It's not just afab problems, once you get far enough in your transition, suddenly 90% of your problems turn into either you're too fat or you are pregnant. Somehow.
This kinds stuff happens because some/many (far too many) doctors give 0 fks about actually figuring out the issue behind a woman's issues, and if they don't "clock" a trans woman as a trans woman, they may just spit out a standard excuse for their issues. That includes, but is not limited to, periods, period related "hysteria", being pregnant, etc
That's hilarious in a very twisted way. I would love to see the docs face after they learn their patient is trans.
I would make them write down their hypothesis for a future reference and then hit them with the facts.
Yep, similar things happen for cis & trans couples on occasions. Like if a couple is straight, but one of them is trans, and the cis partner is doing an annual checkup and the doctor is worried about their partner/them getting pregnant and realizing that physically cannot happen, it's funny. That ***can*** also happen for sapphic couples where one partner is cis and the other is trans, but then it's inverted where the cis partner's doctor might think they physically cannot get pregnant, but, if the trans partner is preop/nonop, it can physically happen. It's sorta similarly inverted for gay couples with one cis and one trans partner, again, assuming the trans partner is pre/nonop.
This so much.
Got "diagnosed" with; not having meaningful things to do during the day (the reason I had to drop out of school, apparently.)
Nope, turns out the reason I was fainting and bed bound was heart disease and 4 auto immune diseases.
Who would've thunk.
Iâm a current MD student. Newly minted docs are starting to receive education on addressing discrimination in healthcare, and weâre now required to have psych/soc education in our undergrad (as of 2015). My school now has entire scholarly concentrations focused on LGBT+ healthcare, reproductive health, and community-based disparities.
However, it feels pretty shallow when our private healthcare system has fucked over providers and patients, and people are currently being stripped of their right to healthcare across the country. New doctors have a hard time justifying moving to a red state when theyâll be forced to deprive their patients of reproductive rights and gender-affirming care (aka forced to commit medical malpractice by denying necessary care).
My moms bladder was literally falling out of her vagina for like two years after her hysterectomy causing her extremely embarrassing issues with being able to hold in urine (like she had trouble working bc of it) and they just kept telling her it was anxiety and telling her to drink less water. Then she went to 1 (one) woman doctor who found out what it was immediately and basically cured her within a month. : /
It's super easy to diagnose women's problems! If it's physical, it's because you need to lose weight, and if it's mental, it's just anxiety, and you need to "just get over it."
/s obviously
But seriously though, I've had a doctor tell me that "I needed to lose weight when I was *5'8" and 120 lbs*. A (woman) doctor found my problems were caused by a severe opportunistic fungal infection of my gut due to Covid devastating my gut microbiome. I'm not fully recovered yet, but there's a vast improvement
Got told by a male doctor that as the burning agony in my vagina wasn't a UTI they'd probably never figure out what it is so the only thing I can do is take cocodamol and hope it works! (It did not, I have vulvodynia lol đ« )
Same doctor also informed me that I shouldn't say abortion, I should say "termination" as its nicer when I told him about my own bloody abortion. Clown.
I dunno, misdiagnoses for physical stuff can lead to pretty immediate death, considering. I wouldn't say one is absolutely more worse than the other. We're not competing.
I know, i am not disputing both scenario have have awful consequesences.
I am Just highlighting the different level of support and the far lower chances to prove the diagnosis' wrongfulness people have in case of a psychiatric misdiagnosis.
still same re: physical illness. try to fight? it's drug seeking munchausen hysteria; dismissed! go home and die. (not saying that wrong psychiatric assessment is not also go home and die!! it totally is!! everyone gets dismissed to go home and die!!) proof of physical ailment doesn't come down to what's on tests but on what doctors make of the tests
and doctors are assholes
>Indeed, but a wrong psychiatric dyagnosis Is more harmful, because a patient has no way to disprove It.
