I mean, me and my pdoc/T stopped caring about diagnosis a while back. Iâm not sure when it was exactlyâŠbut there comes a point, very often with complex trauma, where it isnât necessary helpful to turn much on the point of diagnosis.
I still need to have an âofficialâ diagnosis for one of my medications. But thatâs about the extent of it being helpful.
If I was to concern myself with my âofficial diagnosisâ, I would be facing a shopping list, thanks to the hot mess that the DSM has become.
But, having gotten to know me, and the way my trauma has affected me, the path forward with my pdoc at this point in treatment is irrespective of whatever label is currently fitting. And moving forward, the approach we take with my treatment will necessarily have to stay fairly dynamic, rather than fixed around âthis your diagnosis, so this the treatmentâ. Because my treatment needs have changed every damn year Iâve been in treatment, and will likely continue to do so.
Diagnosis is valuable.
That said, I have a lot of time these days for trauma therapists in particular who choose to not get too hung up on the diagnosis. Ts who are comfortable with the vastly different ways that the consequences of trauma play out pathologically, the dynamic way that treatment needs to shift depending on a number of unfixed factors.
Trauma therapists need to be able to treat the patient in front of them. Because we may all come with one diagnosis, but the treatment required from one patient to the next, one appointment to the next, varies hugely.
I think itâs a bit rough to call this T a moron or such. Itâs entirely consistent with humanistic psychotherapy to be not be all that fussed about getting a diagnosis fast and fixed.