How to Talk to Health Professionals about your Panic Disorder

Good doctor-patient communication is essential for people with panic disorder, whether it's with your therapist, doctor or psychiatrist. It's not always easy to ask questions, but it's possible to learn how.

1. Preparation is essential. Before your appointment, write a list of all questions and concerns you have. Between appointments, keep a sheet of paper to write down questions as they come to you.

2. It doesn't have to be a question. If you can't put a concern into question form, don't be afraid to discuss it. Just start with, "I don't understand why..." or something along those lines.

3. Keep a record. Keep an ongoing journal, list or a simple page of notes on how you're doing -- the good and the bad. This may include side effects, new symptoms, progress, setbacks, or thoughts you have from day to day.

4. Keep everyone informed. Make sure all of your health providers are aware of your total treatment: including medications, the other health providers, and self-help methods.

5. Bring someone with you. If it helps you feel less anxious to have a friend or loved one with you, then do it. You may decide how much access you want the person to have (such as coming for the whole appointment or waiting in the waiting room).

6. Your doctor will lead the way. At the appointment, allow your doctor to direct the conversation. The doctor has in mind what needs to be accomplished and will talk to you accordingly.

7. Take notes during the appointment. Don't be embarrassed about doing this -- it's your health! If it helps, tape record the meeting (you must ask to do this first).

8. Be honest with your doctor. Your doctor needs to know everything about your treatment. It may be difficult, for example, to report embarrassing medication side effects, but you need to do it.

9. Try to be as clear as possible. If anxiety makes you wander a bit when talking, let your doctor know. Work together on sharing the information each of you needs.

10. There should be time for you to talk. Although you will allow the doctor to direct the conversation, there should be time for you to ask questions and address concerns, if you haven't already. If your doctor does not have time for these, then it may be time to find another one.

11. Summarize and clarify. At the end of your appointment, be sure you are clear about what happens next. Is your medication being changed? Do you have a plan for therapy (or homework)? When is your next appointment?

Tips:

1. If you feel you cannot communicate with your doctor, it may be time to seek another. Be sure, first, that your current doctor understands your concerns. It may be possible to fix the problem.

2. Your doctor does not have answers for everything. If the doctor can't answer a question, he or she might consult someone or give you a referral.

3. Stay informed about your own condition and available treatments. Do not hesitate to discuss new discoveries with your doctor.

By the Agoraphobic Support Group (Canterbury) New Zealand