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Why won't doctors give me a specific diagnosis?

P

PoZXplor3r28

New member
Joined
Dec 25, 2018
Messages
3
Hi everyone, apologies for the length of this post! I had a lot to fit in and didn't really know how to word it briefly! I'm not sure if anyone else has experienced this but for years I have been attempting to get an accurate diagnosis of what conditions I suffer from but to no avail! Personally, I believe I have Bi-Polar, adult ADD and Generalised Anxiety Disorder...I have suffered with my mental health since my early teens and was diagnosed with ADHD as a child. I am now 28 so I have had a good 15 years to really look inside my own head and come to my own conclusions. I'll start this by describing my experience of my conditions and give a basis for the conclusions I have come to on what they are!

I base the fact I believe I have Bi-Polar on my varying up/down moods that have no rhyme or reason. It's not like i'm permanently depressed and like wise, I don't have a permanent smile...but then who does? It's the extremes of the states which I experience that suggest to me I have BP. For instance one day I can be feeling like there's no hope for me and that I may as well give in trying to achieve anything in life. That iv'e f***ed up too many opportunities and relationships in my life to make amends and find any sustained happiness. Even on occasion feeling so low I have had thoughts of suicide, although thankfully, I have never gone ahead with these. My low days are often accompanied by severe fatigue and tiredness. I have always struggled with sleep but I can often over sleep when i'm feeling like sh*t or i'll just generally feel lethargic. More recently, I have been experiencing audio/visual hallucinations - (voices/sounds & peripheral disturbances). Although, I put these latter features down to recent life events and un-naturally high stress levels, as opposed to symptoms of my BP!

Then the very next day for some unknown reason i'll wake up feeling full of beans, with an overly positive outlook on life. literally feeling so excitable and upbeat that i'm twitching to get things done and that my life is all on track...there's no need to worry about anything and that no matter what i'll still achieve the things i'm aiming for. Simply because it's what iv'e set my mind to! I don't become arrogant, it's more like having an un-founded sense of confidence in my life situation and my own resolve to achieve my goals. It's almost like iv'e forgotten the way I suffer with my mental health and infact forgotten the way in which I struggle day to day with so many aspects of my life...From my relationships with family & friends /debt /education /my mere existence on some occasions...and yet none of these concern me at all. I'll have a positive take on just about anything!

I also suffer from bouts of severe anxiety and this can be very un-directed...I simply feel very jittery, and with a sense of dread that something ominous is about to happen. I become very solemn, quiet and I isolate myself, avoiding going out unless necessary and not interacting with people. This rarely happens when I am on a high, although I do sometimes feel a sort of butterflies type anxiety during my good days but i'm that up that my brain bypasses it and I will usually just go about my day un-affected.

Lastly I believe I still have ADD as I struggle to concentrate, I often talk to much, I struggle to organise, I fleet from one interest to another, I forget crucial things like appointments and even things that have happened earlier in the day, unless I am prompted. I can also get very excited and involved in something one minute and then be indifferent about it the next. I fit pretty much all the criteria for adult ADD and yet like with the other two conditions...Doctors/psychiatrists appear reluctant to diagnose it specifically.

I have been diagnosed with "Depression" and "Anxiety"...not even Generalised Anxiety Disorder. Iv'e just been told my anxiety is a secondary symptom to my depression! Whereas I am almost certain that this "Depression & Anxiety" are themselves symptomatic characteristics of underlying specific conditions! Telling this to supposed mental health professionals however, is for me like talking to a brick wall. The most I have got out of one of them is "It is very possible, although, unlikely that I have these conditions" and that "They are very difficult to diagnose as a lot of the symptoms of different conditions overlap".

These statements may very well be true...However, I find it somewhat unprofessional to be aware of the potential of one condition and then to neglect further investigation and diagnosis, in choice of diagnosing another...simply because the symptoms are similar? In my experience the overwhelming majority of doctors are taking the "safe option" by diagnosing "Depression" when their patients have one or more conditions that present similarly! Now that's not to say that depression is any less of a serious condition. I understand it is a very real and debilitating condition, one that millions of people suffer with to varying degrees throughout their lives. I just personally believe a great deal of doctors are ignoring many aspects of the conditions their patients present with and are taking this safe option all too often.

By this I mean they are glossing over the finer details in the way in which their patients symptoms present and are making the assertion that anyone feeling down is "depressed". Meaning people are being made to suffer with underlying conditions that are not being correctly treated, as they are promptly ushered out of their clinicians offices, with a prescription for one of several generic SSRI's. - (Selective Serotonin Re-uptake Inhibitors) - "Anti-Depressants". This for me seems highly dangerous?..As using these as treatment for all manner of conditions, based on the fact said conditions exhibit features of one!... is not treating the condition! As such, I imagine many people, myself included are effectively going un-treated!

