• Fosheze@lemmy.world
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    3 months ago

    Btw, never tell psychologists you take drugs, when it is not relevant.

    That is awful advice. Your doctor and psych should always know everything you are taking perscribed or otherwise. They literally can’t rat you out and they need that information so they can predict any potential drug interactions. There are also conditions like bipolar and schizophrenia which can be strongly effected by certain drugs and your doc/psych can advise you on that and how to most safely use your substance of choice.

    If they are treating you different or giving you worse care because you use drugs then you need to see someone else. The vast majority of medical professionals subscribe to the school of harm reduction if yours don’t then they’re just shit.

    • YarHarSuperstar@lemmy.world
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      3 months ago

      Not all doctors are that interested in helping drug users. Just saying. It’s not always wise to tell them every detail. Like you mentioned there are some shitty doctors out there

    • boredsquirrel@slrpnk.net
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      3 months ago

      I get how that advice may be dangerous, I will remove it. BUT

      Your doctor and psych should always know everything you are taking perscribed or otherwise.

      No, they dont need to know you use Cannabis to calm your mind, if you have ADHD and all they will give you are literally stimulants to work better.

      This is highly dependent on the drug you take and the things that go wrong in your brain.

      This scentence is sooo standard, “prescribed or not”, yes prescribed of course, but no they dont need to know everything.

      They literally can’t rat you out

      This is not true either. If you visit one to get a diagnosis, anything you say could end up in the one paper you get, which you then need to give to every doctor or psychiatrist to get medication.

      These might be sensible things, or simply not relevant.

      Example: ADHD is one of the most self-medicated cognitive differences. This self medication often doesnt work well, is illegal etc.

      Cannabus is only legal here for a some months, there are no optimum levels and extremely little studies on compount degradation in the body.

      When driving, 1ng/mL blood is still used, which could mean that after 3 weeks or more abstinence you may still fail.

      This could mean you dont get medication, after waiting for it forever.

      There are also conditions like bipolar and schizophrenia which can be strongly effected by certain drugs

      Yes absolutely, and this is an important reason. BUT you know what the psychologist told me?

      “Cannabis has a tendendcy to increase likelyness for psychoses, ADHD meds can do that too. So if I would prescribe them, I would want a blood test”.

      This is like 1+1=2. There is no evidence and no studies on this, just guessing.

      This is crazy, because what I mentioned, Cannabis calms the body (while also being far from perfect with a potential to really increase psychoses likeliness), ADHD meds stimulate so much that people dont want to eat, Cannabis makes people hungry (or more, focused on the body, I often feel really sore and want to do sports).

      Both have a potential to cause psychoses in predispositioned people, while having effects that are opposite of another.

      So yeah, the generalization is pretty harmful. But in that specific case, it was really good that I just blacked out these lines and saved myself from that trouble.

      then you need to see someone else.

      Lol, in fairyland maybe. In Germany you can be very happy if you get a “medication prescriber”, even though assisting therapy would of course help a ton.

      The vast majority of medical professionals subscribe to the school of harm reduction

      If they mandate to stop using a calming drug, to prescribe you a stimulating drug, I disagree.

      It is a danger for them to prescribe that, as theoretically there is higher danger, not because of actual studies (and humans are so different that I think generalizing here would harm a lot) but because 1+1=2.

      So if it is “just” ADHD they would prescribe nothing, to “reduce harm”.