Variations in diagnosis

DX'd - Other
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This diagnosis thing is so confusing! Some pdocs (a few private ones) say I have sza, but when it comes to the state pdocs they all say I have sz. So what then?

It seems some countries understand sz and sza differently. In US it seems sza is more diagnosed than here in South Africa. And I know some pdocs don’t recognise sza as much as sz.

When I was admitted to hospital a few weeks ago, I said to the nurse I have sza so she wrote sz. This happened several times with all my admissions to this particular hospital (a state one).

So how come all these discrepancies? Is sz and sza the same then?

Is it possible I have sz instead? I do know that I don’t meet criteria for mania or even hypomania. Mine is too short duration. And although I was depressed a lot, a lot of it was negative symptoms too, mixed in. And isn’t it easier to say I have sz and depression?

Just some of my thoughts. I know labels don’t matter, the meds do, but I like to have a name for what I have and maybe in my country it’s easier to say sz! That is what my latest diagnosis is. Or are the pdocs mistaken? Maybe just trust them…

Yes maybe…

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My diagnosis is sz according to 8 psychiatrists so far but I still feel that I had mania when on Abilify, perhaps it was caused by dopamine dysregulation syndrome.

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I don’t think these diagnostic labels mean that much to them.
It’s just a way to bill the insurance companies.

Honestly few of them pay attention to it.

As long as the meds work is really what you should concern yourself with.

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Diagnoses aren’t full proof. They’re just made based on a set of criteria, but a lot overlaps different diagnoses. Don’t worry about the perfect label.

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If this mania was due to the acute effects of Abilify, and resolved soon upon cessation of the drug, then it is not endogenous “bipolar” mania.

-Albert.

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