How Do You Say Goodbye To A Psychiatrist?

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I’ve only had one psychiatrist since I was diagnosed with depression at 16. Last week, I had to say goodbye to her.

It was weird. We just talked about how many refills she should give me, so I could have enough meds to last till I found a new psychiatrist in Oregon, and she prescribed a separate anti-anxiety in case I got panicky during the whole packing/moving/adjusting deal.

And then I stood in the doorway and said, “So…thanks for like…almost ten years? A lot has happened.”

And I do mean a lot. After filling out the same questions every visit (“Rank this statement on a scale of 1 to 10, with 10 being the most true”), I would take off my shoes and stand on a scale to be weighed, and then get my blood pressure taken. Then it was into the office at the end of the hall to spill out my guts and decide what to do with my dosage. I went through my rough high school years, my first true heartbreak, experimenting with meds that made me sick every morning and then meds that made me feel like I was having a heart attack. We went from the lowest dose to the highest dose of at least one medication out of the seven I’ve tried. We went through my first year of college where I had to see her every two weeks because I had formed a suicide plan, followed by broken-up college years where I met and married Chris, took a year off to develop agoraphobia, and then went back to graduate. I saw four counselors, co-led a youth group, became a charismatic Christian who saw demons at the end of my bed, and then learned about sleep paralysis and fear-induced hallucinations. I left the church, but not my faith. I lost some friends of the road and made some friends of the heart.

I didn’t want this post to be all “me me me me me,” but it kind of bcame that. My apologies. My point is that while all these things were happening, my psychiatrist was sitting across from me, offering me tissues when I cried, laughing at my jokes, listening, and asking questions. I’ve seen her with long hair, short hair, glasses, and contacts. She’s had a baby in the time I’ve been seeing her. She has a bookcase in her office with stuffed animals, like the purple octopus, and quirky little figurines that look like they’re from Anime. She always wore black or gray. She seems shorter than me, but she’s probably the same height.

I had no idea how to say goodbye. I still don’t. Should I have asked to hug her? Shake her hand? Psychiatrists are in a very weird spot, because they aren’t counselors, who can’t prescribe medications, but it’s not like my psych didn’t know anything that my counselors did. She was basically the same as a counselor, just in shorter sessions. There’s a layer of professionalism there that’s absent with counselors, maybe because (to quote Dana Scully) she’s a medical doctor? I don’t know. It’s just weird that one of the longest relationships of my life was with someone who isn’t my friend, but who knows more than most of them do.

 

 

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