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Question Jun 14, 2019 at 10:37 AM
  #1
T and I have been working together about 6 months and he is pretty damn awesome. Before our first session I hesitantly sent him a copy of the psych evaluation that Dx’d me as having aspbergers (which would now be high functioning autism or autism NOS). I was scared that T would not work with me because of the autism as he does not list and similar disorders in his professional bio. He did mention the autism Dx the first session, mostly to gauge how I felt about the assessment and the Dx. He said that I appeared very high functioning and then moved on and nothing more has been said about it.
Assessment T was awesome, it was a very positive experience for me. I felt seen and understood and she was able to provide me with a lot of feedback that made my life a lot better once I returned home. She is very well respected and has a lot of experience with differential Dx with autism and other things. We spent a lot of time discussing and clarifying my childhood to make sure the symptoms were not an expression of the abuse/neglect.
T has not said anything outright and I will bring it up with him when it is appropriate. I think he is either doubting the autism Dx or is hopeful that his style of work may be able to “treat” the autsim successfully even though Assessment T stated clearly that his style of therapy would not be productive. I know he would be very reluctant to come out and challenge Assessment T as it would be unprofessional and he knows I think highly of her. As helpful and accurate as I have thought the autism Dx to be I am starting to wonder if T might be onto something. I am extremely well versed in autism (I have spoken on it and trained people on it on both a local and national level).
I will be honest, I am not sure what I am looking for with the post except to bat the idea around a bit before bringing it up with T.

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Default Jun 14, 2019 at 10:41 AM
  #2
Yeah im kinda with r d laing on this. I think a person can have crazy-making parents.
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Default Jun 14, 2019 at 11:33 AM
  #3
I don’t understand why you think he doubts the autism diagnosis? Has he suggested a different diagnosis?

It seems to me that he has been helpful to you, so I don’t think there is necessarily any conflict here. He may not be able to help with issues related to autism but you may need to work on areas where he can be useful.
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Default Jun 14, 2019 at 11:44 AM
  #4
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Originally Posted by Omers View Post
T and I have been working together about 6 months and he is pretty damn awesome. Before our first session I hesitantly sent him a copy of the psych evaluation that Dx’d me as having aspbergers (which would now be high functioning autism or autism NOS). I was scared that T would not work with me because of the autism as he does not list and similar disorders in his professional bio. He did mention the autism Dx the first session, mostly to gauge how I felt about the assessment and the Dx. He said that I appeared very high functioning and then moved on and nothing more has been said about it.
Assessment T was awesome, it was a very positive experience for me. I felt seen and understood and she was able to provide me with a lot of feedback that made my life a lot better once I returned home. She is very well respected and has a lot of experience with differential Dx with autism and other things. We spent a lot of time discussing and clarifying my childhood to make sure the symptoms were not an expression of the abuse/neglect.
T has not said anything outright and I will bring it up with him when it is appropriate. I think he is either doubting the autism Dx or is hopeful that his style of work may be able to “treat” the autsim successfully even though Assessment T stated clearly that his style of therapy would not be productive. I know he would be very reluctant to come out and challenge Assessment T as it would be unprofessional and he knows I think highly of her. As helpful and accurate as I have thought the autism Dx to be I am starting to wonder if T might be onto something. I am extremely well versed in autism (I have spoken on it and trained people on it on both a local and national level).
I will be honest, I am not sure what I am looking for with the post except to bat the idea around a bit before bringing it up with T.
I cant say whether your treatment provider is doubting your past diagnosis or not only you and your treatment provider can say that...

that said I can see in your post, a couple reasons why .......if this was my own treatment provider a diagnosis would be questioned....

1. the NOS is no longer added to any mental disorders. this type of labeling was discontinued in may 2013 around the world. which means if I still in 2019 had a diagnosis with the NOS at the end legally and ethically my treatment provider would have to question my diagnosis and remove the "Nos" from my diagnosis because the "2 year grace period" for changing over to the new diagnosis labels has past.

