Disputing the dx

DX'd - Other
21

https://www.mhfmjournal.com/open-access/how-and-why-is-autism-spectrum-disorder-misdiagnosed-in-adult-patients--from-diagnostic-problem-to-management-for-adjustment-.pdf

Figure on page 9.

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I have avoidant personality disorder - or I did, at one time anyway. These days I donā€™t care very much. I think you might find that some traits also apply to you. Hereā€™s the thing though, thereā€™s not much, if any, treatments for personality disorders.

When I tried to work on my APD it just made it worse. I just accepted that it was what it was and I found it less distressing.

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@firemonkey If you want to dispute the dx, get the DSM and go over the symptoms and discuss with your dr the dx what you think is better. At the end of the day the DSM is the Bible, plus discussing it will help you understand his reasoning too. Win win

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(Practically) all the criteria for it apply to me.

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I was originaly diagnosed with Borderline Personality Dissorder alothough still prescribed an ap . Wasnt till I had been sober for a good while and moved to a different Psyciatrist that I was Diagmosed with Paranoid Chronic Schitzophrinia. My new psyciatrist said I had been missed diagnosed due to my alcohol abuse and self harming.

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Yeah, me too. And it happened that I was diagnosed when I asked my doc if I had Aspergers. He said nope, you have thisā€¦ not saying your situation is similar tho.

Anyway the only thing that changed for me is now IDGAF about being social really, nor do I care overmuch about what people think. I used to very intensely though.

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Itā€™s strange because you shouldnā€™t have cognitive and negative symptoms with ppd or with any other pds (only schizotypal pd could include these sz/autism symptoms).

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You scored a total of 2

Paranoid Personality Disorder is Unlikely

People whoā€™ve scored similar to you do not normally qualify for a diagnosis of paranoid personality disorder. If you have symptoms that are of particular concern, however, you may find it beneficial to schedule a consultation with a mental health professional (such as a psychologist or psychiatrist).

  	S C O R E S

If you scoredā€¦
Paranoid Personality isā€¦
20 & up Likely
17 - 19 Possible
0 - 16 Unlikely

29

You could ask them to test you. There are tests that should be administered before you get a personality disorder diagnosis.

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When I mentioned ASD to the NP she offered up schizotypal as an alternative . Personally I think a combination of some ASD/NVLD and some schizotypal along with avoidant fits best.

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At one point I thought that I had Schizotypal.
I share some of the symptoms.

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The ICD definition is:

A disorder characterized by eccentric behavior and anomalies of thinking and affect which resemble those seen in schizophrenia, though no definite and characteristic schizophrenic anomalies have occurred at any stage. There is no dominant or typical disturbance, but any of the following may be present:

Inappropriate or constricted affect (the individual appears cold and aloof);
**Behavior or appearance that is odd, eccentric or peculiar;**
    **Poor rapport with others and a tendency to withdraw socially;**
    Odd beliefs or magical thinking, influencing behavior and inconsistent with subcultural norms;
    **Suspiciousness or paranoid ideas;**
    Obsessive ruminations without inner resistance
    Unusual perceptual experiences including somatosensory (bodily) or other illusions, depersonalization or **derealization**;
    Vague, circumstantial, metaphorical, over-elaborate or stereotyped thinking, manifested by odd speech or in other ways, without gross incoherence;
    Occasional transient quasi-psychotic episodes with intense illusions, auditory or other hallucinations and **delusion-like ideas**, usually occurring without external provocation.
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Disputing the diagnosis. Itā€™s less about the label than it is about a systemic failure to recognise all my issues/problems. There is a tendency due to intellectual laziness for mental health professionals not to look beyond the assigned psychiatric label to the whole person.

I also think current diagnostic labels fail to capture the complexity of a lot of us.

I would prefer the use of long hand descriptors. For example in my case primary anxiety with secondary mood and thought symptoms accompanied by signs of ASD/NVLD/learning difficulty.

This would have captured a much fuller picture and would have resulted hopefully in better quality help and treatment.

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