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Old 11-05-2019, 06:19 PM   #11
mote.of.soul
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Default Re: Too quick to diagnose?

Yes. So much so that after a few years, you end up with 5 different diagnosis.
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Old 11-05-2019, 06:45 PM   #12
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Default Re: Too quick to diagnose?

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Yes. So much so that after a few years, you end up with 5 different diagnosis.
grrrrrrrrr

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Old 11-05-2019, 06:55 PM   #13
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Default Re: Too quick to diagnose?

Sarcastically, I sometimes feel like telling them that I have everything in the DSM. Just treat me with respect and we will be fine. Show me a list of treatments, and I will pick one. Same difference, sometimes. Hee hee.
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Old 11-05-2019, 07:01 PM   #14
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Sarcastically, I sometimes feel like telling them that I have everything in the DSM. Just treat me with respect and we will be fine. Show me a list of treatments, and I will pick one. Same difference, sometimes. Hee hee.
Respect is what we need and deserve

Picking our own treatment from a list sounds like a good idea

some claim to be so sure they ''understand'' us when their ''understanding'' is completely wrong.
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Old 11-07-2019, 05:46 PM   #15
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Default Re: Too quick to diagnose?

I've seen a lot of strange diagnoses which made me realise how little knowlegde some mental health professionals have about certain problems.

I've seen people...
With PTSD having a borderline diagnose.
Who dealt with aggressive/rejecting behavior with a diagnose depression.
Who dealt with manipulative, abusive behavior having a diagnose autism, depression, anxiety disorder and being recommended to eat more of specific kinds of food.
Who had a narcissistic partner being diagnosed as narcissistic (possibly because of the projections that were seen as well thought feedback).

I think arrogance can sometimes also contribute to people making wrong diagnoses, possibly thinking because of their knowlegde, that they don't need much feedback from the person they are helping.
People who gave me suitable support were often people who listened well, thought about what I was saying and asked questions before creating conclusions, the conclusions were then used for further understanding in a way that what I thought about things contributed to a better understanding both for me and the person that was supporting me.

Last edited by Blueskyx; 11-07-2019 at 05:59 PM..
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Old 11-07-2019, 05:57 PM   #16
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Default Re: Too quick to diagnose?

Good post, thanks for sharing this.

Arrogance can be an.. issue.. I agree

Misdiagnosis of ''borderline'' is very common.

''possibly because of the projections that were seen as well thought out feedback''.

Quote:
Originally Posted by Blueskyx View Post
I've seen a lot of strange diagnoses which made me realise how little knowlegde some mental health professionals have about certain problems.

I've seen people...
With PTSD having a borderline diagnose.
Who dealt with aggressive/rejecting behavior with a diagnose depression.
Who dealth with manipulative, abusive behavior having a diagnose autism, depression, anxiety disorder and being recommended to eat more of specific kinds of food.
Who had a narcissistic partner being diagnosed as narcissistic (possibly because of the projections that were seen as well thought feedback).

I think arrogance can sometimes also contribute to people making wrong diagnoses, possibly thinking because of their knowlegde, that they don't need much feedback from the person they are helping.
People who gave me suitable support were often people who listened well, thought about what I was saying and asked questions before creating conclusions, the conclusions were then used for further understanding in a way that what I thought about things contributed to a better understanding both for me and the person that was supporting me.
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Old 11-08-2019, 10:51 AM   #17
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Default Re: Too quick to diagnose?

A totally, completely awesome thread. Thanks, Fuzzy!!

I say this because I believe it is a huge problem in the mental health world. For example, just in the last few years, a number of studies have come out suggesting that bipolar disorder may be overdiagnosed. In the best of these studies (Zimmerman), it was found that around 50% of bipolar 1 diagnoses made in the study were incorrect, based on the DSM 5 criteria. Long story. But I don't doubt it.

My initial diagnosis was major depressive disorder. But nobody ever asked me about manic or mixed or psychotic symptoms--never. Or drugs and alcohol. Had they done that initially, I could have possibly prevented the catastrophe that led finally to my bp1 diagnosis. Maybe not, but it's a possibility.

The human toll of misdiagnosis is almost incalculable. Wrong dx means wrong treatment and probably wrong meds. Wrong everything. What a nightmare.

Psychiatry is the only specialty in medicine that does not rely at least in part on laboratory tests (blood, CSF, stool, lymph, marrow) and/or imaging studies to arrive at its diagnoses. Research is being done, but until we can look at an fMRI and say--aha--schizoaffective disorder!--well then, I believe we are going to be behind the 8ball.

All of which explains why it is so very critical to get the absolute best team you can find and afford to care for you. Smart, talented, well-trained people are probably more accurate than average people. Are more aware of the current literature and potential pitfalls. And they may be, therefore, more likely to keep us out of trouble. So, get some good ones.

In the mean time, we need to do what we are doing. Advocate for ourselves and support each other. At this point, in some ways, that's the best thing we have going for us.
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Old 11-08-2019, 03:33 PM   #18
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Default Re: Too quick to diagnose?

I might say that my current pdoc diagnosed me too quickly. I believe she dx'ed me as having bipolar disorder at the start of our second appointment. Awfully fast. The only reason I wasn't too surprised is because I'd been dx'ed with BD for so many years prior.

Many, many years ago a male psychologist diagnosed me as having BPD. I was very upset, especially because the symptoms didn't fit for me. The so-called "BPD" turned out to be CPTSD and of course, bipolar disorder.
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Old 11-10-2019, 10:09 PM   #19
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Default Re: Too quick to diagnose?

Two personal instances and one I've read about:

(1) In college, I went to a psychiatrist at the student health center. (My parents were all ca-ca-pants about him because he'd treated the football team's quarterback for performance anxiety! ) It took him sixty seconds to run down a laundry list of symptoms. The ONLY thing that stopped him from diagnosing bipolar ("manic-depression" back then) was that I had no sleep problems.

(2) A musician friend of mine was "diagnosed" as bipolar in even less time -- his psychiatrist just arrogantly assumed that all artists were.

(3) I understand some HMO's expect their shrinks to diagnose via "decision trees." These look like computer flowcharts, with only yes-or-no questions re symptoms. The doc is to arrive at a diagnosis in no more than fifteen minutes, and he/she is penalized for taking longer!
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Old 11-17-2019, 02:09 PM   #20
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Default Re: Too quick to diagnose?

yes well.... yes..
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