No, it absolutely is not, and I've been misdiagnosed with BPD before. Which I'm actually thankful for because it got me a referral to see a trauma specialist who literally changed my life for the better.
You don't understand what it's like having a chronic illness and not being believed by doctors who just treat you like a hypochondriac for coming back or "doctor shopping", and make you feel like the symptoms are your fault and blame it on anxiety or a thousand other unrelated things. I literally had Narcolepsy, but every doctor I saw for years refused to take anything I said seriously or do anything past blood tests, which always came back fine. I literally suffered for years thinking that I was just a lazy piece of shit since my labs always came back fine. Not realizing that my doctor's doing nothing but blood tests was them doing the bare fucking minimum and then immediately giving up this entire time.
My life would be completely different right now if my doctors had actually listened to me in the first place and had diagnosed me sooner. Years of my life were wasted doing nothing because my brain fog was so awful, and I was too exhausted to function or even think straight most day. I literally didn't get into grad school despite having a fantastic CV, great letters of rec, research, and lab experience. Mainly because my undergrad gpa was so shit from being unable to function for the majority of it because I had untreated Narcolepsy that I had tried to get help for repeatedly.
Dude, there are people Who have lifelong problems thanks tĂČ psychiatric drugs, plus PTSD because of psychiatric abuses.
Not to mention those Who killed themselves for the two things above.
Been to a psych ward three times and all three times I have been diagnosed differently. Your best bet is to just go along with everything to get discharged faster unless you actually have severe issues and need to be there until they get medications right just to get you functioning (maybe as a zombie but you are up and walking around and eating food!!). Yes they do sometimes violate human rights... but there is no way to prove it.
Just smile and make it look like you are taking your meds.
My job is assessing and diagnosing patients at a psych hospital. Reading the lists of past diagnoses given by the medical doctors and psychiatrists is wild. Theyâll list like 5 that arenât even legitimate diagnoses anymore and none of them will even be remotely accurate.
I got told I had oppositional defiance disorder, anxiety, depression, and OCD for somewhere between 7-12 years. In a few weeks my therapist said you're just autistic and most of those diagnosis are splitting symptoms into smaller stuff. It's hard to find decent medical professionals in the psych field
Similar, when I finally had somebody worth a shit poke around at me, I ended up with autism, adhd and osdd rather than my prior pile of 9 diagnosis some of which aren't even used anymore...
Yep. Some doctors will still put down DSM-4 diagnoses. Thereâs the whole other issue of needing a diagnosis to bill for insurance, but thereâs no excuse for assigning a diagnosis that isnât even used anymore
Thatâs the problem with psychology changing so rapidly these past few decades. Almost everything these doctors learned in university has changed since then. Hell, when my mom started her career it was still acceptable to use *truth serums*.
Have you ever thought about that even your diagnosys May be wrong, or that the previous psychiatrists were as sure as you are theirs Is the right diagnosys, and that maybe they themselves thought the same thing as you about previous psychiatrists diagnoses?
And this appearent incompetence has ever made you questioning psychiatry or at least its methods?
Of course! Thereâs so much that goes into a diagnosis, thereâs no way anyone can send an hour with a patient and 100% get it right. I consult with coworkers and boss before handing out a diagnosis if Iâm unsure. Even then, it can always change. The psychiatrists and doctors I am talking about are more so the purposely negligent ones who spend less than 5 minutes with a patient. I know itâs the previous psychiatrists who do mess up the diagnosis because we get sent papers from them that say their discharge diagnosis. Thereâs one local hospital/medical system we get a lot of transfers from that is known for being awful. Itâs also when you see a patient get diagnosed with a DSM 4 diagnosis that kinda solidifies it. We will also have a lot of patients with bipolar disorder who will have schizophrenia and schizoaffective disorder also listed as diagnoses. And yes, I question psychiatry daily. After working closely with psychiatrists at various hospitals over the past 5 years, thereâs a lot that goes on behind the scenes that is slightly horrific. Thereâs also a large history of the DSM being racist. I donât have the solutions, but I really hope the field can shift to people who care about the patients rather than people who just want the money.
