How To Handle Mood Swing?

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I have the mood swing that I experienced since 5 years ago. I happened to have completed my undergraduate psychology education, and learned the mood swing symptoms that I experienced while studying clinical psychology. But so far I can still suppress and control the mood swing that I experienced. However, in the past few months my mood swings got worse and worse, so I felt the need to do a consultation at a mental clinic at the hospital. When I asked the first level health facility doctor for a referral to a mental clinic at the public hospital the doctor refused, and gently said that psychological treatment should be through a psychologist, while the costs for going to a psychologist were not covered by the BPJS. Then I told him that I also had a psychology education background so that I knew what I was going through, and I needed help from a psychiatrist at the hospital to help ease the mood swing I was experiencing, but he still refused to give a referral to the hospital . What can I do?

1 Answer:

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A mood swing complaint or a mental health disorder in which mood changes change to affect your quality of life or affect your productivity. Under normal conditions, mood changes that occur are still a form of natural change, because in human daily life, it will not be separated from the pleasant and sad atmosphere, but in normal conditions an individual can control and adjust to existing changes, so that changes mood does not affect the quality of life of patients.
If you are a psychologist and have understood your psychological state related to the emergence of this mood swing, then in general, you can understand the causes or risk factors of patients with mood swing. When you look at the causes of mood, you can find a mild cause that may be controlled independently but there are also causes that require further evaluation and treatment by professionals or by a psychiatrist. However, in the case of BPJS services, enforcement of diagnosis and referral still requires confirmation from the examining doctor at BPJS, so the authority is in your FKTP.
 In the context of the cause of mood swing, several things can trigger this complaint, such as:
1. Hormonal changes, especially in women
2. Mental health disorders, such as anxiety, depression, bipolar, schizophrenic
3. Certain diseases, such as thyroid disorders, heart disease or other physical diseases
4. Impaired brain chemical balance
So, if the cause of mood swing can be controlled independently with a healthy lifestyle, good stress management, healthy eating patterns, exercise and relaxation, and psychological self control, then it is expected that mood swing can improve without special handling. Therefore, with regard to referrals, the possibility that your doctor's opinion does not provide a referral is that your doctor believes in yourself that you can control the triggers of this complaint. Your doctor still hopes that you can identify risk factors and control the triggering factors of this mood swing, especially you as a professional / psychologist. Some of the businesses that you can do independently are:
1. Hindri stress
2. Avoid conflict
3. Avoid going to sleep late at night, to help improve your psychological endurance
4. Ideally weight
5. Routine sports
6. Do a hobby or positive social activities
7. Worship properly
However, if all efforts to control and prevent this complaint have not been successful after a few weeks of your efforts, then a few things you can do for further handling related to BPJS services or referral:
1. Consultation return to FKTP 1 routinely, if the drug runs out but complaints are still settled, immediately visit or control return to FKTP / BPJS clinic where you are. If the complaint has not improved in 3-4 consecutive visits, the patient can be referred by a doctor because primary treatment has not yielded positive results
2. Or Visit the BPJS office to get a referral service recommendation to a psychiatrist
3. Or visit your psychiatrist at the BPJS referral hospital at your own expense and ask for specialist diagnostic recommendations based on the results of the examination and follow-up treatment plan, so that the family doctor who provides care at FKTP can continue the plan of the specialist doctor
However, again, all this remains the authority of the doctor who treats you in giving referrals. This is because your doctor understands your clinical condition better and has medical conclusions based on the results of your history and the results of previous examinations. Discuss carefully with regard to your development and clinical condition, so your doctor can make further evaluations and observations.
Thus the info we can convey
thank you

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