I dont know where I should post this but I post it according to my latest diagnosis.
The past couple of years I have had quite some diagnoses, besides recurrent depression and anhedonia it was Avoidant Personality Disorder, Narcissistic Personality Disorder, Personality Disorder Not Otherwise Specified, mood disorder not otherwise specified and my latest DX is bipolar disorder. I have had a couple of cognitive behavior therapies, schema therapy, ACT, and I dont know what else. Nothing helped. My latest psychotherapist says that I have some avoidant traits and Im vulnerable and a sensitive man but they don't see enough traits to DX me with a personality disorder and narcissism they don't see at all. She says that a lot of my problems are because of my mood disorder and they want to treat that first. Then it is to be seen what remains of my personality traits and eventually treat them. But first my mood has to be stable. And I've heard this from 3 psychiatrists before.
I agree....
So how can they diagnose a personality disorder when one is depressed, agitated depression, mixed state or even manic (i was not manic when they dxed me with those personality disorders but I might have been in a mixed state when they diagnosed me with narcissism or at least an agitated depression).
Shouldn't there be some protocol that FIRST the mood disorder, wether its mania or depression, should be treated and stabilized, and not first DX one with a personality disorder while he/she is completely not him/herself?