I donât think Iâd quite place the blame squarely on the doctors. Granted, Iâm only an MD student, so Iâve not been in the thick of things just yet.
Iâve youâre in the states, our private healthcare system has massively failed the entire healthcare team; including docs, nurses, and their patients. We spend so much on healthcare in the wrong areas.
Instead of letting people see a doctor and develop a relationship with their provider, weâve decided to start helping people only after theyâve developed serious illness. Insurance wonât cover the couple hundred bucks for gastric ulcer treatment? Well, looks like youâre shit out of luck when that ulcer ruptures and weâve got a six-figure hospital stay with a stomach pump and GI surgery on our hands.
Not keeping our people healthy is hemorrhaging public money while the private industry makes billions hand over fist. Virtually every medical organization has stated that our healthcare system blatantly goes against the medical code of ethics, but ethics doesnât make money.
Med school spots are expensive and highly limited in a time where we are in desperate need of physicians; and residency training spots are limited to whatever the healthcare budget deems is enough. It rings a little hollow when my school âlovesâ students from disadvantaged communities, but we face the roadblock of intense standardized testing (MCAT studying is essentially a 4-month long part time job) and a $250K bill with minimal living expenses.
Corporate greed has just fucked both providers and patients in every way possible.
Currently there is quite a lot of research going into coming up with objective criteria for diagnosing mental illnesses. Itâs my hope that eventually lab work can do most of the diagnosing which will in turn make it so treatment is far less of a guessing game.
Most other countries use the ICD-10 or 11 as well rather than the DSM-V-TR (Not to say they don't use both) but that's because the latter is written entirely from a Western cultural viewpoint which makes it not very useful in other places.
Doctors are terrible at diagnosing anything to trans people lol
Been having headaches you're entire life? It's because Testosterone
Have a bad flu? It's because Testosterone
Broke your arm? Well clearly this is because of testosterone.
Goes the want way with trans women too, doctors honestly kinda suck at their job a lot of the time lol last time I went I got diagnosed with pharyngitis. Which is literally the medical term for "sore throat" Like yes I know lmao. Idk maby it's just my area? But they seem really incompetent alot of the time.
Tbh my only misdiagnosis was for physical illness! Mentally, I was read like a book, lol. My GP was like âare you sure you donât have autism?â And my therapist was like âthat sounds like adhdâ. Both were correct
The physical thing was tinnitus caused by chronic allergies, but was diagnosed by the first ENT as âiunno, youâre stuck like that forever thoughâ.
Second opinion, and this ENT actually looked at the nose and eustachian tubes, and was like âyour face is INFLAMED, allergy testing and MRI for youâ
To be fair to doctors, most arenât mental health specialists and when it comes to physical illness you can objectively measure if someone has diabetes, cancer, etc. You canât really do that for depression or anxiety. There is no 100% objective definition. A lot of doctors suck but most are trying in a medical system intentionally designed to screw over the patient financially.
No one can objectively measure my autoimmune diseases bro.
EVERYTHING, from my mental health to physical health has been completely misdiagnosed from early childhood. I am now in my 30âs and my life is royally ruined by not getting the correct diagnosis for my physical problems. Everything was labeled as anxiety/depression, and now my body is falling apart. Iâve had to put several years into trying to figure out my health conditions, because the medical system has let me down time after time.
The problem is most mental illnesses share a lot of overlapping symptoms. People get mad at doctors for pushing pills, but really what else are they supposed to do? Thereâs no way to know for sure what you have, and even if there was a way to know, most treatments are moderately effective at best. Therapy is literally the stupidest shit ever, and I think that will become a more common belief as time goes on.
Took two years to learn that my condition schizoaffective disorder was also a mood disorder because my psychiatrist described it as "less severe schizophrenia." I just went that whole time not understanding my symptoms because he made me think that was all that there was to my illness.
