What does "presented with odd affect" mean?

New doctor, asked about lisdexamphetamine, told her about how I love acid & MDMA on occasion when she asked about drugs, and she wrote this down in the notes to the psychiatrist she referred me to.

Also, she made me take a piss test for drugs. I feel slightly insulted about that, honestly.

Posted Mar 2, 2016, 7:48 PM UTC

16
FreezrBurnz•

"Presented with odd affect" means a patient did not act or talk in a fashion deemed normal by the physician. For example, telling a primary care doctor how much one loves illicit drugs is usually seen as unwise, and requesting any amphetamine so specifically is viewed as "drug-seeking behavior."

I assume you are being funny about feeling insulted about the piss test unless you simply regarded it as a waste of time and money since you had already been so straight-forward about your drug preferences.

Presenting "odd affect" can also refer to failure to meet another person's eyes or look up from the floor, inability to sit still, rambling or jumbled speech, manic behavior. Of course, it can also mean the doctor has no sense of humor.

7
rabbuttOP•

Well, she did ask, and she's my doctor. Why wouldn't I be straightforward with her? It ain't like she's the cops. I'm trying to get the least abusable amphetamine, even.

She ain't gonna find anything in my pee, anyway. Acid and ecstacy are both things you've gotta plan a weekend around, and I've been busy.

3
Immiscible•

Very few primary doctors are comfortable prescribing Vyvanse and other ADD medications so the psychiatrist referral makes sense. If you're psychiatrist asks just tel her the truth that you use recreational hallucinogenic drugs on the odd occasion, it is absolutely a relevant point as they can cause very bad reactions with common psychiatric drugs. I think the odd affect more came from being so upfront about it, honestly.

3
rabbuttOP•

Well, yeah, but it's not like I was asking for SSRIs, or antipsychotics. I mean, those would definitely mix poorly... Amphetamines are just... Amphetamines.

1
marshal_mellow•

Its just doctor for "patient was a weirdo"

3
rabbuttOP•

Ah! So she was calling me a weirdo. I want a new doctor.

2