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den88er
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Default Jun 07, 2018 at 06:01 PM
  #1
I saw a new doctor today and noticed she changed my diagnosis from paranoid schizophrenia to Delusional Disorder. I looked form a forum for the new diagnosis but did not find one so I thought maybe delusional disorder is a type of schizophrenia. Can anyone clarify that? Also I receive Social Security disability for paranoid schizophrenia and I am wondering if delusional disorder is a completely different illness is it an illness where I would continue to receive Social Security disability or if the Social Security disability will eventually discontinued because of the change in diagnosis.
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Default Jun 07, 2018 at 06:56 PM
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I think that you need to talk to your new pdoc about why she has changed your diagnosis.

Delusional disorder isn't a type of schizophrenia, but it is grouped under the psychosis umbrella. It's generally considered to be less severe in causing functional impairment than schizophrenia, and so that could theoretically cause you problems being on disability.

However, you are the same you that you were when they were calling it sz, and had the same difficulties, so maybe they will go off how it impacts you and not what it's called, idk?? But I strongly suggest getting clarification from your pdoc about why things have changed.

Here's an article from PC about the diagnostic criteria for Delusional Disorder, which includes a little about how it differs from sz:

https://psychcentral.com/disorders/d...rder-symptoms/

HTH, and wishing you the best

ETA: I've just noticed that you are the same poster that I replied to recently about possible social anxiety, and so you were diagnosed with sz in the 1980s. It could be that the criteria for sz have changed from then to now and so you no longer meet the 'new' criteria for sz? Or it could be a difference of opinion? That's all diagnosis is anyway. The other possibility, assuming that you take medication, is that your medication is 'working' to 'treat/hide' the aspects of sz that you had before, and that only the delusions are apparent now - hence the change in diagnosis? Idk though, so best to talk to the pdoc about it all.

*Willow*

Last edited by Anonymous59893; Jun 07, 2018 at 07:09 PM..
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Thanks for this!
TheLoony
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Default Jun 08, 2018 at 04:22 PM
  #3
Quote:
Originally Posted by WeepingWillow23 View Post
I think that you need to talk to your new pdoc about why she has changed your diagnosis.

Delusional disorder isn't a type of schizophrenia, but it is grouped under the psychosis umbrella. It's generally considered to be less severe in causing functional impairment than schizophrenia, and so that could theoretically cause you problems being on disability.

However, you are the same you that you were when they were calling it sz, and had the same difficulties, so maybe they will go off how it impacts you and not what it's called, idk?? But I strongly suggest getting clarification from your pdoc about why things have changed.

Here's an article from PC about the diagnostic criteria for Delusional Disorder, which includes a little about how it differs from sz:

https://psychcentral.com/disorders/d...rder-symptoms/

HTH, and wishing you the best

ETA: I've just noticed that you are the same poster that I replied to recently about possible social anxiety, and so you were diagnosed with sz in the 1980s. It could be that the criteria for sz have changed from then to now and so you no longer meet the 'new' criteria for sz? Or it could be a difference of opinion? That's all diagnosis is anyway. The other possibility, assuming that you take medication, is that your medication is 'working' to 'treat/hide' the aspects of sz that you had before, and that only the delusions are apparent now - hence the change in diagnosis? Idk though, so best to talk to the pdoc about it all.

*Willow*
Thanks so much Willow. You are definitely an asset to Psych Central. You're very knowledgeable. I called the clinic that I left last month and they said they never closed my case so I jumped on it immediately and made an appointment over there and ask the other Clinic to close my case even though they just opened it. So in South Kissimmee I suffer from schizophrenia and in North Kissimmee I suffer from delusional disorder. I don't know the ultimate truth but then again maybe none of us really know exactly what we suffer from. So many doctors say so many things. I forgot the name of that book that they use with all the diagnosis is in it but I'd like to go into the future 20 years and find one and compare it to one today to see what diagnosises they may drop or change.
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Default Jun 08, 2018 at 08:50 PM
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Thank you; just glad that I could help. Btw, it’s called the DSM and they’re on version 5 at the moment. And I agree that so much will be different in the future. We will look back on a lot of this and think how barbaric it was, just like we do know looking back.

But I can relate to what you wrote about doctors saying so many different things and not knowing the ‘real’ ‘truth’. In my parents’ city, they are insistent that I am making up everything for attention. Yet, in my city, they say it’s sz. I don’t really agree with either, but I suppose that at least I can understand their rational for saying it’s sz. Wondering if I was making up everything really sent me into a mind **** for a couple of years, and it still bothers me, but I can see a whole list of reasons of why I’ve never done that, and no reasons of why it would be true, so I try to remind myself that what they said about me isn’t true.

Whatever doctors call things though, it’s about working out what works for you. The labels only have the meaning that you choose to give them, so pick whatever one ‘works’ for you, or throw away them all and find your own path. Whatever works for you.

All the best

*Willow*
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Default Jun 09, 2018 at 08:03 PM
  #5
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Originally Posted by WeepingWillow23 View Post
Thank you; just glad that I could help. Btw, it’s called the DSM and they’re on version 5 at the moment. And I agree that so much will be different in the future. We will look back on a lot of this and think how barbaric it was, just like we do know looking back.

But I can relate to what you wrote about doctors saying so many different things and not knowing the ‘real’ ‘truth’. In my parents’ city, they are insistent that I am making up everything for attention. Yet, in my city, they say it’s sz. I don’t really agree with either, but I suppose that at least I can understand their rational for saying it’s sz. Wondering if I was making up everything really sent me into a mind **** for a couple of years, and it still bothers me, but I can see a whole list of reasons of why I’ve never done that, and no reasons of why it would be true, so I try to remind myself that what they said about me isn’t true.

Whatever doctors call things though, it’s about working out what works for you. The labels only have the meaning that you choose to give them, so pick whatever one ‘works’ for you, or throw away them all and find your own path. Whatever works for you.

All the best

*Willow*
Things sure will change in the future just like that it has in the past. Back in 1982 I was in the hospital back home in Massachusetts called the Northampton State Hospital. When I was in that hospital at that point it might have been somewhere around 175 years old. In the beginning and had different names like Northampton lunatic asylum and Northampton insane asylum. Nowadays that would seem offencive at least to me it would. The used to be a big whistle on top of some part of the hospital and back in the early days if someone escaped they would sound the whistle which can be heard in the town down below and all the people would run into the houses and lock the doors. Back then it was like they thought the mentally ill were like Monsters.

I was never accused of Faking as a matter of fact my blood family used to make fun of me because of my illness. They were really cruel. But when I used to have Facebook and I was in Facebook mental-health type of groups many many people used to say that their family and friends would say they were faking so I guess that's quite common for people to think that of us. People are going to think what they're going to think.

Twilight I'm going to put on my shortwave radio and now and see if I could find any interesting talk shows. I'll be heading off to Dreamland shortly. You have a good night Willow.
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Default Oct 12, 2019 at 12:18 AM
  #6
I think the difference is in seeing and hearing things that arent real.
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Default Oct 17, 2019 at 11:10 AM
  #7
Is CBT-p (CBT for Psychosis) effective for Delusional Disorder?
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