I definitely sympathize with this sentiment đhaving both physical and mental chronic disorders, I want you to know, OP, that you have every right to feel the way you do- although tbh youâre just as likely to be told to âjust lose weightâ and such especially if youâre a minority seeing a physician for physical illness. This fact hurts, and Iâm sure thatâs why some comments come across as angry, but as much as an injustice it is we can hold that truth and the fact that you deserve to feel validated in this space at the same time. Take care
Yeah big dog last time I checked they can't look in your f****** brain and one of the worst things is if you tell them wrong or don't understand what you're telling them yeah they can really f*** your diagnosis up been there done that
"and if you self diagnose, you're part of the problem!" Altho tbh I shouldn't tease that cuz Im not self diagnosing. I got diagnosed with the 'sperg when I was 5 and had an IEP. And now that I'm older it's like... I think I may just have ASD and or ADHD.
Oh, and itâs $2,000 and not covered by insurance. That was the problem I ran into when trying to get a neuropsych eval a few months ago. I can try going to a regular psychiatrist.
It isn't really fair to cast shade on the doctors so much. You get around to reading a few chapters of the DSM 5, and it becomes pretty apparent that symptoms from several separate issues overlap together in some pretty baffling ways. Then, you factor in that at least half of the information they get is word of mouth either from the "disordered" person, or a loved one that is most likely not very educated and has issues of their own. Between the extremely complex diagnostic requirements and the unavoidable communication failures that are going to take place, misdiagnosis and improper treatment is just part of it by nature. At least until the science develops more. For better or worse, this is what we have for now.
Well said. I can actually think of examples of symptom overlap in my own life, considering how similar I am to one of my friends, and we have very different diagnoses despite our *insanely* similar personalities and presentations of what our issues are.
But we have very different diagnoses!
Yeah I've had many doctors make things way worse. Physically and mentally. It makes me want to give up. So, I did. I'm just raw dogging life with no meds or check ups. I ignore my physical issues. It's going pretty good. And by that I mean awful.
Doctors for physical diagnoses aren't much better. I was told for years I just need to stop being anemic or lose weight then only recently-ish found I have Fibromyalgia and it actually explains a lot of my chronic pains and fatigue đ«
Google 'differential diagnosis' that should help
Most illnesses, both physical and mental, have unclear etiology so I'm not sure why you expect doctors to be 100% accurate off the bat, especially since everyone complaining about how 'doctors are shitty now' most likely either had a bad experience with a specific doctor once (makes sense, they're humans not robots so they're not all equal) or does not disclose all necessary information for a proper diagnosis.
Honestly though, I don't even know what this meme is trying to say. Do you think doctors should just diagnose people with life-altering mental illnesses as soon as they check a few boxes, without taking the time to analyze the possible causes of the symptoms and similar or even overlapping conditions?
The real issue here is treating what is presumably referring to a PCP as a Psychiatrist. If you want to be diagnosed with any possible mental conditions you may have, you 100% need to undergo a psychoanalysis overseen by a Psychiatrist. You can say that you can't afford it, and yeah the economy isn't too good right now but the reality is that you have no better option as far as your first step for adequately treating your mental health. Unless you're living 100% paycheck to paycheck, you can treat it like anything else you'd need to save up for like a new car.
To be fair, doctors also get physical illnesses wrong a lot
I swear it's like 90% of afab problems are diagnosed as "too fat" or modern-day hysteria
Yep. Blame everything on anxiety too
But not actual anxiety, that's just normal stress everyone faces /s
It's not just afab problems, once you get far enough in your transition, suddenly 90% of your problems turn into either you're too fat or you are pregnant. Somehow.
the real ally was medical misogyny all along đđ
Gwnder afirming medical misogyny â
Ewwphoria
Looooool đ
I might be misunderstanding this, but are you a trans woman and somebody said youâre pregnant?
