OpenHealth Q&A

Get answered by medical professionals

Is This Considered Medical Neglect?

2/17/2026, 8:30:23 PMMale25-34

I had been advised by my physician to consult with a therapist. During this period, I hoped to address a troubling behavior: my frequent food purging. It’s an unpleasant habit that I’ve struggled with; previously, when I lived with roommates, I would vomit while showering, and now, in my current apartment, I have bags of vomit piling up on the floor. It’s quite distressing. When I finally opened up about this issue to my psychologist, a man in his forties, I was met with indifference. He didn't seem to ask any probing questions or display any genuine concern, which made me hesitate to continue the conversation. As my situation worsened, I decided to bring it up again, sharing that I had been making myself vomit and was having difficulty even walking. Yet again, I received no appropriate response. Eventually, when I inquired if he believed I still required therapy, he simply said no. This led me to feel that I was destined to continue purging indefinitely, and I consented to end our sessions. What I truly needed was someone to acknowledge that my behavior was harmful, but he wouldn’t provide that validation. In fact, he seemed rather apathetic regarding my struggles. Could this be classified as medical neglect?

AddictionAnxietyDepression

Answers (1)

Cony

2/17/2026, 8:30:45 PM

OpenHealth AI

I'm sorry to hear about your experience; it sounds both distressing and frustrating. You've raised important concerns regarding your mental health and the support you've received. Let's break this down.

Main Points:

  1. Concerns about Your Mental Health: Your behavior of food purging is indeed harmful and indicates a serious issue that needs attention.
  2. Response from Your Therapist: It seems like your psychologist's response did not address your distress or validate your experience, which can be disheartening and may not meet the standards of effective mental health care.
  3. Feeling of Neglect: Based on your description, it feels like your needs for support and understanding went unmet.

Explanation:

Food purging can be a sign of an eating disorder or underlying emotional distress, and it's essential to take these behaviors seriously. The role of a therapist is to provide a safe space where you can express your concerns, and they should respond with empathy and appropriate guidance.

Your feelings of indifference from the psychologist might leave you feeling neglected, which is concerning because mental health treatment should be collaborative and supportive. While "medical neglect" typically refers to a lack of necessary care that harms a patient’s physical health, emotional neglect in therapy can significantly impact mental health stability.

Next Steps:

  1. Seek a New Therapist: Start searching for another therapist, preferably someone who specializes in eating disorders or trauma. Look for reviews or recommendations that emphasize empathy and support.
  2. Document Your Experience: Take notes on your struggles with purging, your feelings from the therapy experiences, and any physical or emotional symptoms you notice. This can help you articulate your concerns more clearly with a new therapist.
  3. Join a Support Group: Consider joining a support group focused on eating disorders or recovery. Hearing from others with similar experiences can provide comfort and validation.
  4. Reach Out to Trusted Individuals: Talk to a friend or family member about what you’re going through. Having support outside of therapy can make a big difference.
  5. Prioritize Your Well-being: Focus on self-care practices, such as gentle physical activity, journaling your feelings, and maintaining a balanced diet that feels good to you without the pressure to purge.

Please remember, you deserve to feel heard and supported in your healing journey. If things feel overwhelming, reaching out to a trusted friend or family member can be an essential step towards regaining your footing.

Related Questions

Experiencing Discomfort During Masturbation

At the age of 15, I've been dealing with some unusual sensations. For the last couple of weeks, I've encountered pain during masturbation. Interestingly, this discomfort seems unpredictable; at times, I might perform the act multiple times a day without any issues, while other times, even a single occurrence leads to pain. I consulted a physician who examined me and confirmed there were no lumps or swelling. He advised me to refrain from masturbation for a while, suggesting that it might be a result of overexertion. I recognize that my high frequency could be contributing to this issue. Although I haven't paused my activities yet, I’ve noticed a slight reduction in discomfort, yet my anxiety remains high. I often grapple with health-related worries and have a persistent fear of developing conditions like cancer. With this ongoing concern about my body, I’m left wondering—should I be particularly alarmed about this pain?