I am not sure how many of you can relate to this or have experienced something similar in your interactions with clinicians? Which is why I have started this thread, I hope it will encourage people to talk about this as I can't be the only one who has experienced it to this extent? I feel it is something that should definitely be debated and hopefully those who have had positive interactions with mental health professionals and or simply got the correct diagnosis...will be able to provide some support and idea's on how to proceed for those who continue to struggle every day to get the diagnosis they both need and deserve!

Thanks guys!
 
F

forumuser23

Member
Joined
Jan 10, 2019
Messages
22
Hi everyone, apologies for the length of this post! I had a lot to fit in and didn't really know how to word it briefly! I'm not sure if anyone else has experienced this but for years I have been attempting to get an accurate diagnosis of what conditions I suffer from but to no avail! Personally, I believe I have Bi-Polar, adult ADD and Generalised Anxiety Disorder...I have suffered with my mental health since my early teens and was diagnosed with ADHD as a child. I am now 28 so I have had a good 15 years to really look inside my own head and come to my own conclusions. I'll start this by describing my experience of my conditions and give a basis for the conclusions I have come to on what they are!

I base the fact I believe I have Bi-Polar on my varying up/down moods that have no rhyme or reason. It's not like i'm permanently depressed and like wise, I don't have a permanent smile...but then who does? It's the extremes of the states which I experience that suggest to me I have BP. For instance one day I can be feeling like there's no hope for me and that I may as well give in trying to achieve anything in life. That iv'e f***ed up too many opportunities and relationships in my life to make amends and find any sustained happiness. Even on occasion feeling so low I have had thoughts of suicide, although thankfully, I have never gone ahead with these. My low days are often accompanied by severe fatigue and tiredness. I have always struggled with sleep but I can often over sleep when i'm feeling like sh*t or i'll just generally feel lethargic. More recently, I have been experiencing audio/visual hallucinations - (voices/sounds & peripheral disturbances). Although, I put these latter features down to recent life events and un-naturally high stress levels, as opposed to symptoms of my BP!

Then the very next day for some unknown reason i'll wake up feeling full of beans, with an overly positive outlook on life. literally feeling so excitable and upbeat that i'm twitching to get things done and that my life is all on track...there's no need to worry about anything and that no matter what i'll still achieve the things i'm aiming for. Simply because it's what iv'e set my mind to! I don't become arrogant, it's more like having an un-founded sense of confidence in my life situation and my own resolve to achieve my goals. It's almost like iv'e forgotten the way I suffer with my mental health and infact forgotten the way in which I struggle day to day with so many aspects of my life...From my relationships with family & friends /debt /education /my mere existence on some occasions...and yet none of these concern me at all. I'll have a positive take on just about anything!

I also suffer from bouts of severe anxiety and this can be very un-directed...I simply feel very jittery, and with a sense of dread that something ominous is about to happen. I become very solemn, quiet and I isolate myself, avoiding going out unless necessary and not interacting with people. This rarely happens when I am on a high, although I do sometimes feel a sort of butterflies type anxiety during my good days but i'm that up that my brain bypasses it and I will usually just go about my day un-affected.

Lastly I believe I still have ADD as I struggle to concentrate, I often talk to much, I struggle to organise, I fleet from one interest to another, I forget crucial things like appointments and even things that have happened earlier in the day, unless I am prompted. I can also get very excited and involved in something one minute and then be indifferent about it the next. I fit pretty much all the criteria for adult ADD and yet like with the other two conditions...Doctors/psychiatrists appear reluctant to diagnose it specifically.

I have been diagnosed with "Depression" and "Anxiety"...not even Generalised Anxiety Disorder. Iv'e just been told my anxiety is a secondary symptom to my depression! Whereas I am almost certain that this "Depression & Anxiety" are themselves symptomatic characteristics of underlying specific conditions! Telling this to supposed mental health professionals however, is for me like talking to a brick wall. The most I have got out of one of them is "It is very possible, although, unlikely that I have these conditions" and that "They are very difficult to diagnose as a lot of the symptoms of different conditions overlap".

These statements may very well be true...However, I find it somewhat unprofessional to be aware of the potential of one condition and then to neglect further investigation and diagnosis, in choice of diagnosing another...simply because the symptoms are similar? In my experience the overwhelming majority of doctors are taking the "safe option" by diagnosing "Depression" when their patients have one or more conditions that present similarly! Now that's not to say that depression is any less of a serious condition. I understand it is a very real and debilitating condition, one that millions of people suffer with to varying degrees throughout their lives. I just personally believe a great deal of doctors are ignoring many aspects of the conditions their patients present with and are taking this safe option all too often.