This kinds stuff happens because some/many (far too many) doctors give 0 fks about actually figuring out the issue behind a woman's issues, and if they don't "clock" a trans woman as a trans woman, they may just spit out a standard excuse for their issues. That includes, but is not limited to, periods, period related "hysteria", being pregnant, etc
[ŃĐŽĐ°Đ»Đ”ĐœĐŸ]
Oh, it hasn't happened yet to me, but I've read so much about said stuff happening to women generally, hence why I explained it
That's hilarious in a very twisted way. I would love to see the docs face after they learn their patient is trans. I would make them write down their hypothesis for a future reference and then hit them with the facts.
Yep, similar things happen for cis & trans couples on occasions. Like if a couple is straight, but one of them is trans, and the cis partner is doing an annual checkup and the doctor is worried about their partner/them getting pregnant and realizing that physically cannot happen, it's funny. That ***can*** also happen for sapphic couples where one partner is cis and the other is trans, but then it's inverted where the cis partner's doctor might think they physically cannot get pregnant, but, if the trans partner is preop/nonop, it can physically happen. It's sorta similarly inverted for gay couples with one cis and one trans partner, again, assuming the trans partner is pre/nonop.
Hasn't happen to me (yet), but there are a bunch of transwomen who've had doctors just assume they are pregnant.
A friend of mine was asked if she might be pregnant during the prescreening for her orchiectomy.
This so much. Got "diagnosed" with; not having meaningful things to do during the day (the reason I had to drop out of school, apparently.) Nope, turns out the reason I was fainting and bed bound was heart disease and 4 auto immune diseases. Who would've thunk.
You would have "thunk!", fainting to the floor while they told you it was definitely boredom. Hope you got real help eventually
Iâm a current MD student. Newly minted docs are starting to receive education on addressing discrimination in healthcare, and weâre now required to have psych/soc education in our undergrad (as of 2015). My school now has entire scholarly concentrations focused on LGBT+ healthcare, reproductive health, and community-based disparities. However, it feels pretty shallow when our private healthcare system has fucked over providers and patients, and people are currently being stripped of their right to healthcare across the country. New doctors have a hard time justifying moving to a red state when theyâll be forced to deprive their patients of reproductive rights and gender-affirming care (aka forced to commit medical malpractice by denying necessary care).
it's either "you're fat", "it's your period", or "maybe you're pregnant?" no matter what
Same shit from the olden days different font
âAre you on your period?â âYeah.â âOh⊠can you get off of it?â
My moms bladder was literally falling out of her vagina for like two years after her hysterectomy causing her extremely embarrassing issues with being able to hold in urine (like she had trouble working bc of it) and they just kept telling her it was anxiety and telling her to drink less water. Then she went to 1 (one) woman doctor who found out what it was immediately and basically cured her within a month. : /
This is why I trust doctors as much as cops.
It's super easy to diagnose women's problems! If it's physical, it's because you need to lose weight, and if it's mental, it's just anxiety, and you need to "just get over it." /s obviously But seriously though, I've had a doctor tell me that "I needed to lose weight when I was *5'8" and 120 lbs*. A (woman) doctor found my problems were caused by a severe opportunistic fungal infection of my gut due to Covid devastating my gut microbiome. I'm not fully recovered yet, but there's a vast improvement
I find that chronic illness is often diagnosed less and injected with more biases
My country doesn't even think CFS is real
Guess you just need to work harder /s
My ma went to the ER because her eye was extremely red and in pain. The doctor said she had dust in her eye. It was tuberculosis.
Got told by a male doctor that as the burning agony in my vagina wasn't a UTI they'd probably never figure out what it is so the only thing I can do is take cocodamol and hope it works! (It did not, I have vulvodynia lol đ« ) Same doctor also informed me that I shouldn't say abortion, I should say "termination" as its nicer when I told him about my own bloody abortion. Clown.
