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Doctor suspected me of having Psychosis

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kembleman
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21 Mar 2013, 9:28 am

I am in the middle of getting a diagnosis for what i know already know i have but i was told that i may have Psychosis symptoms but those symptoms do not include what i have because i have a lot of symptoms of Asperger's Syndrome and not Psychosis symptoms.
What is the best thing i should do?I am confused in why they thought i may have Psychosis and not anything related to ASD but i have trouble with people and not mental issues apart from Manic depression.


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21 Mar 2013, 10:09 am

kembleman wrote:
What is the best thing i should do? I am confused.

A confused state is a vulnerable state. Be like an investigator compiling evidence. Demand proof. Don't blindly accept what you're told. The tough part is your age. Your lack of life experience most likely will work against you. The older someone is, the wiser they generally are because of having knowledge of how things used to be. But... unfortunately, there are a lot of old fools these days.


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seaturtleisland
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21 Mar 2013, 10:55 am

I've been told that but not by a doctor. Obviously I didn't take the person seriously because she wasn't a doctor but if she was a doctor I would've probably gotten a second opinion. Get a second opinion from a different professional.



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21 Mar 2013, 11:44 am

From what I've observed other people experiencing regarding diagnoses, it is critical to find someone competent in their job. That can demand opinions from many different professionals before getting an accurate assessment.


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21 Mar 2013, 11:50 am

kembleman wrote:
i have trouble with people and not mental issues apart from Manic depression.


You can have psychosis in mania or depression, that's even very common.
Actually Bipolar is even considered to be a form of psychosis.


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nick007
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21 Mar 2013, 1:39 pm

Raziel wrote:
kembleman wrote:
i have trouble with people and not mental issues apart from Manic depression.


You can have psychosis in mania or depression, that's even very common.
Actually Bipolar is even considered to be a form of psychosis.

Yep.
It's possible to develop psychosis or show those symptoms in response to Aspie stuff. I developed a psychotic depression when I was 20 & my 1st relationship ended because I was isolated & hadn't connected with anyone before her. I was obsessing due to OCD & she was also my obsessive interest & I was having lots of anxiety & panic attacks amongst my depression & eventually I didn't know what was really going on & what wasn't & I broke down. The psychs & docs I saw after all thought I had lots of other things instead of my AS because they saw the symptoms of other disorders that were created or made worse by my Aspergers & didn't notice or focus on the Aspergers underneath that was the root-cause. As others have said here it's good to try to analyze yourself & think about the cause & effect.


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Otherside
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21 Mar 2013, 3:27 pm

Bipolar can cause psychosis, especially Bipolar I. People with Bipolar II can still get psychotic though, but not during hypomania, only during depression. People with Bipolar I can get psychotic during mania or depression, although generally speaking, psychosis in BPI mania is a positive expierence (EG-the person think they've been tasked with a mission from god), although that probably isn't always the case.

There's also something called Schizoaffective Disorder. There's two types-depressive type and bipolar type. Schizoaffective is when the psychosis is not limited to the mood episode, and takes place when a person is feeling normal too.

It's a problem for psychiatrists when diagnosing people-there's psychosis in Bipolar disorder, and then there's Schizoaffective, which can appear to be Bipolar for that reason. And then there's Schizophrenia, and people with Schizophrenia can get depressed to. And then there's psychotic depression with no mania.



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21 Mar 2013, 4:53 pm

Otherside wrote:
There's also something called Schizoaffective Disorder. There's two types-depressive type and bipolar type. Schizoaffective is when the psychosis is not limited to the mood episode, and takes place when a person is feeling normal too.


From Wikipedia:

Schizoaffective disorder wrote:
With regard to making a schizoaffective diagnosis on a patient, poor interrater reliability (or agreement among clinicians making the diagnosis), and problems with the validity of the diagnostic criteria, has led some psychiatrists, including leaders in schizoaffective disorder diagnostic research, to conclude that the diagnosis should be removed from future diagnostic criteria.[12][13]

In April 2009, the DSM-5 Psychotic Disorders Work Group headed by psychiatrist William T. Carpenter MD of the University of Maryland, College Park School of Medicine, reported that they will be "developing new criteria for schizoaffective disorder to improve reliability and face validity," and that they will be "determining whether the dimensional assessment of mood will justify a recommendation to drop schizoaffective disorder as a diagnostic category."[12] Speaking to an audience at the May 2009 annual conference of the American Psychiatric Association, Carpenter was quoted in a Medscape article (emphasis added):

"'We had hoped to get rid of schizoaffective [disorder] as a diagnostic category because we don't think it's valid and we don't think it's reliable. On the other hand, we think it's absolutely indispensable to clinical practice,' he added wryly, drawing a laugh from the audience."[13]

One reason the diagnosis may be indispensable to clinical practice is simply because the diagnosis gives clinicians a placeholder, or working diagnosis, that describes currently observable symptomatology (that may be submitted to patients' health insurance) until a more valid and reliable diagnosis can be reached, which may or may not be ultimately be the schizoaffective disorder diagnosis.


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kembleman
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21 Mar 2013, 6:27 pm

Thanks for great info i got from everyone I'm thinking of getting another diagnosis from someone who has more experience with AS.
I was also told i could'nt have any type of AS because i did'nt have any counseling at school but i have learnt to adapt with what i have trouble with and find a way around it myself without counseling.Also she said you have to have symptoms of AS before 4 years of age and your parents would know if you had the condition or not.My mum said she could'nt have known i had AS because she thought what i did when i was younger like flapping my hands etc, a normal part of a childs development.


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Otherside
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22 Mar 2013, 4:58 am

Raziel wrote:
Otherside wrote:
There's also something called Schizoaffective Disorder. There's two types-depressive type and bipolar type. Schizoaffective is when the psychosis is not limited to the mood episode, and takes place when a person is feeling normal too.


From Wikipedia:

Schizoaffective disorder wrote:
With regard to making a schizoaffective diagnosis on a patient, poor interrater reliability (or agreement among clinicians making the diagnosis), and problems with the validity of the diagnostic criteria, has led some psychiatrists, including leaders in schizoaffective disorder diagnostic research, to conclude that the diagnosis should be removed from future diagnostic criteria.[12][13]

In April 2009, the DSM-5 Psychotic Disorders Work Group headed by psychiatrist William T. Carpenter MD of the University of Maryland, College Park School of Medicine, reported that they will be "developing new criteria for schizoaffective disorder to improve reliability and face validity," and that they will be "determining whether the dimensional assessment of mood will justify a recommendation to drop schizoaffective disorder as a diagnostic category."[12] Speaking to an audience at the May 2009 annual conference of the American Psychiatric Association, Carpenter was quoted in a Medscape article (emphasis added):

"'We had hoped to get rid of schizoaffective [disorder] as a diagnostic category because we don't think it's valid and we don't think it's reliable. On the other hand, we think it's absolutely indispensable to clinical practice,' he added wryly, drawing a laugh from the audience."[13]

One reason the diagnosis may be indispensable to clinical practice is simply because the diagnosis gives clinicians a placeholder, or working diagnosis, that describes currently observable symptomatology (that may be submitted to patients' health insurance) until a more valid and reliable diagnosis can be reached, which may or may not be ultimately be the schizoaffective disorder diagnosis.


Yeah, I get the feeling Schizoaffective is just comorbid bipolar disorder and schizophrenia or (depression and schizophrenia), but Im not really an expert, nor do I have Schizoaffective so I didn't want to say that. I dunno, I'm gonna look into it.