Our expert says:
Some people suffer from illness. Some suffer from Medical Aids. If only the sometimes highly unimpressive medical advisors of some of these medical aids would look at the cost of NOT using the right drug for a person, rather than only at the cost of using the cheapest. A drug that doesn't work, is actually very expensive, no-matter what it says on the price-list.
Your psychologist and shrink may be looking at diagnosis differently. According to the internationally recognized diagnostic systems ( like DSM and ICD ) there are certain specific criteria to use when making a diagnosis. They were originally devised for research, so when they were testing whether a new drug is useful in depression, we could be sure they were all treating the same kind of thing. Medical aids tended to leap onto using the system, too.
If the coding system the medical aid ( or your psychologist ) uses says that symptom X DOES appear in condition Y, then they will recognize its presence. If it says symptom X is essential to make the diagnosis properly, then if X is not present, you can't make that diagnosis - ACCORDING to that particular system. And if it says problem Z doesn't arise in condition Y ( and more likely if it just doesn't mention complication Z when describing Y ) this doesn't mean it never happens. just that this particular system of classification doesnt think it typical enough to list it among the symptoms or problems that must be present for a particular diagnosis to be made.
Any competent shrink should be able to tell the difference. Whatever the diagnostic criteria say, they exist for useful but essentially artificial purposes. They must never be allowed to tell us that a patient OUGHT to do next -reality tells us that.
A recipe for bread might not include raisins, but that doesnt stop us from making excellent raisin bread ! The diagnostic criteria are Descriptions, not Prescriptions.
There are 2 types of shrink - those that use the criteria, and those that allow the criteria to use them.
Telephonic consultations, except for emergency advice to a patient already well-known, are dodgy practice, and I didn't think most medical aids paid for them.
When a shrink decides to use an SR or other long-acting drug, this may be useful, but if there is a possibility of episodes when more of a dose may be needed, its wise to provide also a few of a short-acting version for such situations, as taking an extra dose of the slow-release form increases the dose for often much longer than you really need.
I don't think people can easily notice what sort of drug anyone is on ; with the older antidepressants that ALWAYS gave one a severe dry mouth, that might be noticeable, but otherwise, its implausible. But maybe not an argument it would be useful for you to get into right now.
Maybe its worth discussing with your psychoplogist and shrink, what's best for you, in your particular situation, to do about telling those you work with about your diagnosis and treatment. With no explanation, they maye draw even less useful conclusions about what explains your absences and some of your behaviours.
Unexplained absences and odd behaviours can be much more damaging than a respectable diagnosis such as yours.
That you are a top performer confirms how well you can work with the clients even in difficult times.
Of course your sister etc shouldn't be difficult about releasing YOUR money for reasonable and sensible purposes. Discus with her these as examples of what happens when the money matters are not handled as you wish they would, and when it gets confused communication. For instance, did she says SHE would pay for the kennelling with HER money, or that she would pay for it with YOUR money, or what ?
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.