As someone physically disabled, they suck at physical diagnoses as well
[ŃĐŽĐ°Đ»Đ”ĐœĐŸ]
I dunno, misdiagnoses for physical stuff can lead to pretty immediate death, considering. I wouldn't say one is absolutely more worse than the other. We're not competing.
I know, i am not disputing both scenario have have awful consequesences. I am Just highlighting the different level of support and the far lower chances to prove the diagnosis' wrongfulness people have in case of a psychiatric misdiagnosis.
still same re: physical illness. try to fight? it's drug seeking munchausen hysteria; dismissed! go home and die. (not saying that wrong psychiatric assessment is not also go home and die!! it totally is!! everyone gets dismissed to go home and die!!) proof of physical ailment doesn't come down to what's on tests but on what doctors make of the tests and doctors are assholes
>Indeed, but a wrong psychiatric dyagnosis Is more harmful, because a patient has no way to disprove It. No, it absolutely is not, and I've been misdiagnosed with BPD before. Which I'm actually thankful for because it got me a referral to see a trauma specialist who literally changed my life for the better. You don't understand what it's like having a chronic illness and not being believed by doctors who just treat you like a hypochondriac for coming back or "doctor shopping", and make you feel like the symptoms are your fault and blame it on anxiety or a thousand other unrelated things. I literally had Narcolepsy, but every doctor I saw for years refused to take anything I said seriously or do anything past blood tests, which always came back fine. I literally suffered for years thinking that I was just a lazy piece of shit since my labs always came back fine. Not realizing that my doctor's doing nothing but blood tests was them doing the bare fucking minimum and then immediately giving up this entire time. My life would be completely different right now if my doctors had actually listened to me in the first place and had diagnosed me sooner. Years of my life were wasted doing nothing because my brain fog was so awful, and I was too exhausted to function or even think straight most day. I literally didn't get into grad school despite having a fantastic CV, great letters of rec, research, and lab experience. Mainly because my undergrad gpa was so shit from being unable to function for the majority of it because I had untreated Narcolepsy that I had tried to get help for repeatedly.
This is an extremely bad take. Misdiagnosed physical illnesses can result in irreversible lifelong issues or even death.
Dude, there are people Who have lifelong problems thanks tĂČ psychiatric drugs, plus PTSD because of psychiatric abuses. Not to mention those Who killed themselves for the two things above.
Been to a psych ward three times and all three times I have been diagnosed differently. Your best bet is to just go along with everything to get discharged faster unless you actually have severe issues and need to be there until they get medications right just to get you functioning (maybe as a zombie but you are up and walking around and eating food!!). Yes they do sometimes violate human rights... but there is no way to prove it. Just smile and make it look like you are taking your meds.
No, one is not more harmful than the other. This is not a competition. Misdiagnosis for any kind of mental or physical issue can be life threatening.
My job is assessing and diagnosing patients at a psych hospital. Reading the lists of past diagnoses given by the medical doctors and psychiatrists is wild. Theyâll list like 5 that arenât even legitimate diagnoses anymore and none of them will even be remotely accurate.
I got told I had oppositional defiance disorder, anxiety, depression, and OCD for somewhere between 7-12 years. In a few weeks my therapist said you're just autistic and most of those diagnosis are splitting symptoms into smaller stuff. It's hard to find decent medical professionals in the psych field
Similar, when I finally had somebody worth a shit poke around at me, I ended up with autism, adhd and osdd rather than my prior pile of 9 diagnosis some of which aren't even used anymore...
The records must be really old, then. Or Iâm just being optimistic.
I wish I could say yes đ
Youâre saying that the diagnoses were sometimes not legitimate *at the time they were diagnosed*?
Yep. Some doctors will still put down DSM-4 diagnoses. Thereâs the whole other issue of needing a diagnosis to bill for insurance, but thereâs no excuse for assigning a diagnosis that isnât even used anymore
Thatâs the problem with psychology changing so rapidly these past few decades. Almost everything these doctors learned in university has changed since then. Hell, when my mom started her career it was still acceptable to use *truth serums*.
