Saturday, August 22, 2009

WTF Does That Mean!?

I have spent most of the day on the couch in moderate misery. Somehow that nausea I felt yesterday has become a full blown stomach attack. No vomitting, in case you all were wondering, but the nausea remains. And before anyone asks, no I am not pregnant.

But now to the real root of this post.

I got my records from my previous pdoc. I saw him from late 2007 to December 2008.

Here's the sentence:

Diagnosis:
Axis I:
(DSM) 296.80 or 296.7, depending on the day: Bipolar Affective Disorder
Basically either Bipolar Disorder Not-Otherwise-Specified or Bipolar I Disorder, most recent episode unspecified.
*Please note that all this time I have thought that they were telling me I had Bipolar II Disorder.

Axis II: ? B Cluster (Nov. 2007)
B Cluster (Jan. 2008 - Jun. 2008)
In September the word "defer" follows the Axis II. So they don't ever define the BPD, just place in the cluster of personalities in which BPD exists.
*I knew there was no real certainty over whether or not I have BPD. Although having just the cluster B label does fit in with me thinking that I have symptoms both of BPD and HPD (Histrionic) though not always necessarily enough to have either diagnosis. I will be asking my current therapist what "defer" means.

Interesting stuff huh? Yeah, I don't think doctors expect their patients to have a home copy of the DSM. I'm gonna take my records to my therapist and ask her to translate for me.

The interesting thing is that the pdoc's notes describe a fairly stable girl. I remember things being much more distressing, until I met my hubby anyway.

So all this really kind of reinforces the idea that I really shouldn't worry about labels. They don't describe me.

Of course, despite the stomach attack I'm in a fairly good mood. Who knows what I'll think about labels tomorrow.

2 comments:

  1. Hi Ari,

    Sometimes I think labels are just the way doctors deal with us. If they can label us, they can put us into a categorized treatment window.

    I'm glad to hear you are in a good mood, and I hope you feel better soon!
    Steph

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  2. It's possible that by putting the non-specific "Cluster B", the doc was avoiding labeling due to the impact it could have on future insurance. Insurance companies don't like to hear "BPD". Then again, maybe they just weren't sure.
    M

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