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Self Diagnosis Is Not An Option

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anthony

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I want this information to hopefully help those who believe they can self diagnose PTSD to understand the greater limits of what you're attempting to do. The Internet itself is a great tool, though it's also a very dangerous tool at the same time. The reason for this is due to the ease in which information can be found. Combine this with the human instinct of self belief, and when applied to medical matters, becomes a major issue. People often read and believe what they read is right, or when they read it they can find distinguishable aspects of what they read within themselves.

This doesn't just apply to PTSD, instead it stems across all medical aspects of self diagnosis. If you cut your finger with the knife whilst preparing dinner, you can diagnose that injury, being a cut. Common-sense says apply a bandaid. Some people however may then go searching, find some rare illness or disease that is linked to cutting oneself with a knife. What you did was an accident, though suddenly your brain wants more, it wants attention, so when interpreting, knowledge can be confused with something you don't even have. Its called hypochondriac and malingering.

The simple facts are: people often want something to be wrong with them, when in fact there is nothing wrong or something very much the lesser is actually wrong. PTSD is becoming more known now across the globe. The recognition the illness is attracting due to soldiers on deployment is bringing all sorts of good and bad attention to the disorder. The good is the publicity of what it is and is not. The publicity though also allows once again the human brain to listen or read information, then believe that fits themselves. For the very minor few, it actually may do so; however, you cannot self diagnose PTSD, period. It cannot be done.

The first thing with diagnosis of any mental illness is the cautionary statement, most of which self diagnosed individuals simply do not read or discard, again... the brain believes what it wants to believe:

The specified diagnostic criteria for each mental disorder are offered as guidelines for making diagnoses, because it has been demonstrated that the use of such criteria enhances agreement among clinicians and investigators. The proper use of these criteria requires specialized clinical training that provides both a body of knowledge and clinical skills.

Now, some may think that statement exists in an attempt to stop self diagnosis. Well...IT DOES. It is a precautionary warning to stop people from telling themselves something that they may then believe, when in fact they likely do not have that illness. PTSD does not encompass only the written criteria that so many read; it is far beyond that scope. The written criteria is only a guide, it is not: meet x, y and z symptoms and you have PTSD. It doesn't work that way. There is a poll upon this forum which outlines the very dangerous activities that some members and non-members of this forum engage in self diagnosis. PTSD is actually not diagnosed by meeting the symptomatic criteria, it is diagnosed by meeting the first two criterion along with the outcome from specific mental health assessments that are completed upon assessment, which determine whether you meet the criterion. Its not the other way round.

There are three main anxiety disorders that a person could fit, PTSD being the last one and least chance of actually fitting under self diagnosis:
  1. Generalized Anxiety Disorder
  2. Acute Stress Disorder and
  3. Posttraumatic Stress Disorder
I listed them in that order for a very good reason, because that is the order of severity. Most people will suffer GAD after a traumatic event. Now read the difference between Acute Stress Disorder and PTSD. You won't find much difference actually. Yes, there is a difference in layout, though they both pretty much say the same thing. The difference is the intensity, magnitude and amount of symptoms per category, ASD also focuses on dissociative aspects. This though is still not the most significant difference yet.

The most significant difference between criteria are the physical aspects, and those are not mentioned upon the readily available and Internet search-ready webpages/sites. These can only be gauged whilst face to face with a qualified physician who is trained to identify trauma. Not only must they be qualified, they must be experienced, otherwise they can get it wrong between the two, acute and PTSD. One is curable, one is not. Acute is curable because the physical chemical imbalance and brain damage has not occurred, where PTSD the brain is physically changed through a chemical imbalance, which makes the illness treatable, not curable.

Absolutely massive difference between the two, none of which can be self diagnosed by reading a list of symptoms.

My advice for those who self diagnose: you must seek medical advice immediately through an experienced trauma physician in order to determine whether you have PTSD or instead just need some counselling and therapy in order to get back into life. Healing can take the same time, but they are far from the same illnesses. People want to sometimes feel like they have the worst of something, when in fact they are often fooling themselves with any self diagnosis. You cannot self diagnose; please understand that and seek professional guidance immediately.
 
I have been told by a pyschiatrist that I have a chemical imbalance in my brain due to growing up with domestic violence. Is there absolutely no way to reverse this? My current T had me go off my anti-depressants so I can access my feelings with the idea I can process the emotions of past traumas. It terrifies me. I am so afraid that I am going to break down again and end up back in the hospital.
 
It's nice to be able to point people to actual solid information in the forum, since trying to describe things from the point of a non-professional just makes one sound a little silly. :) There are some members with the credentials to pull this off- rest assured I am not one of them. Thanks for another resource.

Lauren, it's not what one would wish for oneself, but I maintain my stance that re-wired isn't broken, you know? Yes, it sucks that it's irreversable, but it's not 'broken'. :) You're not sounding like a pest, it's just an awful lot to take in, I know.
 
I spent the last 25 years self diagnosing. I just assumed I had OCD, then ADD, then GAD, I even assumed I was schizophrenic. I spent alot of money trying to fix myself and never got better. I actually got worse.

I went to see a therapist to get help for my kids and was diagnosed with ptsd within the 2nd or 3rd visit. I had never even thought of it being that and didn't even know what ptsd was. The diagnosis fits though.

If you think you have symptoms of ptsd, go see someone about it. Don't waste your life trying to self diagnose and self treat.
 
Thanks for the article... and no I didn't know there was disassociative aspects of ASD. I guess I got something to think about and some decisions to make.
 
That's very true that people go looking for things to be wrong with them. I'm not sure that it is as simple as saying people WANT there to be something wrong with them though? You may be right there, I just know that from all the introspection I have done, and exploration of my subconscious, I found so many beliefs that stemmed directly from messages from my parents which indicated that I was not ok, that somehow my human behaviors, like being lazy, being angry, being mean etc. were somehow 'bad', and therefore I grew up thinking there was something really wrong with me.

Maybe it does have to do with the attention you can get from telling people there is something wrong with you...or just the way the mind tends towards hypochondriacism, from all the media reports and fear that most people have absorbed in their lives?
 
It is the old thing really, those with PTSD don't want to have it, those who don't have it, want to mask that they do, to fake it and want something for notoriety.

Does my head in at times... but there are always malingerers with any illness.

I would not say it is a subjective majority, but a minority, however still very present.
 
I would have a wild guess that they have been deprived of nuture or something in their lives and don't know of an approriote way to get it.
Or that some may feel so awful that they wish to find an "awful" label for what they are experiencing. To validate the way they feel.
Then there may be others wanting to defraud medical insurances! ;-)
I would guess there will be a fair amount of people who do the opposite. Dismiss or minimise their concerns and problems and not speak up or get help for longer than ideal.
And when one minimises ones concerns then others can end up doing so too.
I suspect its all about personality and life experiences.
 
View attachment 3170

  1. Generalized Anxiety Disorder
  2. Acute Stress Disorder and
  3. Posttraumatic Stress Disorder
I.

Anthony, I am curious about one thing.

Do those with acute stress disorder ever experience flashbacks, intrusive memories and dissociation issues relating to their disorder and many years after it?
I realise it is soething that happens for a period of time after the incident but are there long term issues from it?
Thanks.
 
Please read diagnostic criteria for ASD: [DLMURL]http://www.ptsdforum.org/c/wiki/acute-stress-disorder/[/DLMURL]
 
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