2. your post says you have been in treatment. with me being in treatment means things change for the better. some problems are taken care of, my functioning abilities improve, I have more positive coping skills then when I first entered therapy with the present treatment provider. all of which can lead to down grading my mental disorders to a less severe of the disorder, or change the diagnosis completely.

my suggestion is yes its worth bringing up to your treatment provider, at the very least you will be able to ask them if they are questioning your diagnosis and why, and if needed get re assessed for diagnosis's based on present (today) standards and diagnostics. who knows maybe this will be a good thing for you. it may open the door for many other treatments that were not available to you because of the out dated "nos" labeling.
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Default Jun 14, 2019 at 11:45 AM
  #5
Are you so sure that questioning your diagnosis means a questioning the professionalism of the diagnosing doctor? One does not imply the other. My own T has begun to question my diagnoses. This seems only natural though. After all, she spends an hour with me every week while I only see my psychiatrist every three months. For her to consider other possibilities seems only to be expected. What she is talking about now represents no distaste or fear for me. I don't foresee any negative implications. But, could your own discomfort with new possibilities be on account you are uncomfortable with the implied diagnoses? Is there some sort of negative consequence you are apprehensive of to a change in diagnosis? Honestly, I don't feel it will be at all earth shattering. I think you owe it to yourself to discuss this further with your therapist. I believe you actually have gains to be made out of a frank conversation. This gives you the opportunity to get involved and give the points raised some critical thinking - always something positive.
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Default Jun 14, 2019 at 11:49 AM
  #6
I came to my T with a DX of OCD from a psychiatrist. After a year, my T told me I don't have OCD, and changed my code to PTSD- Complex. I think diagnostics really are some science but a good deal of art, especially when whole spectrums exist. If the both respect you as an individual, which it seems like both truly do, then it might not matter too much if they disagree?

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Default Jun 14, 2019 at 12:39 PM
  #7
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Originally Posted by unaluna View Post
Yeah im kinda with r d laing on this. I think a person can have crazy-making parents.
Well, I definitely qualify on that one!!!

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Default Jun 14, 2019 at 12:44 PM
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Originally Posted by Salmon77 View Post
I don’t understand why you think he doubts the autism diagnosis? Has he suggested a different diagnosis?

It seems to me that he has been helpful to you, so I don’t think there is necessarily any conflict here. He may not be able to help with issues related to autism but you may need to work on areas where he can be useful.
He has just said some vague things about the neglect and a couple weird things that suggest the possibility of healing in a way that one would not be able to do with true autism. He has not said or done anything definitively saying it isn’t autism but he is very transparent. He is totally awesome and there is no conflict it just has me wondering. And, yes, he is helping with a lot of other things too.

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Default Jun 14, 2019 at 12:47 PM
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Originally Posted by WishfulThinker66 View Post
Are you so sure that questioning your diagnosis means a questioning the professionalism of the diagnosing doctor? One does not imply the other. My own T has begun to question my diagnoses. This seems only natural though. After all, she spends an hour with me every week while I only see my psychiatrist every three months. For her to consider other possibilities seems only to be expected. What she is talking about now represents no distaste or fear for me. I don't foresee any negative implications. But, could your own discomfort with new possibilities be on account you are uncomfortable with the implied diagnoses? Is there some sort of negative consequence you are apprehensive of to a change in diagnosis? Honestly, I don't feel it will be at all earth shattering. I think you owe it to yourself to discuss this further with your therapist. I believe you actually have gains to be made out of a frank conversation. This gives you the opportunity to get involved and give the points raised some critical thinking - always something positive.
No, but I think, especially given how fondly I talk of the diagnosing doctor, that he may be concerned that I would take it as a criticism of her or that doubting her might be a rapport breaker between he and I... so that means I need to be the one able to bring it up... which I just totally suck at even though it is not emotionally laden or anything for me, I just tend to be submissive to him.

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Default Jun 14, 2019 at 12:50 PM
  #10
My T disagreed with my pdocs diagnosis. Pdoc diagnosed me with bipolar d/o. T dx'd me with Major Depression and PTSD. T understood why pdoc would suspect bipolar but disagreed. Eventually I brought it up to pdoc and she agreed with T. Unfortunately, with MH it is hard to dx and there is no exact science. Often some symptoms mimic traits of other of other dx.

My thoughts areif you like and are working well with T that is what is important

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Default Jun 14, 2019 at 12:52 PM
  #11
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Originally Posted by SalingerEsme View Post
I came to my T with a DX of OCD from a psychiatrist. After a year, my T told me I don't have OCD, and changed my code to PTSD- Complex. I think diagnostics really are some science but a good deal of art, especially when whole spectrums exist. If the both respect you as an individual, which it seems like both truly do, then it might not matter too much if they disagree?
Yes, they both respect me a lot and I would dare say care a great deal for me (the diagnosing T has stayed in limited contact since the Dx several years ago).

The biggest difference it makes is that there are ways you can learn to manage a developmental disability better but there is no “cure”. If what I think T’s hunch is correct then I would actually be able to find healing, which for me, at this point in my life, would be very exciting. I spend SO much time and energy managing mental health symptoms that if therapy could “fix” the underlying cause I would have a lot more freedom and energy for other things... but I don’t want to get my hopes up yet.

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