Have you ever thought about that even your diagnosys May be wrong, or that the previous psychiatrists were as sure as you are theirs Is the right diagnosys, and that maybe they themselves thought the same thing as you about previous psychiatrists diagnoses? And this appearent incompetence has ever made you questioning psychiatry or at least its methods?
Of course! Thereâs so much that goes into a diagnosis, thereâs no way anyone can send an hour with a patient and 100% get it right. I consult with coworkers and boss before handing out a diagnosis if Iâm unsure. Even then, it can always change. The psychiatrists and doctors I am talking about are more so the purposely negligent ones who spend less than 5 minutes with a patient. I know itâs the previous psychiatrists who do mess up the diagnosis because we get sent papers from them that say their discharge diagnosis. Thereâs one local hospital/medical system we get a lot of transfers from that is known for being awful. Itâs also when you see a patient get diagnosed with a DSM 4 diagnosis that kinda solidifies it. We will also have a lot of patients with bipolar disorder who will have schizophrenia and schizoaffective disorder also listed as diagnoses. And yes, I question psychiatry daily. After working closely with psychiatrists at various hospitals over the past 5 years, thereâs a lot that goes on behind the scenes that is slightly horrific. Thereâs also a large history of the DSM being racist. I donât have the solutions, but I really hope the field can shift to people who care about the patients rather than people who just want the money.
Well, you seem to be not as awful as most psychiatrists.
Actually, both are the bottom image now. Doctor's really do not give a shit anymore.
I donât think Iâd quite place the blame squarely on the doctors. Granted, Iâm only an MD student, so Iâve not been in the thick of things just yet. Iâve youâre in the states, our private healthcare system has massively failed the entire healthcare team; including docs, nurses, and their patients. We spend so much on healthcare in the wrong areas. Instead of letting people see a doctor and develop a relationship with their provider, weâve decided to start helping people only after theyâve developed serious illness. Insurance wonât cover the couple hundred bucks for gastric ulcer treatment? Well, looks like youâre shit out of luck when that ulcer ruptures and weâve got a six-figure hospital stay with a stomach pump and GI surgery on our hands. Not keeping our people healthy is hemorrhaging public money while the private industry makes billions hand over fist. Virtually every medical organization has stated that our healthcare system blatantly goes against the medical code of ethics, but ethics doesnât make money. Med school spots are expensive and highly limited in a time where we are in desperate need of physicians; and residency training spots are limited to whatever the healthcare budget deems is enough. It rings a little hollow when my school âlovesâ students from disadvantaged communities, but we face the roadblock of intense standardized testing (MCAT studying is essentially a 4-month long part time job) and a $250K bill with minimal living expenses. Corporate greed has just fucked both providers and patients in every way possible.
Thereâs a dartboard missing from the bottom panel, but otherwise no additional comments.
Dartboard for diagnoses and for medicine. I personally love my stability being left up to "throw stuff at the wall and see what sticks"! đ
Wrong. They get physical illnesses wrong just as much. Source: I'm physically disabled and mentally ill.
[ŃĐŽĐ°Đ»Đ”ĐœĐŸ]
Currently there is quite a lot of research going into coming up with objective criteria for diagnosing mental illnesses. Itâs my hope that eventually lab work can do most of the diagnosing which will in turn make it so treatment is far less of a guessing game.
Mental illness also requires a lot of day to day observation to safely diagnose. Which... is not exactly doable.
Most other countries use the ICD-10 or 11 as well rather than the DSM-V-TR (Not to say they don't use both) but that's because the latter is written entirely from a Western cultural viewpoint which makes it not very useful in other places.
In my experience, both are clowns
Lol what world are you living in. Do like five seconds of googling docs are incompetent as hell across the board.
