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Originally Posted by ~Christina
Okay ... as much as the DSM-V can be annoying but it’s a necessary evil in many cases. Unlike physical problems that can be proven with blood work or other testing. Psych ? Well that goes more off of what we as patients tell /show our providers.
It’s also needed for billing .... but more so it’s also needed because insurance companies like to deny meds xyz.... but more in depth diagnosis our insurance companies can see that okay ABC was tried and wasn’t helpful so yes we need to okay med x
Doctors are not chained to the DSM, it’s a tool.
As patients say Dr Joe Blow tags us with something that just does not fit and could cause us problems down the road with anything from jobs to insurances
I got tagged BPD once IP , the IP Pdoc thought he was freaking God , I refused a Med because we didn’t discuss it , sorry I won’t just swallow something. Boom I got my bpd medal
Anyway my personal Pdoc and T were pretty pissed... they both were very particular about “ coding” me correctly .. 4-5 months later the whole tag of BPD was totally dismissed out of my records
So yes sometimes the DSM can be a pain but it’s the only guideline we have right now to help our Pdocs narrow things down, find that slot we most fit into. It allows us to get treatments and medications.
And getting treatment for our symptoms and struggles is really what it’s all about , right?
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I am so sorry you had to deal with an incorrect bpd diagnosis--what a flail.
I like the terms you used, "narrow things down" and "slot." We do have to be slotted in somewhere, or the doctors can't get paid and, as you point out, we can't get meds without a dx code. My real problem with the DSM5 is that, as it is now written, if you have, for example, the worst racing thoughts imaginable, racing thoughts so bad you literally are losing your mind, you do not qualify for any diagnosis--at all. I know someone who, when symptomatic, this is primarily what she gets. She is clearly bipolar, based on total history, but according to the bible, when she gets these symptoms, they do not constitute a bipolar "episode." And I think that is inaccurate. For her, that is inaccurate.
So, anyhoo, just to clarify what I meant. I sometimes have a bad habit of being curt when I get fired up and this topic fires me up. With apologies.