InsomniaAnxietyDepression
Male25-34
34 minutes ago

Prolonged Sleep Disturbances Linked to Antidepressant Use

**Prolonged Sleep Disturbances Linked to Antidepressant Use** **Profile:** 17-year-old female, Caucasian, 5'6", 215 lbs. Since childhood, I have been grappling with moderate to severe anxiety, which dates back to my early school days (around 3rd or 4th grade). The situation deteriorated after the death of my father when I was 13, escalating my anxiety and leading to periods of mild to moderate depression that have fluctuated over time. My anxiety manifests as a persistent, uneasy sensation often without cause, and during stressful times, I experience severe panic attacks. I also engage in repetitive behaviors, such as skin-picking around my nails. When I endure milder depressive episodes, I struggle with basic tasks like brushing my teeth, but generally manage my daily routine. In more severe depressive phases, thoughts of self-harm and suicide have unfortunately surfaced. In February 2025, I sought professional assistance for my mental health issues. **February**: I was prescribed a 10mg dose of Lexapro and 10mg of Hydroxyzine for Generalized Anxiety Disorder (GAD) by my primary care physician. I noticed significant relief from my continual anxious feelings, although panic attacks with physical symptoms persisted. **March**: My doctor added Buspar 10mg to my medication regimen to help with the panic attacks. I felt content with my treatment after two to three weeks. **April**: Around this time, I began experiencing extraordinarily vivid dreams that felt almost real. These dreams included elements—people, places, conversations—from my life, often distorted in some way. I could recall them for hours or even days, leading to confusion about what was real and what was dreamed. My PCP suggested discontinuing Buspar and referred me to a specialist. Even after stopping Buspar for two to three weeks, the vivid dreams persisted, and my panic attacks returned. **July**: I finally had an appointment with a psychiatrist, who recommended reducing my Lexapro dosage to 5mg while continuing Buspar at 10mg twice daily. Unfortunately, my dreams worsened, becoming more frequent and disorienting. The frequency of my panic attacks shot up to more than five a week, alongside constant anxiety. **August**: My psychiatrist initiated treatment with Prazosin at doses between 1mg to 5mg to help mitigate the dreaming issues. About one to two weeks later, I noticed an increased heart rate for the initial hours of the morning accompanied by heart palpitations. I also started weekly talk therapy sessions. **September/October**: Due to poor record-keeping, the timeline in these months is somewhat unclear. I transitioned from Lexapro to Prozac 10mg along with Buspar 10mg once daily. However, I found myself becoming increasingly irritable and aggressive while on Prozac, and my road rage intensified to a concerning level. I felt it was unsafe for me to drive and therefore scheduled an appointment with my psychiatrist two weeks earlier than planned to discuss changing my medication. The dreams continued unabated, and when I raised my worries with my psychiatrist, she responded unfavorably. Consequently, I returned to Lexapro at the 10mg dosage and began searching for a new psychiatrist. **November to February**: Throughout these months with a new psychiatrist, my progress felt stalled, leaving me fatigued and frustrated. I couldn't keep detailed records during this time. In this four-month span, I experimented with medications like Cymbalta (20mg and 30mg), Gabapentin (100mg), Topamax (25mg), and Klonopin (0.25mg as needed). Currently, my regimen includes Cymbalta 30mg daily, Buspar 10mg daily, and Klonopin on an as-needed basis. I am still plagued by distressing dreams, which I can describe as having full access to my memories, with 20% being dreams. Disturbingly, about 10% of my memories blur the line between reality and dreams. There are moments when I mistakenly act on information I believed to be real, only to realize it was fabricated by my mind. Many treatments prescribed to me target PTSD-related nightmares, which do not align with my experiences. I have struggled to find useful insights in forums or medical literature. I am desperately seeking support since discontinuing antidepressants entirely feels too risky; I'm worried my suicidal thoughts could return more intensely if I stop the medication completely. If there's anything specific you need to know, feel free to ask, and I’ll do my best to provide a quick response.

