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zbmom · Jun 27, 2018, 12:12 AM

Quote:

Originally Posted by amandalouise

I am very very shocked and red flags raising big time. heres why...

the DSM IV is the diagnostic book from 1994. your treatment provider is diagnosing you by the standards of over 20 years ago. 23 years ago to be exact. wow thats scary. Im imagining myself going to my medical doctor with an allergy rash and getting diagnosed with scarlet fever, or going in to my medical doctor with chicken pox and being told just an allergy...

wow, just wow.

Im also shocked that your treatment provider would risk something like insurance fraud or malpractice....

heres why.... here in america treatment providers were given a grace period of two years to stop using the DSM IV TR and use the DSM 5. the TR came after what your own treatment provider is using. the DSM IV that your treatment provider is using was not supposed to be used after 1996 (2 years after the newer version TR came out)

Im also shocked because here in america the government (presidents and such) made nation wide changes to the health care system which makes it illegal for treatment providers to be using out dated diagnostics and that all americans are supposed to have health insurance.

Im shocked that your treatment provider would be committing health care fraud and insurance fraud by using the DSM IV to diagnose and treat you. the moment they bill the insurance company the insurance comp-any is going to deny payment because the disorder that they are labeling you is no longer used and neither is the coding for it. (assuming here you dont have 100-200 to pay for each therapy session not to mention the diagnostic testing that is required to diagnose mental disorders today)

Im also shocked because recently I did a research project where I contacted all the states ethics boards to find out what diagnostic manuals and mental disorders are in use in each state. the answer for your location in your profile is the DSM 5 not the DSM IV. so your treatment provider is not only doing illegal practices law wise but ethically too with your states governing board of ethics for mental health treatment providers.

wow, just wow. my suggestion is if this was me I would be finding me a new treatment provider. I would not want to be put in that situation that you are in.

I should clarify. This is the director of a partial hospitalization program who has been a clinician for over 35 years. He isn’t my usual therapist. He filled in one day and did an internal family systems exercise and told me he suspects I have a dissociative disorder and gave me literature to read. He didn’t officially put anything in my chart or send anything to insurance. He wanted me to learn about dissociative disorders and talk about it with my regular therapist. It’s become pretty clear that I do not have DID but I definitely have alters. I’m not worried in the slightest about his experience or opinion. I just finished grad school last year and even though you’re supposed to defer to the DSM 5 they still make us learn the DSM-Iv and a lot of agencies use both as reference materials although they do have to code with the DSM 5. It’s not some magical bible it’s an agreement between a community of professionals about a constellation of symptoms. Psychiatry is not an exact science. I do appreciate your intention of looking out for me but I don’t think the level of outrage is necessary. I’m ok really. No matter what label they slap on me I have alters and I need to deal with them. That’s what really matters.