Solely what are the cons to seeking a psychiatric evaluation

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Does GP mean PCP (Primary Care Provider)?
Also, can you explain "verbal" to me in detail. Do psychologists / doctors / psychiatrists just verbally say someone has something without putting it to paper in a psychological assent report? That seems strange to me so now I am wondering if maybe "verbal" has a different meaning in the healthcare community?
The only people in my state recommended by the Autism Resource Center that dealt with adult autism as a specialty were Psychologists.
I'm still confused about this "verbal" thing. Even if I go to a normal doctor's office for lets say an inflamed toe, I still get a written diagnosis or else the entire encounter is not billable. You have to have a diagnosis to bill or else insurance companies say nope, not medically necessary.

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I misspoke. My Dx was done by extensive interviewing with a psychologist, who filmed all of it, and then the psychiatrist, whom I never met, signed the official one-page Dx that I asked them for. The psychologist supplied the back-up papers.

I think a Dx must be signed by a psychiatrist because it's defined in the DSM, which is the psychiatrists' manual. I wanted a final Dx that nobody would argue with. I wanted to proceed to the next step in healing my life and from what I've read here, it's possible to spend forever getting rediagnosed by doctors, psychologists, etc. A psychiatrist trumps all of them.

I misspoke. My Dx was done by extensive interviewing with a psychologist, who filmed all of it, and then the psychiatrist, whom I never met, signed the official one-page Dx that I asked them for. The psychologist supplied the back-up papers. The whole thing was done on hospital letterhead. They worked as a team.

I think a Dx must be signed by a psychiatrist because it's defined in the DSM, which is the psychiatrists' manual. I wanted a final Dx that nobody would argue with. I wanted to proceed to the next step in healing my life and from what I've read here, it's possible to spend forever getting rediagnosed by doctors, psychologists, etc. A psychiatrist trumps all of them.

I misspoke. My Dx was done by extensive interviewing with a psychologist, who filmed all of it, and then the psychiatrist, whom I never met, signed the official one-page Dx that I asked them for. The psychologist supplied the back-up papers. The whole thing was done on hospital letterhead. They worked as a team.

I think a Dx must be signed by a psychiatrist because it's defined in the DSM, which is the psychiatrists' manual. I wanted a final Dx that nobody would argue with. I wanted to proceed to the next step in healing my life and from what I've read here, it's possible to spend forever getting rediagnosed by doctors, psychologists, etc. A psychiatrist trumps all of them.

Boy, you guys make me feel paranoid sometimes. Called the Psychiatric institute where I was diagnosed. I was told Psychologists can and do give final a final diagnosis. DSM lists Psychologists as well. Now I just feel silly.

Oh goodness, this hadn't occurred to me at all. Thanks.

At the risk of going slightly off-topic for a minute here, jcq126, when you advise not going to a GP (PCP in the U.S) for a diagnosis, I think you may have misunderstood some of the discussions elsewhere on this site among UK people.

In the UK, although one can pursue a privately funded evaluation/diagnosis, there is the NHS which will take you through the process for free. However, when doing it "NHS", you do in fact have to approach your general practitioner initially -- NOT for the diagnosis, but to be referred onward to the specialists -- psychiatrists, psychologists, etc -- are are qualified to start you on your evaluation.

I don't think anyone goes to the GP/PC doctor expecting a diagnosis from them; it's just that in the UK we have to ask our GP initially for the referral to those who are able to diagnose. That's the only reason why anyone (in the UK at least) goes to their GP first.

Just hoping to clarify.

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Last edited by BirdInFlight on 18 Jan 2014, 8:49 am, edited 1 time in total.

I'm glad if that works for you. For my own purposes, I want to carry a piece of paper that nobody will argue with. I don't want to have to tell them to call the institute etc. I want it accepted on the spot, so we can move on immediately. For example, I got new GP who accepted absolutely nothing but the Hospital Dx. She doesn't bow to psychologists. People who run treatment centres want Dx by their own team - until I produce the Dx on hospital letterhead signed by a psychiatrist.

It might be more about popular perception and regulations. I've been bounced from pillar to post all my life. I've been Dx'd by all kinds of people - the dentist, for example. It's especially tricky because I present well and can behave NT for an hour, which Mom taught me, and which leads others (and me?) astray. Should I arrive in meltdown? Should I flap my arms? Having learned to manage eye contact without flinching, should I do it or not?

If and when I want somebody to know about my Dx, I want something to prevent contradiction by the unqualified. I have a life to build and I won't be stopped or even detained. I'm 63 - I have work to do. Here's the Dx; now we move on.

Sorry to be rambunctious about it; I don't mean to offend. But I've had the biscuit with this world's ways.

duplicate.

Last edited by Claradoon on 17 Jan 2014, 11:29 am, edited 1 time in total.

I don't get why everyone keeps mentioning a piece of paper. I have a 10 page paper with an official diagnosis given by my Psychologist (DX is on its own separate piece of paper) Maybe it isn't in different in different states but in my state a Psychologist must be licensed. My psychiatrist is going to be prescribing medication based on my diagnosis which is written on paper on the 4th. I work at a veteran hospital so I emailed someone at the facility and asked the same question I asked at the Psychiatric institute where I was diagnosed. In the email I was informed that a Psychologist can diagnose just not prescribe. The way everyone says I want a piece of paper stating my diagnosis and I only get that from a Psychiatrist confuses me. I have that in 10 pages (one page just as the diagnosis) with a letter head from the Psychiatric institution but done by two Psychologists. Also, the federal government has accepted this documentation at work as part of reporting a disability and to use for determining if any assistance is needed. Am I missing something here? I feel like I am.

I don't think it's everyone; it might be just me.