InsomniaAnxietyDepression
Male25-34
1 hour ago

Do I Need to Inform My Doctor About Using Over-the-Counter Medications?

For the past several years, I’ve been struggling with depression. It peaked two years ago when I was just 16. At that time, my mother offered me her prescription antidepressants since she no longer required them, and those made a significant difference for me. Unfortunately, I never found any effective support through the NHS for my mental health issues. Now that I’m 18, I’m eager to obtain my own prescription for antidepressants, especially since my current supply will soon run out. Recently, I had a phone consultation with my GP, during which I requested a prescription. However, she informed me that I would need to participate in therapy first, a suggestion that fills me with dread, considering that, alongside my depression and anxiety, I am autistic. I comprehend the concerns regarding the prescription of antidepressants, but I am convinced of their benefits for my situation. I’m uncertain if I should disclose to my GP that I have been using my mother’s medication. Will this influence her decision to prescribe me antidepressants? Could it lead to any consequences for either myself or my mother? I would greatly appreciate any guidance on this matter.

TherapyAnxietyDepression
Male25-34
2 hours ago

Seeking Support: Concerns About ALS

I’d like to share my experience for some guidance. Firstly, I have a tendency toward health anxiety, which I suspect may be more related to OCD, though I’ve never formally been diagnosed. At the start of this week, I noticed muscle spasms occurring in my right calf, followed by some in my knee and thigh, and today I even felt twitches in my upper right armpit area. Additionally, I've noticed a strange sensation when swallowing—specifically, a constrictive feeling on the right side of my throat. It feels like something is stuck, and I can sense a pulling sensation with each swallow, which is quite peculiar. Lately, I’ve also been experiencing a sense of heaviness in my right arm and leg. It doesn’t quite feel numb, but there is an undeniable weightiness that makes me feel like I'm limping. My job as a data entry clerk involves typing daily, and I’ve started to feel as though I'm unable to type as quickly or lift my arm for as long as I once did. The muscle twitching has spread to my full arm, with the exception of a singular twitch I felt this morning. Last night, I decided to go to the emergency room because the tugging sensation in my throat intensified into pain. I mentioned my muscle twitches there, and they conducted blood tests, including checking my electrolytes and magnesium levels. Thankfully, everything came back normal, and they suggested the throat sensation might be due to a lymph node issue. I have an appointment with my primary care physician on the 25th, where I am considering inquiring about medication for anxiety. However, the symptoms I am experiencing are driving me deep into a cycle of anxiety; I can't shake the fear that something is seriously wrong. Although I realize I’m young, that doesn’t guarantee immunity from serious conditions. I’m plagued with panic attacks and have difficulty eating, and I even contemplate ending some relationships because I’m gripped by thoughts of an impending fate.

OCDAnxietyDepression
Male25-34
3 hours ago

(ftm) Menstruation Returns After Years of Absence and Declining Testosterone Levels

I am a 20-year-old transgender male, standing at 5 feet 6 inches tall and weighing 180 pounds. I administer 0.5 ml of testosterone weekly and do not engage in recreational drugs, alcohol, or smoking. My menstrual cycle began when I was just 6 years old, but by the time I reached 12, it had nearly disappeared completely. After that, I experienced no periods or associated spotting for many years until recently. I can't recall many details, but I was informed that my unusually high testosterone levels as a child were likely the reason I began menstruating so early and subsequently stopped altogether. Over the past year, I have intentionally shed more than 100 pounds, having been around 300 pounds since the age of 10. I wonder if this weight loss could be influencing my situation? I started hormone therapy at 15, and for quite some time, my testosterone levels were within the normal range, but they have recently dropped significantly. My physician attempted to adjust my dosage; however, my levels have not returned to normal. For the last few months, I have been experiencing regular menstrual cycles. They have been relatively modest in flow, accompanied by mild cramps. Still, I am concerned because I haven't had a period in years, especially with my current low testosterone levels. Apologies if this message is not articulated well; I am quite sleepy right now.

InsomniaPsychiatryDepression
Male25-34
3 hours ago