confused by diagnoses

Because of a change in insurance, my p-doc's office assistant gave me the form to send directly to my ins that has the diagnosis codes, etc on it.
I knew I have bipolar disorder with DID, but I was shocked when I got to the car and looked at the paper. He has my diagnoses not only Bipolar & DID, but Borderline Personality Disorder, Major Depressive Disorder, PTSD, and Panic with agoraphobia.
I fell apart in the car... I just don't "see" the symptoms from any of these, even the bipolar part. But is not seeing the symptoms for yourself a part of BEING mentally ill ? I was too embarrassed to go back in to the office and ask to see him again.

I wonder if they did that so they can prescribe off label and you still get paid. Or if it was in network... They get paid. Maybe somebody else knows. I wouldn't want a bogus dx.

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Well, I suggest that you ask your p-doc about the various diagnoses. It's possible the diagnoses are part of the "axis" method of DSM diagnosing. It also might have to do with insurance. For example, perhaps you are being prescribed a medication that isn't covered by your insurance unless you have a certain diagnosis. It might be to benefit the p-doc, but it might very well be for your benefit. You just don't know until you ask.

I was told doctors don't likje to put labels on people for the longest time my doctor wouldn't tell me what I had, I thought it was out of fear , to protect me from myself or my paranoia but when I got the sheet telling me what I had I found relief, now I have answers, now I know what to look out for.

are any of these R/O?
That is rule out or a working diagnosis?

Sometimes also, doctors will put down a diagnosis for a time to be able to get you access to different therapies or treatments, depending on what is available in your location or depending on your insurance.

I agree that you should ask directly

And so many of these labels have no boundaries-they just kind of overlap. Don't let it upset you. There are no tests for these diagnoses and at best, the doc is guessing. Things will settle down and you will learn what you really have and can get to work on dealing with it.

Yes, I agree with T&S ^^^

Thanks Everyone !!

Okay here's my NSHaPO... some doctors want to cover all the bases to be sure you get coverage and they get paid. Also, in my retired semi-professional opinion all of that can be combined (the symptoms that the doctor might not fully understand?) into D.I.D. and PTSD with major depression. Just my POV.

My explanation for combining? When someone with DID switches to a manic or depressed "part" the doctor might consider that to be Bipolar disorder.

If I recall correctly (and I might) the Borderline Diagnosis came about from doctors that knew "something" was not right but didn't believe in DID... PTSD--it IS an anxiety disorder so no reason to label that twice either, including the symptoms of that anxiety/ptsd of agoraphobia...to me, that's part and parcel of PTSD with the hypervigilance etc.

Sorry you are not feeling well... hopefully you have therapy to help you counter the negative thinking (including that of the doctor! lol)