it 'THE GIFT OF FEAR' ~~~~~~~~~ Moving Forward: Coaching for Victims Pathologicals Feelings buried alive never die. - Alice Miller
May 26 - 1PM
narcnarcwhosthere (not verified)
Anonymous's picture

or.....

take the Xanax to work and give it to the PSYCHOPATHS!... 'could i get you anything?..a BEVERAGE perhaps?'..... of COURSE the psycho would LOVE for you to bring him a beverage......just spike it....... hahahahahaha..... ps....i'm only half joking, you know.. “I do not bring forgiveness with me, nor forgetfulness. The only ones who can forgive are dead; the living have no right to forget." - Chaim Herzog
May 26 - 6PM (Reply to #10)
Jessika (not verified)
Anonymous's picture

ROTFL!!!

:o)
May 26 - 1PM
quietude (not verified)
Anonymous's picture

jessika

Wow! How awful! But you're right, your radar is likely right on queue. This happened to me a few months back with someone I was interviewing. He was a charming, nice looking, in-your-face kind of guy. I sensed something really odd, and I could just feel a panic attack coming on. There was really nothing I could do to step out and take a pill! But I was only with him for about 20 min., thank God...so I survived, but it made me think through the fact that this could happen again, and steps I'll take to try to curb the need to RUN screaming out of my office!! ;)
May 26 - 6PM (Reply to #8)
Jessika (not verified)
Anonymous's picture

Yes

It's an awful feeling isn't it. :-/
May 26 - 1PM
Barbara (not verified)
Anonymous's picture

Jessika

talk to our friend Sandra Brown, MA about this you do, eventually, learn how to detach ~~~~~~~~~ Moving Forward: Coaching for Victims Pathologicals Feelings buried alive never die. - Alice Miller
May 26 - 6PM (Reply to #6)
Jessika (not verified)
Anonymous's picture

Yeah

I might shoot her an email/ text - I don't know how she did it when she used to treat personality disordered clients!! OMG --- I would be crying "I don't want to go to work!!!!!!!!!!!" everyday if I had her old job - LOL!
May 26 - 1PM
masquerades (not verified)
Anonymous's picture

Jessika

You are always offering such sound advice and I enjoy reading your professional take on things, so I feel very inadequate to offer advice. I don't know whether it's good or bad, but f*** him - what an arrogant (hold on, that's a red flag!) man to stand up and study your degrees, and for him to comment on your bra...it must be very difficult to work and to keep focused when you are dealing with the type of people you describe. You seem very strong and intelligent though; I hope you work it out in your mind to your satisfaction.
May 26 - 6PM (Reply to #2)
Jessika (not verified)
Anonymous's picture

Oh Masquerades

I want and need the advice of the ladies here - please never feel uncomfortable to share your take on things. That's why I love coming here --- I keep learning and hearing different perspectives - I love it!! ;o) Anyway --- thanks for your words. Much appreciated. He made the comment about my bra "You know your black bra strap is showing!" when I told him to stop refering to myself and another doctor he was discussing by our first names. I told him he needs to demonstrate some respect. So as you see he was putting me in my place for making that statement to him. Probably thought he was shaming me.
May 29 - 5PM (Reply to #4)
neveragain5
neveragain5's picture

What a jacka**!! They

What a jacka**!! They always push the buttons! They can read us and what will make us uncomfortable or hurt. Sorry to hear that you're going through this, Jessika. Especially after you have spent so much time and energy getting to this point in your career. The fact that you have an alarm system now for spotting them is such an accomplishment! Congratulations on that! I hope that you can figure out a way to minimize the affect that they have on you. I can't imagine having to spend 4 hours of intense discussion with one of them. You must want to run screaming from the room! :) Hang in there.
May 26 - 9PM (Reply to #3)
Barbara (not verified)
Anonymous's picture

Jessika

keep putting them back in their place and if this happens, see if a nurse or someone will step in a sit with you while you do your thing. Just to be safe ~~~~~~~~~ Moving Forward: Coaching for Victims Pathologicals Feelings buried alive never die. - Alice Miller