By this I mean they are glossing over the finer details in the way in which their patients symptoms present and are making the assertion that anyone feeling down is "depressed". Meaning people are being made to suffer with underlying conditions that are not being correctly treated, as they are promptly ushered out of their clinicians offices, with a prescription for one of several generic SSRI's. - (Selective Serotonin Re-uptake Inhibitors) - "Anti-Depressants". This for me seems highly dangerous?..As using these as treatment for all manner of conditions, based on the fact said conditions exhibit features of one!... is not treating the condition! As such, I imagine many people, myself included are effectively going un-treated!

I am not sure how many of you can relate to this or have experienced something similar in your interactions with clinicians? Which is why I have started this thread, I hope it will encourage people to talk about this as I can't be the only one who has experienced it to this extent? I feel it is something that should definitely be debated and hopefully those who have had positive interactions with mental health professionals and or simply got the correct diagnosis...will be able to provide some support and idea's on how to proceed for those who continue to struggle every day to get the diagnosis they both need and deserve!

Thanks guys!
this may be a bit too personal, at least the type of questions i may ask, you do not have to answer them all or any, but are you are female or male? is there any specific coping mechanism(s) you do to suppress / cope / or handle the specific symptoms / problems you regularly deal with? i was gonna ask more specifically one thing in particular because it does / can make a huge difference in identifying your types of problems / pathology, and that is if you masturbate or have sexual release regularly. the reason why i ask this personal question is because as a male age 25, this is something i do regularly and have to do every 24 hours at least once or else towards two days or more, i become extremely sick to the gut, can't eat, my stress levels become so severe that my depression becomes nearly fatal, i develop severe brain inflammation, can barely move, have this constant mild grade of anxiety, feel cold and weak, and can barely function unless i have sexual release again.

as far as those things go, what is your current status in mental health seeking / and or past diagnosis, you mentioned that you believe you fit those conditions, however, what of any specific conditions, other than ADHD are you / have you been diagnosed by a mental health professional. have you taken the MMPI-2? have you been prescribed psychiatric medication ( not that it would matter that much ) as i myself am avoiding them as much i can, particularly the antipsychotics, one of which sent me to the hospital because of how bad it was and simply that i shouldn't have been taking antipsychotics in the first place.

having extremes in general can be indicative factor in bipolar disorder, however, not necessarily, although the you described your experiences and how you function does seem to lean more towards how bipolar disorder are, but i can't diagnose you anyways.

you are definitely not alone, i've been giving some different labels here and there that do not exactly match me / but could in actuality, who knows? i am formally diagnosed with schizotypal personality disorder and major depression.

the part you mentioned on the hallucinations, immediately this made me think you have schizoaffective disorder since you also mentioned the bipolar aspects, adhd and simply the experiences you put out and the way you described yourself, but it may or may not be. another one i can think of is bipolar disorder with psychotic features in that you may have "psychotic" features every now and then such as the hallucinations you mentioned and you may experience mania / hypomania with some downs.

when you say you fleet from one interest to another, can you explain in more detail why? because if it's because you find it boring and / or you are naturally spontaneous person, etc, then that would make you fit the stereotypical criteria of someone with ADHD, but if this is due to other reasons or explanations such as being overwhelmed / stressed and anxious, then it could be something else.

there are many other things i could ask, have you ever taken the MBTI ( myers brigg type indicator )? i mean, it probably isn't the "Best" way of trying to figure things out, however, from my experience, it HAS been, since most of my observations have been conclusive in many directions, there's no reason why the MBTI couldn't be a factor analysis to all this.

and il finish it off that even people with "unipolar depression" can have some of these "high" periods or what would normally be called hypomania. logically speaking, unipolar depression symptoms can resemble many conditions since it is so broad in symptomatically, both from a personal perspective and just from identifying the condition as a whole, for example, one person with MDD may sleep too much where as another may have difficulty sleeping or have insomnia, and the whole haywire aspect of the brain can even "Feel" or seem the same way as someone with bipolar disorder or other conditions.

i too have many unanswered questions, for example, i still do not know if i suffer from "psychosis", i do not hear voices or see things that are not there, nor do i have delusions of reference, despite my recent psychiatrist thinking i do, or any of those superficial things, however, i am unsure on hypomania either, i do not have a diagnosis of bipolar disorder and i do not think i do but i do still feel agitated or my body ramping up a lot at times, and i can't seem to pinpoint it to what exactly. i do have some reasons, such that it's really just a combination of things affected me at the same time that causes these reactions and changes in functioning, but solution wise, it's unclear of what to do, because i still would need some good explanations of what may be going or validate my points.

i do not currently take any types of medications, although i am trying to go with some specific herbal / natural remedies, but i am taking my time on this too, not too long as i don't want to just keep suffering forever of course. i will be seeing a "allopath" specialist soon that may be of help.

also i was gonna ask if you ever attended mental health groups in person?
 
T

Tabby 88

Guest
They are monitoring you so if they see hypomania or mania, or if they see severe depression, they will diagnose you accordingly. They cannot diagnose based on what you have told them and it would usually be a consultant that would take that decision, with advice from the team or their own thinking.
 
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