Sib

[Canotia]

I was recently diagnosed with SIB (self injurious behavior) has anyone else?

 

[lostforgottensoul]

Never heard of it. Is it in the DSM?

A site I found when googling "self injurious behavior DSM 5".

The surprising place for self-injury in the new DSM-5 | Kahn Institute for Self-Injury

Is it a "V Code" or is there an actual dignositic code for that?

I have self injurious behavior though. A ton. But not diagnosed SIB but rather PTSD, BPD, GAD and self injury is or as a symptom.

 

[Friday]

If you keyword search "self harm" you'll find a whole lot, on a broad spectrum.

 

[Canotia]

It must be a V code. I am diagnosed with complex PTSD, anorexia, MDD, and now this. While SIB is often a part of PTSD it isn't listed formally as a symptom. I've done it for a long time, but it has escalated lately. I really want to stop, it is just at that moment I don't care. I really care the next day and feel horrible about it.

 

[lostforgottensoul]

While SIB is often a part of PTSD it isn't listed formally as a symptom.

Well, it is in a more broad way:

Criterion E: alterations in arousal and reactivity
Trauma-related alterations in arousal and reactivity that began or worsened after the traumatic event: (two required)

1. Irritable or aggressive behavior
2. Self-destructive or reckless behavior
3. Hypervigilance
4. Exaggerated startle response
5. Problems in concentration
6. Sleep disturbance

Self harm is a self destructive behavior. Also BPD is often disgnosed with PTSD when a patient exhibits the BPD symptoms, one is self harm. It shouldn't be paired if the patient doesn't meet the requirements for it but that is what I often see.

Self injury is a symptom, not a disorder. That why I find it strange a new diagnosis for it.

I am diagnosed with complex PTSD

Complex PTSD isn't in the DSM 5 therefore you can't be formally diagnosed with it. You can be diagnosed CPTSD and therapist says it is likely PTSD but there isn't a disgnosic code for CPTSD yet.

ETA: Sorry, I didn't mean to sound like a therapist or someone that knows everything about PTSD & CPTSD. I am neither. Just well researched is all. And when I said it is often what i see, I meant in that research. I certianly don't know everything or even a lot.

 

[Silver.]

You know, the DSM is like the "Bible" for some people and it's seriously flawed
(saying this knowing I will probably get so much shite for saying it)

I think having a diagnosis for you, is a good way to go about starting to heal, no matter how it is billed
I don't subconsciously self harm and do it only under extreme stress, but I know there are others on here that do.
There are distraction techniques that can help with the urges, a big favor being impossibly cold showers, but that is the extent of my knowledge with it. I hope you find the help you are seeking here.

 

[Canotia]

I looked and I have SCT codes for all my diagnoses, to include CPTSD. But, it doesn't matter. I was just saddened to see the latest one. I hate having a diagnosis because I tend to be very private. All my medical providers can see it, so now my dentist or optometrist will see SIB. It is what it is. I don't regret telling how bad it has gotten so now we can address it. I hate that I do it and would really like to stop. I also want to stop before I do any more permanent damage than I think I already have. I think I have nerve damage. I also have an amazing, patient therapist. I feel fortunate for that.

 

[lostforgottensoul]

for some people and it's seriously flawed

Indeed but it is used for diganosis. Not in the DSM, no formal diagnosis.

I think adding a symptom as a disorder is flawed. But thats my opinion.

All my medical providers can see it, so now my dentist or optometrist will see SIB.

No they won't. Mental health records (and any Drs records) are protected by HIPPA. So you have to sign a HIPPA form to allow transfer of records from one Dr to another. Plus, mental health records are seperate from medical records so you can transfer medical records from one Dr to another and mental health records still stay seperated. Thats if you see a mental health professional and not a GP for your SIB disgnosis. If you saw a GP or medical Dr they arent equipped to dignose mental health but if it is a mental health professional, it stays seperated and protected by HIPPA law. No other DR will see it unless you advise a Dr of it.

 

[EveHarrington]

Are all your medical providers under the same health care system? ie Associated. If so then you're right, they can all see your records. (100% legal in the USA for anyone wanting to argue HIPPA laws. I know, it happens here, with my records.)

I advise finding new independent docs so records don't transfer without your permission.

 

[lostforgottensoul]

you have to sign a HIPPA form to allow transfer of records from one Dr to another

I also advise that if they are grouped to see a Dr outside of the group.

If they aren't grouped then yes, it is illegal and against the HIPPA law if you did not sign the form. I have many Drs, not grouped, and if one wants something I have to sign a release form.

My therapist office also could not confirm or deny that I was a patient there when my brother called due to not being on my record due to HIPPA.

Also, my therapist and PDoc are grouped, they both see my records, but I have to sign to allow another therapist to see it in the same group and if I wanted to change to the other PDoc in that group I would have to sign. They are all inside of the same group but only 2 treat me therefore against the law for my records to be seen by a Dr or therapist there that I did not sign to allow.

In that group there are two PDocs and about 10 ish therapists.

I would advise to read the HIPPA law carefully and to ask. If they can see it, see another Dr. But HIPPA applies in various situations like mine.

 

[Canotia]

Thank you for your response. I use the VA. I do have outside insurance for medical (not dental) so it is something I can consider. It's bad enough to feel like I feel like a sign is stamped onto my forehead, but to know it is a banner called the problem list makes it worse. Right now I have not scheduled my annual physical because of it. It's super embarrassing.

 

[lostforgottensoul]

@Canotia, I'm not a veteran but my dad is an he goes through the VA for everythung as well. He tried to fake PTSD for higher benefits. He failed but after that "do you have this" faze, they would have referred him to an outside therapist.

Now, my therapist and I spoke about this a lot because it affected me a lot at the time and he said he sees a lot of veterans and takes such and such insurences (and rambled off a bunch of insurences the VA gives. Don't know if its for all or just those 100% disabled as my dad is 50 something %.).

Anyway, the VA is def a group that sees all. My question though is of mental health. Can you see an outside provider for mental health only?