Significant_Whole290
OP
1
Layperson/not verified as healthcare professional
14hLink

My IgG was negative before my trip and positive now though?

Dengue- high IgG but not IgM Physician Responded

36F, 230 lb, 5’9” Asthma, allergies (environmental)

Is it possible to have an elevated IgG only from a very recent dengue infection? Or are there other illnesses which may cause the high dengue IgG but not IgM?

—————-

  • February 2024: IgG- 1.40, IgM- 0.60
  • May 3-14: Trip to São Paulo, Brazil, where there is a lot of active dengue spread currently
  • May 15: flu-like symptoms started, tested negative on flu rapid (May 17) and Covid PCRs (May 16 and 20)
  • May 17: IgG- 2.72, IgM- 0.98
  • May 29: IgG- 3.06, IgM- 1.06

—————-

IgG reference * 1.64 IV or less .......... Negative-No significant level of detectable Dengue Fever Virus IgG antibody. * 1.65 - 2.84 IV ........... Equivocal-Repeat testing in 10-14 days may be helpful. * 2.85 IV or greater ....... Positive-IgG antibody to Dengue Fever Virus detected which may indicate a current or past infection.

IgM reference * 1.64 IV or less: Negative - No significant level of detectable dengue fever virus IgM antibody. * 1.65 - 2.84 IV: Equivocal - Questionable presence of antibodies. Repeat testing in 10-14 days may be helpful. * 2.85 IV or greater: Positive - IgM antibody to dengue fever virus detected, which may indicate a current or recent infection.

Share more before a therapy break

Does anyone else find that they are able to share more before a longer break in therapy? I have so much trouble speaking in therapy, so little awareness of what’s going on inside me. But every time we have a break (one of us is on vacation or it’s a holiday), unexpected therapeutically gold statements come out of my mouth in the last 10 minutes of our session. Then I just have to sit around with it over the break, cringing at what I said or wondering where it came from or freaking out about what my T thinks about it.

What are you choosing to be angry about today?

This is a thing my therapist and I are trying out. I struggle to not criticize myself about things and blame myself for everything. I don’t know how to be angry at other people. So every day, I’m trying to find one of those things where maybe anger would be the more appropriate emotion and direct it towards the appropriate person.

Today, I’m choosing to be angry at my parents for giving me this feeling that every decision is life and death, defines who I am, and can’t be undone. I’m paralyzed by trying to decide what career path to follow when it feels like everyone around me knows what they want and is going for it. And the truth is that there is no “right” choice and they’re all good options in their own way with some drawbacks. But this decision is so wrapped up in so much of my past and my identity. I’m pissed.

“Too polite”

I’m in grad school and a fellow grad student overheard my advisor talking about me to another professor. Apparently he said something like, “She is way too polite for her own good.”

I mean it’s nice to know that my advisor is a great person and doesn’t want to take advantage of my inability to hold boundaries, but I thought I was doing better at trying to be more assertive and standing up for myself. Ahhhhhhhhhhhhhh

11
2
5d

This seems very weird.

A few questions: 1. What modality of therapy do they practice? CBT? EMDR? Trauma-focused stuff? Analysis? Psychodynamic? What can you tell us about the type of psychotherapy? 2. Are you in the US? Paying out-of-pocket or through insurance? 3. Is this an a single psychiatrist/psychotherapist in a private practice or a clinic?

What are some of your first session red flags?

I was thinking back on first sessions I have had with therapists where I knew I was never going to trust this person. What are some of your personal red flags?

With one therapist, it was signing a contract for no SH/suicide/homicide. Felt manipulative and like the therapist covering their own ass.

With another, it was having his kids run into the room and run out (virtual), with no explanation or apology by him. He was also asking a lot of questions probing if I have a fear of abandonment and not listening when I was communicating that maybe a little in some way I can’t see but I’m more driven by a fear of rejection.

A third was 15 minutes late, with no apology or explanation. I had several sessions with her and each time it was 10-30 minutes late, which I hated.

I also get anxious calling! But I wrote out a script to say for leaving a message or what to say if someone picked up and then just made a checklist so I could get a little dopamine hit every time I could check off a call. Avoiding these things tends to make us more anxious, I think just going for it and calling will help you see that it’s not so bad 😊

The lack of reply really sucks, especially when you’re struggling and need a therapist! My advice here is to actually call and leave a message or send an email from your email address and then follow up a couple days later if they haven’t responded (as opposed to sending a message through Psychology Today). These two options make you sort of stick out a little more and seem like a likely client rather than someone who is just sending out a million messages. Sucks, but worked better for me.

Rupture-repair

So I have a question about this whole thing. There are times when I get triggered in some way by something my therapist said or did in a session. Usually I don’t realize it until after, and then I spend a while spiraling. But fast forward a few days and I can think about it without the shame spiral and don’t feel as urgently that I need to run away from my therapist, and I resolve to bring it up. But by the time our next session comes up, a bunch of life shit has happened and I often forget to bring it up or just don’t have time. Is it important to bring it up? It just feels so unimportant by the next session, but I guess maybe I’m not really changing or fixing my tendency to hide the hurt and fall into the spiral if I don’t…

I’m so sorry you’re going through this pain. But I think you already identified some of the issue here. You’re yelling at yourself, beating yourself up for it. All that’s doing is making it more painful!

What’s so wrong with being in love with your T? They won’t act on it, nothing will happen, and that can be painful. Let yourself feel that and be compassionate that it sucks and it does hurt. But can you try to allow yourself to just be in love and enjoy the time you can spend with her? It’s only been a month, you can get through this. The key with hard emotions is to stop fighting them, stop struggling, and try to just surrender yourself to them. That doesn’t mean you act on the feelings, but you accept them, understand them, and have compassion for yourself for where they’re coming from and the ways you want to act but can’t.

