I finally have answers | diagnosed - 7/5/19

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Provided she actually went she probably dealt with this guy as he's the only one that would be authorized to prescribe medication:

Bill Collins, NP

Bill Collins is a Psychiatric Nurse Practitioner that practices via Telehealth. He services our patients through the state of Kentucky with quality medication management treatment. Bill believes in providing patients with the opportunity to express themselves and their needs while being heard without judgement.

Lol telehealth means it would have been a consult via Skype or something. Psychiatric NPs do get a bunch of training, but they're really only qualified to diagnose anxiety or depression, and provide an initial consult if they suspect something more serious. If they do suspect that then they should refer them to a psychiatrist and a psychologist.

Mood/personality disorders can be extremely hard to treat, and a lot of times these disorders are comorbid with stuff like PTSD which makes it even more complicated. It's possible to diagnose bipolar in one visit, but it would be a long one and any responsible psychiatrist would introduce medication very slowly in case the diagnosis is wrong or to check for side effects. They would also schedule frequent follow ups initially.

Given that she says she was diagnosed with both bipolar and depression either the NP is a complete hack or she's lying. Since it's our good friend AL though I'm gonna go with the latter.
 
I LOVE how smug and salty she gets about people calling her a liar, but what else could it be? Considering the diagnoses she shared, she's either lying OR she's too stupid to understand what she was told so she listed what she thought they were. Both options are pretty plausible. Liar has more of a precedent, although if the visit was more like "hey these are all possibly the problem, but we need more time to pin down which one it is" then Too Stupid makes sense.

Either way she definitely does not understand why her viewers don't believe her, and that's always amusing.
 
https://www.mindsightbehavioral.com/tracystevens

830591


She can't diagnose. She can't prescribe, but she is a former fatty. Wild as fuck she didn't "diagnose" with any disordered eating. I'm assuming the therapists make recommendations to the RN and they treat accordingly? I've had a lot of experience with mental health and never have I experienced same day diagnoses and NEW medication. Unless it's a medication she was already on and she told them she needed a refill. That's probably it.
 
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https://www.mindsightbehavioral.com/tracystevens

View attachment 830591

She can't diagnose. She can't prescribe, but she is a former fatty. Wild as fuck she didn't "diagnose" with any disordered eating. I'm assuming the therapists make recommendations to the RN and they treat accordingly? I've had a lot of experience with mental health and never have I experienced same day diagnoses and NEW medication. Unless it's a medication she was already on and she told them she needed a refill. That's probably it.

You’re saying you’ve never been in to see someone for the first time and walked out with a script for some psych med you’ve never taken before? I guess count yourself lucky because it’s extremely common.
To me that’s the most believable part of Amber’s story
 
You’re saying you’ve never been in to see someone for the first time and walked out with a script for some psych med you’ve never taken before? I guess count yourself lucky because it’s extremely common.
To me that’s the most believable part of Amber’s story

I totally don't want to be "that guy" (believe me I hate myself rn for even being so dickish and elitist for making the haughty implication) but is it something that happens more commonly in the States? Especially the further you get into the (rural) South?
It is unusual for us here/where I'm at for sure and I'd be willing to bet that there's other Kiwis who are less used to hearing about it happening too....so maybe it's more of a 'Murrika thing?
 
I totally don't want to be "that guy" (believe me I hate myself rn for even being so dickish and elitist for making the haughty implication) but is it something that happens more commonly in the States? Especially the further you get into the (rural) South?
It is unusual for us here/where I'm at for sure and I'd be willing to bet that there's other Kiwis who are less used to hearing about it happening too....so maybe it's more of a 'Murrika thing?

I’m an American so perhaps. I mean, we’re one of the only two countries in the world that allow prescription drugs (including psych drugs) to advertise, so not exactly surprising. Some of the drugs even have little slogans and jingles.
 
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I totally don't want to be "that guy" (believe me I hate myself rn for even being so dickish and elitist for making the haughty implication) but is it something that happens more commonly in the States? Especially the further you get into the (rural) South?
It is unusual for us here/where I'm at for sure and I'd be willing to bet that there's other Kiwis who are less used to hearing about it happening too....so maybe it's more of a 'Murrika thing?
Also not American, and in my own and my friends' experiences with mental health, even when doctors suggest you may in fact be better on medication, they're too reluctant to prescribe it without trying several other avenues first. Most anxiety for example, is being treated with long term anti-depressant medication instead of short term meds like Valium, and even those are difficult to get on without documented history of attempting therapy etc. It feels shocking that to read about a healthcare system with incentive to profit off of people in general.
 
It's not that unusual to get a diagnosis and medication on the first visit. What is unusual is to get FOUR diagnoses one of which being a personality disorder.

A same-day diagnosis for health conditions is uncommon. A professional would want to study patterns of behavior over a period of time or track the progression of symptoms. I don't think that this whole situation type thingy is any different than when Amberlynn was 'diagnosed' with BED from her BetterHelp therapist.


