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Old Jun 14, 2006, 11:33 PM
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Hey. I think it might be helpful to think a bit about what the point of dx is... Basically... It is about facilitating treatment. If there is a medication that tends to help people with a certain disorder then if you are dx'd with that disorder your clinician's might think to give you that medication, whereas otherwise they wouldn't. Trouble is that most disorders aren't like that... Medication tends to help certain SYMPTOMS rather than certain DX'S - though sometimes being dx'd with a certain dx can mean you qualify for medication you couldn't otherwise obtain.

But that isn't so for personality disorders. Therapy seems to be the treatment of choice, medications only assists with symptoms you don't see the reduction in symptoms that you find with other kinds of disorders.

What else is dx good for?

Some people find it helps make sense of their life. I'm a little different from most because I see dx's as descriptions of symptoms. That is all dx's ARE. Short hand abbreviations for symptoms. Sometimes there are theories of why those symptoms tend to co-occur but mostly that is the level of theory precisely because people don't really know.

What would dx of a personality disorder buy you?

I tend to find dx unhelpful because then people see me through the lens of a theory and instead of ASSESSING whether I have certain symptoms or not they are primed to look for them, they are primed to ASSUME that I have them. And I find... That harms more than it helps.

What would dx of a personality disorder buy you?

Regarding the other things you have said...

Sounds like you have an insecure attachment to your parents (join the club lol). Sounds like you got upset when they left you as a kid... But you say that now you don't feel so close to them...

I'm wondering whether you avoid people because you are afraid they will leave you and hence you don't really let yourself get attached...

Or whether you simply prefer to spend a lot of time by yourself.

I like to spend a fair bit of time by myself... But I think I spend more time alone than I would otherwise 'cause I'm a little afraid of people... People tend to hurt me... So I draw back and try not to get too close as a way of protecting myself against future harms.

People differ in the amount of social contact they need to be happy...

Some people do choose to be celibate. Are you on psych meds? Sometimes they can lower urges for sexual activity considerably (sometimes that seems to go out the window altogether).

I would say... That it would be a good idea to talk to your clinician's about what is going on for you.

Re dx... I don't know what a personality disorder dx would buy you... Except for a whole heap more harm.

Dx doesn't matter... So long as you can be honest about what is going on for you...

I can identify somewhat with most DSM dx's (as can most people and as do psych students who tend to see themselves via almost every dx while they are studying them). You can see yourself through the lens of a dx... But what does it buy you?

I know I had enough problems (more than enough) without people assuming I had all these other ones too solely in virtue of my dx... And I know I had enough problems (more than enough) without getting worried about all these other symptoms and dx's that I may or may not have...