OT - mental health diagnoses - really long and rambling

(deactivated member)
on 11/12/11 12:16 am - Front Royal, VA
RNY on 08/29/11 with

Kelly,

 

Are they removing it, or changing its name?   They changed its name once before from MPD to DID and I think some of the criteria for diagnosing it.

poet_kelly
on 11/12/11 12:42 am - OH
Yeah, they did change the name before and changed the criteria a little bit at the same time.

If I understand my therapist correctly, they are just getting rid of it altogether now.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Cicerogirl, The PhD
Version

on 11/12/11 1:30 am - OH
Yes, my understanding is that the current inclination is to remove it altogether...

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

poet_kelly
on 11/12/11 1:52 am - OH
I used to be a social worker but that was eight years ago so I haven't really kept up with things.  I was really surprised when my therapist told me that and I was kind of hoping she was mistaken.

Do you think most mental health professionals are in favor of removing it?  Or have your coworkers said anything about it?

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Cicerogirl, The PhD
Version

on 11/12/11 2:21 am - OH
It was among one of the more controversial changes they had proposed a couple of years ago, but the revision process has been such a lengthy one that I honestly just quit paying much attention.  I just went out to the official site, though (www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx), and it is still there (and with only one minor potential revision), so it would appear that they have decided to retain it.

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

poet_kelly
on 11/12/11 2:46 am - OH
Oh.  Well, I guess I feel better then.  Although I also feel a bit silly for posting a long rambling thing about it when it's not even happening.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

ElleBW
on 11/12/11 1:47 am - WA
Kelly,

Everone has covered the main points for me. I just wanted to thank you for being brave enough to share that with us. You are so well respected on this forum, maybe you have done something to break the stigma associated with mental illness. I think our physical journey is tied together with our spiritual, emotional and mental health and we need to think of that as one package.

When I was diagnosed bipolar, I didn't want that as a lable. Now I see how that benefits me and I am amazed that DID is being removed from the DSM.

Thank you.

 

 

Elle BW
Be kinder than necessary, because everyone you meet is fighting some sort of battle.                                                                                        
                                                                                               Paulo Coelho    

 

poet_kelly
on 11/12/11 1:58 am - OH
I think the thing about labels is to remember that they are only a small part of the picture.  Bipolar disorder is a condition you have, it's not who you are.  In many ways it's no different than if I tell you I am a vegetarian, or that I have diabetes, or that I'm a Christian.  You still don't know exactly what I eat because some vegetarians eat dairy and some don't, but you know I don't eat some animal products, at least.  You don't know if I take insulin or how much, but you  know not to offer some a plate of cookies.  You don't know what church I go to or how I feel about certain controversial issues, but you  know I believe in God.  That's how labels work.

Well, that and getting insurance companies to pay for treatment.

I appreciate your reply.  Once again, I am discovering how empowering it is just to talk about things.  and wondering why I was worried about posting anything about it, because everyone is being so accepting and so nice.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

Cicerogirl, The PhD
Version

on 11/12/11 2:15 am - OH
It is a shame that so many mental health professionals have trouble with certain disorders or symptoms that they just don't understand intellectually.  I had an issue with the first therapist that I saw after I was raped because I experienced complete depersonalization during part of the attack (which, unfortunately, was brutal and lengthy... definitely not your run-of-the-mill, made-for-tv-move type of assault) and it was pretty clear that she did not "believe" in it.  I understand that it is not possible for me to have actually observed what was happening to me from across the room, and that my "memory" of that portion of the attack is clearly distorted, but that is apparently the only way my brain was able to cope with what was happening, and that is the only type of memory that I have of that portion... so dealing with that portion of it HAD to happen within the context of the depersonalization... and that was clearly not going to happen with her.  Fortunately, the second therapist -- the one I worked with for over 7 years, and *****cently retired -- was different... and very helpful.

I already felt "crazy" with all the other PTSD symptoms, and feeling like my brain was "betraying" me by presenting me with a memory that could nto possibly be "real" made that SO much worse.  Her unspoken disbelief of that level of depersonalization -- and my perception that she was "checking out" on me during the couple of times I tried to talk about it was extremely hurtful.  I imagine that the experience of having people doubt the validity of DID is probably even more distressing...

Lora

14 years out; 190 pounds lost, 165 pound loss maintained

You don't drown by falling in the water. You drown by staying there.

poet_kelly
on 11/12/11 2:56 am - OH
I'm not sure it's more distressing.  I think anytime someone tries to deny your reality, it's distressing.

One thing I know about therapy is that you are supposed to start where the client is.  Whether the memory you said you had was "real" or not, that was the place to start since that's what you brought up.  Whether you HAD to deal with it that way or just chose to, that was the place to start.  And please understand, I'm not at all suggesting it wasn't real or that you chose to remember it that way.  I'm just saying that your therapist should have started wherever you were, with whatever you brought to the table.

And I wanted to say I'm sorry for what you went though.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

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