Psychiatrist reaction?

Hi. I live in the UK. At my next appointment with my psychiatrist I need to confess to the fact that I’ve been abusing it for a long, long time. I binge on it & then have to have lower doses (or nothing) to compensate. It’s really ruining my life in a very big way. I’ve only met the psychiatrist once before but my nurse will also be there & I’ve seen him regularly for a very long time. He’s going to think I’m incredibly deceitful for not mentioning it sooner or being honest. Which is fair enough. What’s the likely reaction going to be? They want to get me off it anyway with a gradual taper, but I guess if I tell the full truth then they’ll just try to make that more rapid or supervise more closely? I’m worried too because I don’t want mention of the pregabalin abuse to be referenced in certain letters in the future. It’s all a bit of a mess

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