Some Russian users are interested in the very delicate topic of how to deregister from a psychiatrist. This question turns out to be useful for those who have sought help from specialized doctors (at least once in their lives). Mental disorders that a person has can become a significant reason for refusal to issue a license (for example, to drive a vehicle or to carry a weapon), and also become an obstacle to a citizen’s employment in a certain job, etc. However, not all diseases and deviations lead to the appearance of similar problems, but confusion can still arise (due to lack of awareness of all medical nuances).
What is registration in a psychoneurological dispensary?
Today the term “accounting” itself is no longer used. It was replaced by the concepts of “dynamic observation in a dispensary” and/or “therapeutic and advisory assistance.”
Observation by specialists at a psychoneurological dispensary (hereinafter referred to as PND) now means the following activities:
- Medical and advisory assistance, which, as a rule, is prescribed when a person turns to health workers on his own. In this case, completing a course of consultations requires the personal consent of the patient. If a person under 15 years of age needs such assistance, then the signature of his parents/guardians on the document is required. In the event that a patient does not come to a medical institution for more than 1 year to receive appropriate consultations, his card is transferred to the archive. Thus, there are no further restrictions for such a patient, and he is not required to regularly visit a psychiatrist in the future.
- Dynamic observation in a dispensary, which is classified as an active type of assistance and in some cases can be of a violent nature. Such observation necessarily requires a medical examination of the patient by an appropriate specialist (at least once a year). In this case, there are certain difficulties with completely removing such a diagnosis, since improvement in the patient’s condition can be considered by the attending physician as remission. To completely remove the diagnosis, a conclusion from a special competent commission will be required, which will make the final decision.
PND: nuances of registration
The procedure for registering a patient with a psychoneurological dispensary can be started in the following cases:
- According to the patient’s personal statement (in the case when he independently decided to undergo treatment). Such a statement is written to the head physician of the PND. Moreover, if the patient is a minor, then his parents/guardians will draw up the paperwork for him.
- At the request of family members, relatives, neighbors or housing and communal services employees. This happens when the patient himself does not see the problems and does not agree to voluntary treatment, but his actions can cause harm to others.
A statement of this kind contains a request for a compulsory examination and, if necessary, further treatment. Based on the application, the dispensary collects a package of documents, which is then sent to the court for consideration. The presence at the court hearing of the person who filed the application is mandatory. If the court takes his side, the patient will be forcibly sent to a hospital for examination/treatment.
- There is another option, in which there is a direct threat to the life/health of other people (for example, a person has fallen into unconsciousness and in this state threatens to kill everyone). In this case, the family or neighbors should call an ambulance, clearly describing the current situation. The patient will be placed in a hospital, but they often propose to act in the manner described above, since in this case the staff of the medical institution want to insure against the option if the person turns out to be healthy and decides to go to court with a claim about the unlawfulness of the actions of doctors or family members.
When is rehabilitation illegal?
With the help of psychiatric clinics, illegal schemes for registering and then quickly removing a diagnosis are often implemented. Sometimes people who actually had mental disorders try to carry out the withdrawal process. Accelerated deregistration is carried out according to the following illegal schemes:
- issuing false statements and certificates from mental health centers;
- replacing personal data in the patient’s personal file;
- theft of medical records and other documents from the clinic;
- falsification of a medical report.
The legislation considers all these actions as criminal acts regulated by articles of the Criminal Code. For this you can lose your freedom, and for an impressive period.
After what time does the PND deregister?
If the patient has completed a course of treatment, has fully recovered and wants to return to a full life, he needs to be deregistered from the PND.
It goes like this:
- after 1 year, the patient may no longer take the medications that were prescribed to him, and also is not required to come to the dispensary for consultations. However, experts in the field of psychiatry still recommend coming for consultations over the next 5 years so that you can be sure of a complete cure;
- after 3 years – the patient is removed from the register (if during this period there were no exacerbations or recurrence of problems);
- after 5 years, all patient data will be sent to the archive. This indicates that the diagnosis has been completely removed, but information about past problems will remain in the database forever. Such information can be requested at any time by individual structures (for example, the court, the police, etc.).
Please note that depending on the specific situation, the above deadlines may be revised (this depends on the success of the treatment). After all, no one will “release” a patient who is incapable of independent life or who is generally socially dangerous.
If, at the request of the parents/guardians, the child was registered, then upon reaching the age of 15, he has the right to demand that his medical record be transferred to the archive. Health workers can satisfy such requirements only if the person is not registered.
Basics of psychiatric accounting
Deregistration from the official register in a standard psychiatric dispensary is permitted only after a special examination has been carried out!
Its concept, conduct and essence are defined and regulated by the law “On Psychiatric Assistance to Citizens”. It was established in 1992 at the official government level. It is this situation that divides mentally ill people into two main categories:
- Having slight deviations.
- Patients with complex and incurable diseases.
Every person, regardless of the category of his deviation, must register with a special psychiatric clinic!
