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Originally Posted by Supanova
The previous drug use could be the cause of your mood disorder. He could be just asking you what diagnosis you prefer so that he can write authority scripts and help with medical certificates/disability etc. I get where your doc is coming from, this is drug induced illness so it is hard to put a label on.
If you were in the US they would label you bipolar and kick you out the door with a boatload of drugs which can affect your mood greatly and cause more problems. So be thankful for that.
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The label is BPD but he does not want to give it for some reason, he even said there was no medicare code for it however there is 30183.
I gave him a DSP form and he sent it straight to the department rather than handing it back to me so he is hiding something.
I have private insurance. If I was in the US I would be in DBT.
I could get a second opinion but I honestly think it would be a waste of time. Some doctor in the US has gone and publically said all the labels are just made up constructs and seeing as though they keep changing the DSM and people with the same disorder have completely different symptoms I believe it.
Even looking through the medicare codes there is a lot of vague labels and many codes that are mere symptoms. The DSM gets changed so often and there are so many different schools of thought I am starting to just give up and just dealing with my problems myself. My pdoc wont even prescribe me temazapam because its addictive but is happy to hand me scripts for anti psychotics and mood stabalizers.
IMHO I think we are still in the dark ages with brain and mental health, until we can do genetic testing and have better meds.
Apart from a minority of cases such as classical cut and dry Axis 1 disorder cases I just see it as trading one group of symptoms for another just to have the person functioning well in society despite harm to the patient.
And dont think we are somehow better off in Australia than the US. I have been all through the system except for a neuropsychologist and I have never been offered "Social rythem therapy" or "DBT" or anything. As soon as doctors here find out I am on the Cluster B spectrum they back right off but still want frequent therapy such as every 2-3 weeks.
I know someone with classical BP1 and he was never prescribed fish oil, he does not even know about social rythem therapy or meditation.