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Old Jun 09, 2025, 01:03 PM
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Crypts_Of_The_Mind Crypts_Of_The_Mind is offline
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Location: Tennessee
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Okay .. so here are my diagnoses as previously given me:
Major depression with psychotic symptoms
General Anxiety Disorder
PTSD
Borderline Personality Disorder

I do not want medications because they make me worse either physically, mentally, or both.

I am trying to get back into mental healthcare but when I try to figure out where I need to go .. my insurance asks me this question after I select behavioral healthcare.

"What are you looking for?"

Possible selections include:
- stress and anxiety
- couples and family counseling
- alcohol and drug use
- mood
- memory

First off, am I correct in selecting "mood"?

Next, when I select mood, it gives me a list that includes all types of professionals. What type should I look for?

Professional social worker
Licensed Professional Counselor
Psychiatric Social Worker
Advanced Psychiatric Nurse Practitioner
Clinical Psychology
Physician Assistant Behavioral

Thanks
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  #2  
Old Jun 09, 2025, 07:33 PM
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CANDC CANDC is offline
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Hi @Crypts_Of_The_Mind

I can only say what I have experienced in a general way. Since you list PTSD and General Anxiety, do you think you might answer Stress and Anxiety?

If you stick with mood here is my best assessment of the type of therapy you might get but you may want to call the insurance company to verify the option you choose

Professional social worker - talk therapy and lifestyle changes
Licensed Professional Counselor - talk therapy and lifestyle changes
Psychiatric Social Worker - talk therapy and lifestyle changes
Advanced Psychiatric Nurse Practitioner - Psych Medicine Therapy
Clinical Psychology - talk therapy and lifestyle changes
Physician Assistant Behavioral - Medicine therapy

Hope this helps in some way but you might want to select Stress and anxiety in the questionnaire and see what options you are given. They may be the same ones.

CANDC

[If you want me to see your reply to this post please tag me by including @CANDC in your message - not in requoting my message and not the first word of your message]
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  #3  
Old Jun 09, 2025, 07:49 PM
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Crypts_Of_The_Mind Crypts_Of_The_Mind is offline
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Quote:
Originally Posted by CANDC View Post
Hi @Crypts_Of_The_Mind

I can only say what I have experienced in a general way. Since you list PTSD and General Anxiety, do you think you might answer Stress and Anxiety?

If you stick with mood here is my best assessment of the type of therapy you might get but you may want to call the insurance company to verify the option you choose

Professional social worker - talk therapy and lifestyle changes
Licensed Professional Counselor - talk therapy and lifestyle changes
Psychiatric Social Worker - talk therapy and lifestyle changes
Advanced Psychiatric Nurse Practitioner - Psych Medicine Therapy
Clinical Psychology - talk therapy and lifestyle changes
Physician Assistant Behavioral - Medicine therapy

Hope this helps in some way but you might want to select Stress and anxiety in the questionnaire and see what options you are given. They may be the same ones.

CANDC

[If you want me to see your reply to this post please tag me by including @CANDC in your message - not in requoting my message and not the first word of your message]
If I do stress and anxiety they are just going to "teach me" the coping skills and techniques I already know. That's why I went with mood.

I wish there was an option for more natural things (like a DO that specializes in mental health, but there just isn't) ..

Thank you for your response ❤️
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Old Today, 10:19 PM
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Member Since: Mar 2021
Location: California
Posts: 3,550
Major depression with psychotic symptoms
General Anxiety Disorder
PTSD
Borderline Personality Disorder

I do not want medications because they make me worse either physically, mentally, or both.

I am trying to get back into mental healthcare but when I try to figure out where I need to go .. my insurance asks me this question after I select behavioral healthcare.

"What are you looking for?"

***

Here are the mappings between the possible selections on your health insurance's website and your several diagnoses:

- stress and anxiety - possibly maps into PTSD on the ^ list if you go with the school of thought that considers PTSD an extreme anxiety manifestation, but not otherwise
- couples and family counseling - does not map into anything on the ^ list
- alcohol and drug use - does not map into anything on the ^ list
- mood - maps into Major depression with psychotic symptoms on the ^ list of your diagnoses, and given the presence of psychotic symptoms, it is probably the most serious of your conditions, so choosing mood (depression is a mood disorder) seems indeed the most appropriate for you
- memory - does not map into anything on the ^ list and you are probably way too young to need memory care, which is primarily for demented seniors; I am also not clear why memory is listed under psych care, since it is usually neuro and not psych care

So it seems that mood is the primary choice. If you select it, the next on the tree of choices is this list:

Professional social worker
Licensed Professional Counselor
Psychiatric Social Worker
Advanced Psychiatric Nurse Practitioner
Clinical Psychology
Physician Assistant Behavioral

Of the above, you can select professions that do not prescribe medications, since you do not want to be medicated (I wonder if you have exhausted the list of psychopharmacological options, though, rather than are reacting to bad experiences with just a few medication trials you have been through). One such profession is Clinical Psychology.

An advantage of going to see a Clinical Psychologist is that this person would be knowledgeable in PTSD, GAD, and BPD care as well, and also, will be able to administer psychological testing to you, something that counselors and social workers are not qualified to do.

Do note that `stress and anxiety` is basically a way for clinicians to bill insurance for sessions with patients who do not have real (serious) diagnoses. It is a way to get paid by putting the diagnosis of `Anxiety response,` or maybe `Anxiety reaction` (I do not remember the exact wording), which is essentially nothing serious, a normal human response to stress. Given that you DO have serious diagnoses, it is not that a clinician would need to bend over backwards trying to find a category under which to bill your insurance for sessions. Hence, you do not need to select `stress and anxiety.`
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