Wrong Documentation

[Me1984]

So I have a bit of a problem my psychiatric documentation is incorrect, and my doc documents what she wants as though I am ok every single time I come in. Now she had me go to a psychologist who deemed me bipolar 1 with personality d/o when I go with her she says I'm not what he said I'm just a little depressed. What was the point of me going then if she is going to say what she wants. Also I have four kids and she put I just have a daughter and I feel like my mother abandoned me when in all actuality my mother gave me to my aunt and I never had a relationship with her. She doesn't ask me any questions when I go there but in her notes I tell her I'm doing good and everything is going ok for me wth. I honestly wish that was the case but it's not. Also on my initial visit I told them that I had a episode where I took pills too end my life but my mom stopped me that put my mom and my sister stopped me. Looking through my VA documents they have been just putting whatever they want in their notes. The psychologist is the only one that has noted my file correctly except for a age that I gave him instead of 18 he put 17.

What can I do I'm so lost right now and really upset as my claim for a increase may get denied and they just may lower my rating because of her notes.

[Mikemmlj]

You can request a change of Psychiatrist. I did it with my PCP.

[Me1984]

Ok I will Mikemmlj thanks

[Vync]

Mikemmlj's advice is great. Not every doc or counseler is best for each patient. Some of the VA MH docs try to make you see a resident psych doc first, who presents to the attending doc. If you don't want this, tell them.

Keep in mind everyone takes notes differently. The C&P docs I have seen (within the last 10 years) also entered directly into the computer probably because they didn't have time to transcribe or dictate due to high patient load. The psychologists/social workers are supposed to be there to help provide counseling. The psychiatrists can do the same thing, but are there to prescribe/tweak meds to try to help you overcome your symptoms, which could mean a lot of trial and error to help get it right.