Significant_Whole290
2
Layperson/not verified as healthcare professional
1moLink

NAD. How are you sitting when you are taking your BP at home? Is your arm in the same position as when you get your BP taken at the doctor/hospital? If you lean that arm down or have it lower than normal, that will make your BP seem higher (and having it up high will make it seem low).

Significant_Whole290
1
Layperson/not verified as healthcare professional
1moLink

NAD. This sounds like dissociation. Did you have anything stressful happen? Anything that could bring back some negative memories or remind you of someone or something in your past?

Just saw that it was as you finished your workout. Was it a normal workout? Did you go harder than usual?

I think it’s one of those moments where someone is just saying a true statement and we read it in the wrong tone because Reddit.

A cat allergy is actually an allergy to a protein in their saliva called Fel d 1. This food brand contains another protein which binds to that protein, changing it so we are no longer allergic to it. It’s possible it has some ingredient that’s supposed to reduce dander, but the main way it works is through this protein binding.

This is why you can be very allergic to some cats and not to others - they produce different amounts of the enzyme in their saliva. I have a cat who produces little so I’m fine, but have a friend whose cat I can’t be around without stocking up on antihistamines.

Also recommend talking to her and telling her this.

It can be a couple things. Maybe she’s new and uncomfortable, so she’s laughing out of that discomfort. Maybe she doesn’t realize and will change it. Sometimes it feels like someone is laughing or we draw conclusions that aren’t totally accurate, so telling her might help her figure out what kind of response actually would be helpful. Or maybe she’s not a good therapist and you need to find someone else. Unfortunately, the only way to really figure it all out is to talk about it.

I’m aloneDiscussion

Anyone else have trouble really trusting your therapist, because in the end, you feel like you can’t actually depend on them? I’m not talking about unhealthy dependence, but my therapist has a schedule and clients and her own life. So if I have a crisis, I am alone. And that’s fine, that’s how it’s always been.

But apparently, I’m supposed to learn some amount of dependence to learn that it is okay to depend on another person. So I’ve had a really rough week and I was looking forward to therapy today. But she had to cancel an hour before our session. She offered me a session on Tuesday, but it’s a time that I have work, have always had work, and she knows I have work. Not her fault, things come up and she’s got the schedule boundaries that she needs.

But I’m just reminded that I really am alone, and that instinct to roll my eyes when she says something like “you are not alone” just will never go away.

So this is one example of why it’s not a good idea for two friends (or relatives) to have the same therapist. If you live somewhere where there are options, I would encourage you to look for another therapist or explain to your therapist that you are friends with someone who said they had the same therapist and so you are looking for referrals to someone else (hopefully the therapist would neither confirm or deny knowing your friend to protect confidentiality but be happy to provide you referrals).

That being said, it’s true that the therapist is responsible for confidentiality and not you. You are allowed to share anything that happens or is said in sessions, as is your friend. Neither of you would be in trouble for sharing anything. You also wouldn’t get in trouble for lying to your therapist, but lying is just harming yourself and preventing yourself from getting what you need. I would encourage you to share everything with the therapist, either this one or the next one you find.

As far as your friend, tell them whatever makes you most comfortable. Therapy is a private thing, you are allowed to talk about things there without having to confess to it outside the room. I have discussed moments with friends where I felt annoyed by someone and my therapist and I have explored why I felt that way and how to respond in the future. I would never need to tell anyone about that. If you don’t want to lie to your friend, that’s fine and good, but I think that’s a perfect example of why you need to find a different therapist.

I got to college and the smell and taste of beer would always make me sick. I definitely associate it with my father, but I didn’t have the memories of CSA until recently.

I would drink hard liquor and go overboard in college, loving the feeling of not caring what other people thought, but that faded once I left. Now I drink a glass of wine here and there on a special occasion but I have no desire to drink or enjoy alcohol and I really can’t stand to smell beer.

Books. And when I was really little, hiding in the closet between a couple comforters.

I appreciate that. It’s also reality… I’m pretty overweight, don’t make an effort to look nice, very far from conventionally beautiful. I’ve had a couple guys attracted to me, but it’s always after we get to know each other as friends and feel something more, not based off looks. I’m okay with that, I’d rather be liked for who I am and not what I look like. Lauren is insanely beautiful and probably gets comments like that all the time. I imagine it makes her feel unsafe more than anything else, it’s creepy and weird. Just wish my mother didn’t have to make that the first thing she sees in a person and how she judges them.

My mother doesn’t think anyone could be attracted to me. CPTSD Vent / Rant

She’s said as much in the past. But yesterday, I was at a bus stop with a friend of mine, Lauren, and some creep was like “wow you are beautiful” as we were walking by. I wasn’t looking at him but I know he was referring to Lauren. But I was venting about how creepy some people can be and my mom just didn’t believe it happened until I said I was walking with Lauren and then she had no issue believing it, making it clear who she thought it was directed to.

12
7
2mo

That definitely sounds super frustrating. I would honestly say everything you wrote here, just walk in the next appointment and say you’re angry because __. And see where that conversation goes. She may or may not agree and refund the fee, and at that point it’s all up to you. For me, if this were a new therapist and she became defensive or was super strict, I would probably find another therapist, because I’m not someone who cancels unless I have to and this does seem like a double standard. But if you feel it’s a good fit and don’t have other options, you might have to just deal with it. But it’s important to share your feelings and hopefully experience a good response.