Also not American, and in my own and my friends' experiences with mental health, even when doctors suggest you may in fact be better on medication, they're too reluctant to prescribe it without trying several other avenues first. Most anxiety for example, is being treated with long term anti-depressant medication instead of short term meds like Valium, and even those are difficult to get on without documented history of attempting therapy etc. It feels shocking that to read about a healthcare system with incentive to profit off of people in general.

Medications are prescribed in addition to or after therapy begins. The abuse of Rx medications in America is rampant and from my experience, doctors like to see patients show a commitment to themselves before prescribing. To play devil's advocate, though, psychiatrists can make a pretty penny off exploiting the American obesity and mental health crises.
 
You're right, I've overestimated the medical system in Nowhere, KY. Looked a bit more into who her doctor is and what a surprise! Tracy Stevens isn't really a doctor at all! I won't link it here because this woman doesn't deserve to have her work and mailing addresses and phone numbers linked to this site, but her NPI profile states that she is a counselor in behavioral medicine and social service provision. A counselor's suggestions should be taken with as much merit as a door-to-door salesman's pitch because they are nothing more than suggestions. I doubt that TS gave Amberlynn any advice that her comment sections haven't already tried to.
 
I don't think you're giving Amberlynn enough credit as a liar and manipulator. At the same time you may be giving this ragtrag group of care coordinators in bumfuck nowhere too much credit. Not and MD or even PhD in sight btw.

Oh don't worry, pal.
At least for me ..... I've been calling the fact she even heaved that massive, lardy shelf ass into a Case Worker's office a gigantic lie from second one. We saw them buy some blinds (to sass the haydurs who have been pointing out the blankets on their windows) and stuff their faces in Ruby Tuesday. Fatty Boom Boom is lying about absolutely god damn everything. No Psychiatrist, no diagnosies, no Bipolar, no anything.
 
Considering becky is too stupid to paint a straight line on a small box, I find the idea of her installing window blinds to be... ambitious. Why not buy curtains instead? They're easier to keep clean and can completely block the light if you buy the right kind.
 
Remember Thumby TurboTard blobbing down on the floor like a slug and pawing at a dollar store stereo/speaker set with her fatty hooves and dribbling over not knowing which end was up? Even with Bigass ALs help and flapping the manual around they were both too stupid together to know what they were doing to set it up, and I don't think we have seen that "So super cool" speaker system in their bedroom once since they bought it. (And we would know, because it was one of those kinds that has rainbow flashing lights and shit, so it's not like it'd be hard to miss?)
 
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https://www.mindsightbehavioral.com/tracystevens

View attachment 830591

She can't diagnose. She can't prescribe, but she is a former fatty. Wild as fuck she didn't "diagnose" with any disordered eating. I'm assuming the therapists make recommendations to the RN and they treat accordingly? I've had a lot of experience with mental health and never have I experienced same day diagnoses and NEW medication. Unless it's a medication she was already on and she told them she needed a refill. That's probably it.
That place has a lot of female staff. Has it been confirmed that Tracy is the one Amber saw?
somerset staff.png

Considering becky is too stupid to paint a straight line on a small box, I find the idea of her installing window blinds to be... ambitious. Why not buy curtains instead? They're easier to keep clean and can completely block the light if you buy the right kind.
She'll probably bug Ricky to install them for her.
 
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You’re saying you’ve never been in to see someone for the first time and walked out with a script for some psych med you’ve never taken before? I guess count yourself lucky because it’s extremely common.
To me that’s the most believable part of Amber’s story

Nah, what I said is that I have never been given diagnoses, which is the plural of diagnosis lol, and a new script the same day. Trust and believe that in most of the 23 years dealing in the mental health system and 15 at the poverty level I don't consider myself lucky at all...but I do consider Amberlynn to be.

Why, are you saying you've experienced same day diagnoses AND a new script like Amberlynn? Do tell, babe.
 
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I totally don't want to be "that guy" (believe me I hate myself rn for even being so dickish and elitist for making the haughty implication) but is it something that happens more commonly in the States? Especially the further you get into the (rural) South?
It is unusual for us here/where I'm at for sure and I'd be willing to bet that there's other Kiwis who are less used to hearing about it happening too....so maybe it's more of a 'Murrika thing?


I think it is more common in the states. I guess it's about money? I know here it's more common for kids to be prescribed stimulants for ADD than it is in other countries. I think it's actually rare here to walk into a psych place and be told you are fine and don't need any medications and walk out without any. So AL is going into place wanting to be diagnosed so they'll give her any diagnosis that fits the symptoms in the dsm and maybe whatever she told them- like if she said her mom has bipolar then they figure it's highly likely she does to. do other countries use the dsm? since alot of symptoms will overlap I think it's hard to diagnosis from that but I guess it's easier for the first visit.

as for just talk therapy I think that can be a more personal thing for someone to decide if they want to sit and talk to someone or not. Since someone discovered the fatty counselor maybe AL is just going there for pre weight loss surgery requirements.
 
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