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Aug 03, 2011, 06:39 PM
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Member Since: Mar 2009
Location: So Cal
Posts: 3,342
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Gr3tta....
This is not to speak poorly of practitioners who work in inpatient units, but not a lot of Psychiatrists or Psychologists who do inpatient work recognize DID very often or even understand it well, unless they specialize in Trauma and Dissociative Disorders. Often times, DID is completely overlooked and invalidated in a standard inpatient setting and people are mis-diagnosed and placed on anti-psychotics because psychosis is something they can throw drugs at and treat, stabilize, then discharge. This is my own personal, and professional opinion. I've worked in inpatient settings before. I've also been a patient in an inpatient setting, before my DID diagnosis, and I went in with the diagnosis of Major Depression and PTSD. I didn't now what was happening to me. All I knew was that something was wrong. So...I walked into the in-patient Psychiatrists office and asked him if I should try Depakote and Risperdal and he said "Sure, i think that would be fine." There was NO REASON to place me on these drugs, he just threw them at me because they had to appear to be treating me for something.
Now, three years later, I've been diagnosed with DID and been told by three Ts that that was an inappropriate hospitalization and inappropriate use of medication.
I tell you this not to steer you away from the meds or from what this Doc said, but to encourage you to trust what you know. If you were diagnosed with DID by a T who specializes in Trauma/Dissociation and the appropriate testing/interviews were done to make that diagnosis, I would trust that.
It's always easiest to throw the psychosis label and anti-psychotic meds at people when you're an inpatient Doc. You don't have to do much else and you don't have to challenge your own thinking....and the real clincher....you don't have to fight the insurance companies or medicare for payments because psychosis and meds are covered under ICD9 codes and DRGs where DID is generally not because there's really nothing they can do for DID in hospital, unless they're specifically specialized, except promote your safety and look out for your well being which, as far as Insurance and Medicare are concerned, are not reasons enough for you to be kept in hospital.
This, again, is my personal and professional understanding of inpatient facilities.
Please trust what you know, and feel free to verify your diagnosis with your T who treated/diagnosed you to begin with. 
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