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Default Jul 11, 2011 at 06:22 PM
  #1
this is kind of a branch off another thread here. but now im wondering something. ive been in t for year come this august and have no diagnoses. all i know is im in trauma. does that mean i have none.

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Default Jul 11, 2011 at 06:32 PM
  #2
Some of it depends. Most insurance companies will require a diagnosis in order for them to pay for treatment... kinda like they are not going to pay for you to go to your regular doc if there it is not preventative treatment or treatment for an illness.
If you are private pay there does not have to be a diagnosis and many therapists are hesitant to slap a label on you if they don't have to.
I am "certified" Aspbergers, got an official diagnosis 4 yrs ago. However, because I am self pay my therapist has not put a diagnosis on anything she has related to me.
Also, depending on the degree a T has they may or may not be qualified to diagnose... although that doesn't stop many!

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Default Jul 11, 2011 at 06:49 PM
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thanks omers.

i was just wondering. i am private pay. so that would explain it. i just always worry if i picked a good t.

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Default Jul 11, 2011 at 07:17 PM
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It could be PTSD. Maybe ask your T if you really want to know. Just remember that it is just a label and it does not define you as a person.
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Default Jul 11, 2011 at 07:26 PM
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I would suggest asking your T if you are wondering. I talked to my T about it since I also pay out of pocket. She said that she does not think that the DSM diagnosis are helpful for how she works, but instead we needed to talk about areas that I needed to work on.
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Default Jul 11, 2011 at 07:53 PM
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Quote:
Originally Posted by suzzie View Post
thanks omers.

i was just wondering. i am private pay. so that would explain it. i just always worry if i picked a good t.
I'm also a private pay, and my T has never given me a diagnosis...but I know she's an amazing T. I don't think the mark of a good T is whether or not they give a diagnosis, but rather, how well they can help you heal. I honestly don't want a diagnosis, but then again, I doubt my T would give me one...she's trying to show me that not everything has to be labeled!

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Default Jul 11, 2011 at 07:57 PM
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I don't know. I never got a diagnoses with my first T, who I think was classified under "counseling" rather than "psychotherapy". But my new T who is actually a psychotherapist, diagnosed me very early on with PTSD. My T is private pay. If you really are anxious, or concerned that you have one, I would talk to her about it. Not everyone that goes to therapy has a mental illness.
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Default Jul 11, 2011 at 08:19 PM
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Except for my out of pocket co-pay, my insurance pays my T. She hates labels though. After 16 months, all I know is that I'm in trauma therapy and suffer from PTSD. She said labels are just for medication purposes when you visit the Pdoc and she doesn't like to use them in her approach to psychotherapy.
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Default Jul 11, 2011 at 11:08 PM
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No, you don't always get a diagnosis. I don't really have one with my T and I have been with him several years. Insurance does not pay for his services, so that may be part of it. Also, he likes to focus on Health rather Pathology, so he is not oriented toward putting disorder/illness/pathology labels on clients.

Even if your T does give your insurance company a diagnosis, it may not be that meaningful, but just one that is good enough for purposes of insurance. For example, the family T my daughter and I saw gave me "adjustment disorder" for the purpose of insurance.

Quote:
Originally Posted by BlessedRhiannon
I don't think the mark of a good T is whether or not they give a diagnosis, but rather, how well they can help you heal.

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Default Jul 11, 2011 at 11:25 PM
  #10
I hassled my T to give me a diagnosis - in the end my T said we could explore together what we thought may fit best, however my T said these are just labels and we are all a little bit of this and that at different times and that labels aren't helpful and can also be inaccurate. I am now more comfortable with just labelling myself as me and life long work in progress :-)

A cut and paste from the internet which I found interesting:

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is published by the American Psychiatric Association and provides a common language and standard criteria for the classification of mental disorders. It is used in the United States and in varying degrees around the world, by clinicians, researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, and policy makers. The DSM has attracted controversy and criticism as well as praise. There have been five revisions since it was first published in 1952, gradually including more mental disorders, although some have been removed and are no longer considered to be mental disorders, most notably homosexuality.
The manual evolved from systems for collecting census and psychiatric hospital statistics.

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Default Jul 11, 2011 at 11:27 PM
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Due to working with an agency and billing, we have to have a diagnosis. So yes, my clients all have a diagnosis. But I always assign the minimal diagnosis necessary to get the appropriate services.
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Default Jul 11, 2011 at 11:28 PM
  #12
I haven't but I'm self pay.
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Default Jul 12, 2011 at 12:19 AM
  #13
No, I don't have a diagnosis. My insurance does not require a diagnosis in order to see a therapist. Thus, I'm able to get my therapy covered even though I'm not mentally ill. I guess I agree with my insurance company on one thing-- everyone can benefit from therapy!
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Default Jul 12, 2011 at 01:10 AM
  #14
everyone can benefit from therapy! --- you are right!

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Default Jul 12, 2011 at 02:07 AM
  #15
I have a diagnosis because I use insurance and it is required for billing. But my diagnosis has changed over the years from Major Depressive Disorder and PTSD to Bipolar Disorder and PTSD. I've learned that what really matters is that I am being treated correctly more than the diagnosis itself, although with bipolar disorder it is really important to have the correct diagnosis because some medications given for depression can cause mania in someone with bipolar disorder.
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