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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by JenniferB on December 20, 2002, at 17:08:06
Hi. :) I have inattentive ADD and recurring situational depression, anxiety, and OCD symptoms. I recently got in a disagreement with my psychiatrist about a missed appointment fee, so I was kind of surly, uncommunicative, and obnoxious. He responded in kind, and I said I'd have to start seeing someone else. At that point he said I should know he'd been thinking of changing my diagnosis from ADD (which had actually come from a different [excellent] doctor in my former town), to some sort of psychotic disorder (he wasn't clear about what, exactly). Well, this naturally upset me (as it was dead wrong), so I started crying and seemed, I'm sure, even more out-of-control. When I read more about psychotic disorders later this afternon (the appointment was this morning), I became even more convinced of his total misjudgment.
I've made an appointment with a doctor who is very experienced with treating adult ADD, but now I'm concerned that the other "psychotic" diagnosis will follow me and affect the new doctor's opinion. Any suggestions of what I can/should do?
Posted by ShelliR on December 20, 2002, at 18:07:03
In reply to what to do about incorrect diagnosis?, posted by JenniferB on December 20, 2002, at 17:08:06
Jennifer,
Try not to worry about the diagnosis your last doctor gives you. You already have a ADD diagnosis from an excellent doctor, AND your new doctor is also experienced in treating ADD. He'll be interviewing you to determine his own diagnosis; also asking what meds worked, etc.
If possible, try not to sound defensive about your last doctor. If he did change your diagnosis, explain to your new doctor that you disagree with it, and you *might* offer that the change was made after a conflict came up between the two of you, only if this doctor is really pushing to understand.
The more together you sound when discussing this, the less likely it is that your new doctor will weigh it very heavily. Remember, a diagnosis is not a punishment; used properly it's a starting point to determine which medications might help (as well as a label for the insurance company).
I really think it won't turn out to be a big deal.
Take care,
Shelli
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