Quote:
Originally Posted by AnaWhitney
Advice wanted!
So I had a psychiatric evaluation, I was asked a lot of questions. I was not comfortable with the doctor at all but told myself to just go through the process as it’s not like I’ll have to see this person regularly and it will help my T know how to help me.
I answered everything as best as I could. I just told one mistruth when asked about ‘abuse’, I said no (I just panicked as I did not want to get into it with this doctor) A few questions later she asked how my sex life was and I sort of shut down because I’m weird about it and have never been able to engage in anything like that -my only experiences are CSA and I’ve never got over it) And since I panicked and said No to that question, I didn’t know how to explain so I looked away and finally managed a ‘does it matter?’ And she gave an abrupt ‘Yes!!’ And prompted me for an answer at which point I’m sure I dissociated. She said ‘Ok so I’ll take it you’ve never….?’ And I don’t even remember how I got out of it but I think the questions moved on when I didn’t engage
Anyway I know I was being unhelpful and stupid but I just wasn’t expecting that question. Why in the world would she need to know that? And what would have happened if I gave the correct answer (you know since it was supposedly so important)
And how the heck does everyone else cope with these sort of questions from someone who they aren’t even comfortable with? I feel like I totally failed to give the correct information about myself but I just couldn’t 🙈🙈
I wish I could talk to my T about it, but the shame will probably swallow me whole. I just want to know if I messed up the evaluation or if it even matters?
Any ideas welcome and needed ❤️
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no you did not mess up your testing.
many people even normal people have trouble answering sexualized questions and hide uncomfortable situations / experiences. in ........general..........most people over the age of 20 have been raised in an era of or with parents that were raised in the era's where body parts were taboo, and discussions about sex related things were also taboo, and learning about "stranger danger" from pre k in schools on up. so, it's pretty normal to be uncomfortable talking about such things especially with a stranger.
The sex related questions are asked on testing, because there are some sexual and gender related mental disorders in the DSM 5 TR. as a result its now standard for psychiatric evaluations to include sexual and gender disorders type of questions.
they ask the abuse related questions because some mental disorders are abuse trauma related.
worst case scenario you won't get diagnosed with a sexual or gender related disorder or an abuse trauma related disorder because your "self-reporting" ruled them out when you answered no and refused to answer.
example you won't get diagnosed with sexual dysfunction if they think you are still a virgin, nor gender Dysphoria, and so on. having to do with sex and gender disorders.
and you wont get diagnosed with PTSD or other trauma related disorders from "directly experiencing" abuse trauma because you, yourself self-ruled out being abused by answering no.
on a good note, trauma related disorders usually require a person to hit so many marks out of so many symptoms, problems and behaviors.
a person can still end up with a trauma related disorder that does not require personal experience of being abused. so all is well there too.
example
since you didnt answer any sexual gender disorder questions you wont get a sexual dysfunction or reproductive disorder.
Since you "self-reported" no on abuse you wont receive any trauma and stress disorders or dissociative disorders where experiencing long term or short-term abuse is a factor.
you can still hit the PTSD and Dissociative disorders "categories" just not the specific disorders that require symptoms problems and behaviors from "directly experiencing" abuse related trauma.
example with PTSD the criteria is so many out of this many criteria. and you dont have to personally experience going through an abuse, it takes into consideration many other forms of trauma too.
with dissociative disorders most are not abuse trauma related. a person can have depersonalization/ derealization disorder without undergoing "abuse related trauma".
in other words all is well. you will hit the "categories" aka grouping of mental disorders that fit you, just not hit the exact disorders where abuse trauma is taken into consideration because your- "self-reporting" ruled abuse related trauma out.
in a year -5 years depending on your insurance plan, they may allow you to be re-evaluated if you want or need a new evaluation done, at which time you may feel more comfortable answering those kinds of questions.
the good side of a psych eval is its never the final word. you can always take a new test later on in the future.
