Eliza Jane,
It fits totally and I pay the therapist intern out of pocket and do not have insurance so that part is moot.
It is not in DSM, but it is in the Millon personality assessment. Millon Personality assessment showed self-defeating traits, not a full-blown disorder though, but did show traits. The psychologist who did the neuropsyhological assessment based her recommendation, in part, on the Millon results, and it is her ultimate recommendation that is going to the court system. So indirectly, the diagnosis is still meaningful, even though it is not in DSM.
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