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New psychiatrist visit and diagnosis
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<blockquote data-quote="flutterbee" data-source="post: 77530"><p>I hesitated responding because my opinion may not be all that popular. I also have a nasty cold and am having a hard time gathering my thoughts, so bear with me.</p><p></p><p>I would never be comfortable putting a child on such strong medications as risperdal after only one visit. Especially when the diagnosis the psychiatrist is handing down seems to conflict with the neuropsychologist report. I simply do no think you can diagnosis anyone - child or adult - in one visit. Too many things share similar symptoms and one thing can easily mimic another. </p><p></p><p>Another thing I've found is that some psychiatrists and tdocs seem to specialize in one area and then you find that most of their patients end up with that diagnosis. For example, I had a therapist who specialized in borderline personality disorder. Most of her patients had that disorder. Now, some did have that disorder and saw her because she specialized in the treatment of it. However, she didn't exclusively treat Borderline (BPD) patients, yet she seemed to have an inordinately high number of patients with it. Because she specialized in it, she was always looking for it and she found it even when it wasn't there. I had the diagnosis of Borderline (BPD) for a while, however I only exhibited symptoms or traits when I was extremely depressed. When the depression was gone, so were the traits. Does that make sense? I wasn't really borderline, the depression mimicked some of the behaviors and that's what she saw instead of looking at other possible causes.</p><p></p><p>I've run into the same thing with psychiatrists. I've found psychiatrists who seemed to have a lot of patients with bipolar disorder. It was something they specialized in and they "saw" it in a lot of patients.</p><p></p><p>Have you ever read the DSM? So many disorders share a lot of the same traits and symptoms. To be able to distinguish between one or another takes time...certainly more than one visit.</p><p></p><p>Just my two cents.</p></blockquote><p></p>
[QUOTE="flutterbee, post: 77530"] I hesitated responding because my opinion may not be all that popular. I also have a nasty cold and am having a hard time gathering my thoughts, so bear with me. I would never be comfortable putting a child on such strong medications as risperdal after only one visit. Especially when the diagnosis the psychiatrist is handing down seems to conflict with the neuropsychologist report. I simply do no think you can diagnosis anyone - child or adult - in one visit. Too many things share similar symptoms and one thing can easily mimic another. Another thing I've found is that some psychiatrists and tdocs seem to specialize in one area and then you find that most of their patients end up with that diagnosis. For example, I had a therapist who specialized in borderline personality disorder. Most of her patients had that disorder. Now, some did have that disorder and saw her because she specialized in the treatment of it. However, she didn't exclusively treat Borderline (BPD) patients, yet she seemed to have an inordinately high number of patients with it. Because she specialized in it, she was always looking for it and she found it even when it wasn't there. I had the diagnosis of Borderline (BPD) for a while, however I only exhibited symptoms or traits when I was extremely depressed. When the depression was gone, so were the traits. Does that make sense? I wasn't really borderline, the depression mimicked some of the behaviors and that's what she saw instead of looking at other possible causes. I've run into the same thing with psychiatrists. I've found psychiatrists who seemed to have a lot of patients with bipolar disorder. It was something they specialized in and they "saw" it in a lot of patients. Have you ever read the DSM? So many disorders share a lot of the same traits and symptoms. To be able to distinguish between one or another takes time...certainly more than one visit. Just my two cents. [/QUOTE]
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