Rectal temps and mental health

Has anyone ever discussed their rectal temperature fetish with a psychologist ? How did they react ?

NEVER discuss your fetishes or sexual activities with any medical doctor, shrink, psychologist, psychiatrist, PA or any medical person unless that information is needed to treat a specific physical problem or injury you have caused as a result of it.

NEVER TELL A PROFESSIONAL ANYTHING.

This will go on your permanent medical record.

NOTHING you discuss is ever "off" the record. It all gets written down and stays there forever. Your present doctors will have all that information, your future doctors will have that information, doctors your present and future doctors who consult with each other will have that information and your insurance company will have that information.

IF YOU DON'T BELIEVE IT, YOU ARE SADLY MISTAKEN.

Why would you even have this as a topic of discussion?

Keep your own counsel.

Switchablesusie, I agree with you on that. I also grew up learning that from my mom too. I also have learned a lot from the passed year as well. You have also taught me a lot too.

There are a few providers who will agree to make your chart vague enough or completely anonymous but that should be discussed with them before you reveal. I have kept confident gay/lesbian in the military, a few Dommes and one or two kinky fetishes. Ok, maybe more, but you get the point. Usually the patient says, "You're not going to write this in the chart, are you?" At that point the discussion about having to reveal child abuse, etc. is discussed but everything else is confidential and I don't have to put it all in the chart in detail, etc. I'd much rather know and treat the patient appropriately than not know. I'm not putting false information in the chart; I am simply being appropriately brief.

"The patient was being intimate and felt a sudden sharp pain. A small labial laceration was noted on the minora, left, which was injected with 2cc lidocaine and reapproximated with one 3-0 vicryl figure of eight. Hemostasis achieved and post op care discussed."

What is really meant is that the labial clamp that was holding her open while in bondage unexpectedly pulled off while she orgasmed and created a tear that didn't stop bleeding, so they came to see me. We sewed it up, talked about BDSM safety (and that sometimes shit happens), made sure it was RACK and different kinds of clamps or bondage where that might be less likely to happen again.

It's all in the details!

@enemasubgirl, you stated exactly what I said in my opening sentence.

NEVER discuss your fetishes or sexual activities with any medical doctor, shrink, psychologist, psychiatrist, PA or any medical person unless that information is needed to treat a specific physical problem or injury you have caused as a result of it.

PATIENTS should never volunteer more than necessary to treat an injury. DON'T discuss your activities with a shrink. Some practitioners can be vague in their notes about treatment rendered but don't count on it.

Docshelper010 To be more specific about the recent history of Electronic Medical Records, the origins were during the Bush II administration. He even talked about it in the State of the Union address, LONG before Obama. That's when federal funding began, too.

Why does that matter? Because the issues are well over a decade old and most practices are now on their second, third or even fourth EMR (Electronic Magic Record in my terminology). I work in health care (perhaps you, too) and that part of the industry is one of my consulting specialties.

The lack of consistency between products, the lack of the ability of doctors to "lock" confidential parts of a record, the poor security protections (hackers, etc.) and lots of other flaws is why the earlier posts are wise advice.

Enemasubgirl's explanation is a good example of an excellent way to handle those delicate needs.

An experience I had with an OB/Gyn practice in New England a few years ago was handled in another way. The lead physician (a woman) had a few women who were in complex relationships. One was being abused by her spouse and it is a very small town; another was active in BD/sm and some of her play led to medical issues. The practice's EMR was simply noted as: "See private notes held by Dr. XX," as she kept those paper records in her locked, private file drawer. Not a flawless approach, but an OK one. Some doctors even keep such records in private files at home.

If your kinks create the need for medical care that may require ongoing management, be very thoughtful about how the records are created, stored and accessed. As for me, I have my own copies of ALL of my medical records and although none involve any kink-related care, I would password those documents if that ever happens.

The reason that I posted this topic, is based on my personal experiences with therapists, who attempt to bring all of the "dirt" to the surface. I never discussed sensitive issues with them, because I not only didn't believe that it would be useful, but I also agree that it's private and confidential. I was curious to see if others had similar experiences. I also agree that many mental health and medical practioners cannot be trusted entirely. Having worked in the insurance field, I'm also aware that having anything in your records, can adversely affect you and your family's future. In this new age of technology, decent people's lives are ruined every day, because of some imbicile's indiscretions.

I don’t discuss my fetishes with my doctors, because for the most part there is no need. Do I discuss sexual orientation and having multiple partners? Yes. It’s part of getting routine tests for HIV and STDs. What they need to treat me correctly, I’ll tell them. It’s my health and secrecy isn’t always wise.