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Old 30.04.2019, 18:09
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Burnout or Depression

Dear All,

My colleague has been coming down since months now. A bad breakup and loss of close family member along with additional work is making her go crazy.

She has huge mood swings, eats excessively or stays hungry. Loves to sleep in Friday evening to Monday morning and the list goes on. I have heard her make statements which she claims as jokes but they are really depressing. We were in Hongkong and she said, ''Wonder what it feels like jumping off this tall building''

I want to take her to some doctor and get her on medical leave. She doesn't want to go. I live in Aarau and she lives near Bern. What would be the best way to go to a doctor and get her checked ? may be get evidence so she can take some time off.

I want to help, but not sure calling a hospital is a good one.
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Old 30.04.2019, 18:22
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Re: Burnout or Depression

You cannot get a doctor to see her against her will. The only exceptions are if there is a need to call out an emergency psychiatrist because she is, right at that moment, acutely suicidal, engaged in self-harm, severely neglecting her self-care or poses an an active threat to others.
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Old 30.04.2019, 18:32
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Re: Burnout or Depression

What you can do, however, is collect information on how she could go for help if she chose to do so.

You could give her a list of helplines (especially 143 and a crisis intervention centre, which answer 24hours) and various psychiatric and psychological services in the area.

If she and you are not familiar with the Swiss medical insurance system you can learn that on many threads on this forum and teach it to her.

If you wish to be personally involved, you could offer to accompany her to a firstğ appointment, should she ever want to go to one. And/or give her your number and tell her that in a crisis she is always welcome to call you, up till 9pm, or even in the middle of the night... or whatever your own limit is, which you should get clear with yourself (and your partner/spouse) before making the offer.
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Old 30.04.2019, 22:43
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Re: Burnout or Depression

Dear Doropfiz,

Thank you for a comprehensive answer.

I am no way in a position to judge how depressed or burned out she is. I have noticed her behavior change for the better part of the year. Though I am certain I am not exaggerating, I want to get a medical opinion.

Since the beginning of April I have been spending a lot of time with her and pursuing her to go to the doctor. She isn't willing to alone but recently i see she is a bit open to consult a doctor if I can accompany her.

But I am unaware on where to start looking for direction in Bern. It isnt urgent for me to call the emergency line. Should I call Hirschelanden or Frauenklinik ? And take it from there ?

G
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Old 01.05.2019, 02:59
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Re: Burnout or Depression

Here's a starting point.
https://www.englishforum.ch/family-m...s-general.html

You can always call 143 yourself, explain your role, and ask where to get local recommendations.

See also this very sad but practical thread with regard to insurance cover: https://www.englishforum.ch/family-m...red-lamal.html
Lamal is the term, in French-speaking cantons, for the standard, basic, compulsory medical isurance, called Grundversicherung in German.
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Old 01.05.2019, 03:05
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Re: Burnout or Depression

Does she have a GP that she trusts?

Going straight to a klinik is a bit... intimidating.
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Old 01.05.2019, 03:11
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Re: Burnout or Depression

I agree with JagWaugh. Unless there's a huge emergency, it's often better to see a psychiatrist or psychologist in their private practice. Many have websites which can help give you an impression of how they approach their work, so perhaps you could google and suggest a selection to your colleague.
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Old 01.05.2019, 06:06
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Re: Burnout or Depression

I am not a psychiatrist nor am I a psychologist, but given your initial post, it sounds as though your colleague may be suffering from bipolar disorder. It, sadly, runs rampant in my extended family and your post made me think that this could be the issue? Again, I am not an expert but am trying to help you in your search for an answer. Wish you all the best OP and personally, good for you for trying to seek advice and help your colleague.
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Old 01.05.2019, 09:14
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Re: Burnout or Depression

Dear Doropfiz,

Thank you for these links, I have gone through them and have been honest and assertive in talking to her last night / early morning. I am waiting for her to come in and see if she is going to stick to her word from last night of going with me to a consultation.
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Here's a starting point.
https://www.englishforum.ch/family-m...s-general.html

You can always call 143 yourself, explain your role, and ask where to get local recommendations.

See also this very sad but practical thread with regard to insurance cover: https://www.englishforum.ch/family-m...red-lamal.html


Lamal is the term, in French-speaking cantons, for the standard, basic, compulsory medical isurance, called Grundversicherung in German.
Deaer Jagwaugh,

Yeah she has a GP from whom she wants to stay as far away as possible.

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Does she have a GP that she trusts?

Going straight to a klinik is a bit... intimidating.
Dear Terrifisch,

May be, but I think it is more of a burn out, but again, I can be totally wrong and this could be some deep disorder which might have surfaced given the shyte she has been through. Poor girl !

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I am not a psychiatrist nor am I a psychologist, but given your initial post, it sounds as though your colleague may be suffering from bipolar disorder. It, sadly, runs rampant in my extended family and your post made me think that this could be the issue? Again, I am not an expert but am trying to help you in your search for an answer. Wish you all the best OP and personally, good for you for trying to seek advice and help your colleague.
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Old 01.05.2019, 12:32
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Re: Burnout or Depression

Might not be the time for it, but she probably will need a GP she trusts going forward. Does she have Gynecologist? I ask only because sometimes things are easier here with a referral.

Psychiatric diagnosis is hard, and itís art as well as science. In fact, diagnoses of bipolar disorder, schizophrenia and major depression are difficult to do objectively without extensive medical and family history. Even then, putting a name on it is a subjective business. Itís more a process of finding something to help first and then going forward with a diagnostic procedure. And, because physical symptoms and attributes need to be considered as well as emotional/mental ones, a decent GP could be helpful.

But of course, the first step is to seek assistance. Youíre a good friend to be concerned. This is tough stuff to get through. I hope you friend finds what she needs to get better.
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Old 01.05.2019, 13:44
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Re: Burnout or Depression

Do you have a GP you trust to be kind? Even though you're in a different town, that might be a place to start. Your GPmay have contacts.
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Old 01.05.2019, 13:51
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Re: Burnout or Depression

There are often waiting times to get an appointment, so there's more chance if you enquire at a group practice. If they're fully booked when you phone, always ask if they can recommend any of their colleagues.

This might be one place to ask.
https://www.sollievo.net/Psychiatrie...erapie/mobile/
If you scroll down you can click on the individual therapists to read about them and see which languages they speak.
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