Last week I had an appointment with Dr D, the psychiatric registrar I’d been seeing at A St. At this appointment she asked me about my eating, my weight loss and took my weight and height. She also referred me to the CCI, the only public eating disorders service in the state, and to a clinical psychologist through A St, depending on which came through first as both involved a waitlist.
I then got a phone call today from Dr D asking me if I could come in to see her today. I agreed and so went in this afternoon. She took my sitting and standing blood pressure and my pulse which was all good. However, she then said that she had discussed with her consultant and they wanted me to come into hospital at A St, the public psych ward. Umm, what? Last week she didn’t even seem that concerned. From what I gather it’s all only because she got a letter back from the CCI stating that my current weight is concerning as from what I know they don’t accept outpatients under a BMI of 14 and on my referral I’m only 0.5 off that.
Medically I’m fine though. Even Dr D said so. However her reasoning is that if I continue to restrict and lose weight as I have been, I will not be medically sound. I don’t think that’ll happen, and I told her I didn’t think hospital was necessary. I especially didn’t want to go to A St, as it would be utterly pointless given I’ve been at A St before and know what their programs are like, and it’s not like they have an ED program. I asked about the possibility of going to a private hospital with an actual ED program instead but according to her you have to have been seeing a private psychiatrist with admitting rights to be able to go to that hospital. “Both you’ll be seeing a dietitian anyway,” she said, indicating it’d be the same thing. Umm no, I don’t quite think so.
“What if I say no [to hospital]?” I asked Dr D. I don’t have time for hospital, I have uni to go to, assignments to do, fieldwork to attend. She then tells me she’d have to ask her consultant whether doing a Mental Health Act assessment was necessary. Woah, overkill. The consultant then came in and asked a few questions. According to him, for someone with a height of 159cm, 59kg is the ideal weight. I disagreed with this and let him know. In the end they decided a Mental Health Act assessment wasn’t necessary. What saved me is that my body seems to be behaving rather well, my heart rate and blood pressure were fine (105/80), I still get my period, albeit very light, I feel mostly physically well and my blood test results from 6 weeks ago were still quite normal.
The conditions however are that I have to see my GP regularly, get regular blood tests and see a community mental health nurse. They also wanted me to see a dietitian but I was not keen and said that I didn’t see the point as I likely wouldn’t follow a meal plan anyway and don’t want to gain weight or eat more.
Honestly, all this feels unnecessary and I’m fine.