Such accounting allows you to achieve the following goals:
- Monitoring the course and development of the disease in sick people;
- Determining the level of danger a person poses to others;
- Conclusion on registration or deregistration of a person.
In other words, registration in a psychiatric dispensary is a special measure that is aimed at ensuring the safety of both the patient himself and the surrounding society.
In essence, such accounting is “observation” with a doctor, taking medications prescribed by him and periodically undergoing a course of treatment in special clinics. This form of accounting applies to people such as:
- Potentially dangerous to people or to yourself;
- Dangerous to society;
- Incapacitated – people who, due to deviations, are not able to take care of themselves;
- Having diseases that are characterized as recurrent, progressive and lasting for a long time.
If a person has a dangerous form of deviation, he is not only registered, but is forcibly placed in special institutions. Seriously ill people receive their diagnoses for life. It is almost impossible to deregister them. If the diseases are classified as uncomplicated, the person is deregistered without any problems.
How to remove the diagnosis in the PND in order to obtain a license?
According to the current legislation of the Russian Federation, a candidate for a driver’s license (hereinafter referred to as a driver’s license) or a driver who wants to exchange a license must undergo a medical examination. A visit to a psychiatrist in a public health facility is mandatory. At the same time, a medical institution located at the place of registration has the right to issue a certificate stating that a person is not registered at a psychoneurological dispensary.
In order to properly withdraw from observation at the PND and obtain the necessary certificate of health in order to obtain a driver’s license, you will need to undergo the treatment prescribed by the psychiatrist, as well as fully comply with his recommendations. In this case, the specialist conducts a conversation, during which he will determine whether it is possible to remove the diagnosis in a particular case.
It should be noted that the reason for refusal may be the most insignificant detail (for example, the wrong tone of conversation with the doctor, hostility or aggressiveness, etc.). If complete recovery is confirmed by a specialist, the patient’s file is transferred to the archives. And if this does not happen, then additional treatment awaits him.
If a person does not agree with the decision of the attending physician and the refusal, he has the right to contact the head physician/head of the medical institution with a demand to satisfy his interests. If this does not happen, it makes sense to go to court.
Yellow card in psychiatry
The term “psychiatry” refers to the medical branch that deals with mental disorders: their diagnosis, treatment and prevention.
We can talk about diseases that are dangerous for the patient and the environment (for example, schizophrenia), and about non-dangerous disorders (for example, a weak form of neurosis).
It is logical to assume that non-dangerous variants of the disease or its single manifestation should not become an obstacle to further life.
If the disease is dangerous to others, requires constant medical supervision, or the patient cannot lead a full life, he is issued a yellow card or certificate. This is a document that certifies that a person has serious mental illness and his inability to take responsibility for himself and his actions.
After receiving it, a number of restrictions are imposed: patients cannot obtain a license to drive or carry weapons, they are not drafted into the army, they experience a number of difficulties if they want to cross the border (they are often even refused) and cannot apply for a number of positions in public and private organizations.
It is important to know: when applying for a job (especially an important one related to the safety of many people), employers may require a certificate from a psychoneurological dispensary - it is impossible to hide the presence of a yellow card and diagnosis.
Of course, it happens that after successful treatment and with many years of absence of relapses, the patient is completely cured and can make his life much easier, but these are isolated cases. And even in such situations, a number of difficulties still remain.
We are sure that you will find useful information on how to find out what property is registered to a person.
Correct diagnosis from a psychiatrist
The question of how to get a diagnosis removed from a psychiatrist and get a driver’s license is of interest to those people who have ever had problems in this area and turned to the appropriate specialists.
It is advisable to resolve this issue with the involvement of a lawyer, since an experienced specialist will approach the problem comprehensively and will be able to:
- substantively study the medical report that was the basis for the diagnosis;
- collect documents and certificates that will prove that the patient was diagnosed incorrectly or that after treatment he is completely healthy;
- draw up an application correctly;
- represent the interests of the client in court (if this turns out to be necessary).
Involving a lawyer experienced in this area will make it possible to significantly speed up the procedure for removing the diagnosis and, as a result, obtain the necessary certificates for successfully passing a medical examination and legally obtaining a driver’s license.
Last update: 04-09-2020
general information
In Russia, the Institute of Psychiatry is quite seriously developed. The reason is that there is an understanding of the dangers of mental disorders and their prevalence. It is quite easy to identify a particular disease in the field of psychiatry.
For experienced specialists there is nothing complicated here. Professionals note several reasons for the development of such deviations:
- Hormonal changes in the body, which is typical for teenagers.
- Grief suffered.
- Genetic and hereditary predisposition.
Regardless of the reason, mental illness is not a death sentence! Effective modern approaches and treatment methods can eliminate many diseases of this type!
Every person who has mental problems is required to be officially registered with a psychiatrist at a mental health clinic. This is not just a method of qualitative organization of treatment, but a measure that is taken to effectively control unhealthy people in order to protect them from society and monitor them.