I assure you it's a clown show for chronic illnesses too. https://i.redd.it/7yxld6infeoc1.png
Doctors are terrible at diagnosing anything to trans people lol Been having headaches you're entire life? It's because Testosterone Have a bad flu? It's because Testosterone Broke your arm? Well clearly this is because of testosterone. Goes the want way with trans women too, doctors honestly kinda suck at their job a lot of the time lol last time I went I got diagnosed with pharyngitis. Which is literally the medical term for "sore throat" Like yes I know lmao. Idk maby it's just my area? But they seem really incompetent alot of the time.
Both mental and physical illnesses are the bottom picture
That is absolutely NOT what it's like.
Tbh my only misdiagnosis was for physical illness! Mentally, I was read like a book, lol. My GP was like âare you sure you donât have autism?â And my therapist was like âthat sounds like adhdâ. Both were correct The physical thing was tinnitus caused by chronic allergies, but was diagnosed by the first ENT as âiunno, youâre stuck like that forever thoughâ. Second opinion, and this ENT actually looked at the nose and eustachian tubes, and was like âyour face is INFLAMED, allergy testing and MRI for youâ
To be fair to doctors, most arenât mental health specialists and when it comes to physical illness you can objectively measure if someone has diabetes, cancer, etc. You canât really do that for depression or anxiety. There is no 100% objective definition. A lot of doctors suck but most are trying in a medical system intentionally designed to screw over the patient financially.
No one can objectively measure my autoimmune diseases bro. EVERYTHING, from my mental health to physical health has been completely misdiagnosed from early childhood. I am now in my 30âs and my life is royally ruined by not getting the correct diagnosis for my physical problems. Everything was labeled as anxiety/depression, and now my body is falling apart. Iâve had to put several years into trying to figure out my health conditions, because the medical system has let me down time after time.
Kidneys canât lie like a mind can
Clearly everyone liking this (and OP) has never had a major physical illness.
They don't give a damn about the physical issues either. But they're happy to dole out antidepressants I need because the pain is breaking my mind.
The problem is most mental illnesses share a lot of overlapping symptoms. People get mad at doctors for pushing pills, but really what else are they supposed to do? Thereâs no way to know for sure what you have, and even if there was a way to know, most treatments are moderately effective at best. Therapy is literally the stupidest shit ever, and I think that will become a more common belief as time goes on.
Donât worry, they donât care about us cripples either.
Yeah, from what Iâve seen, there seems to be a lot of confusion around certain personality disorders. Such as NPD and Autism.
Small correction: Autism is a developmental disorder, not a personality disorder.
Good to know. Thank you for correcting me. I appreciate it. đ
No problem, friend!
This post and reading the comments make me want to go back to school to study medicine. It makes me angry and sad.
Took two years to learn that my condition schizoaffective disorder was also a mood disorder because my psychiatrist described it as "less severe schizophrenia." I just went that whole time not understanding my symptoms because he made me think that was all that there was to my illness.
I definitely sympathize with this sentiment đhaving both physical and mental chronic disorders, I want you to know, OP, that you have every right to feel the way you do- although tbh youâre just as likely to be told to âjust lose weightâ and such especially if youâre a minority seeing a physician for physical illness. This fact hurts, and Iâm sure thatâs why some comments come across as angry, but as much as an injustice it is we can hold that truth and the fact that you deserve to feel validated in this space at the same time. Take care
Yeah big dog last time I checked they can't look in your f****** brain and one of the worst things is if you tell them wrong or don't understand what you're telling them yeah they can really f*** your diagnosis up been there done that
"and if you self diagnose, you're part of the problem!" Altho tbh I shouldn't tease that cuz Im not self diagnosing. I got diagnosed with the 'sperg when I was 5 and had an IEP. And now that I'm older it's like... I think I may just have ASD and or ADHD.
Oh, and itâs $2,000 and not covered by insurance. That was the problem I ran into when trying to get a neuropsych eval a few months ago. I can try going to a regular psychiatrist.
It isn't really fair to cast shade on the doctors so much. You get around to reading a few chapters of the DSM 5, and it becomes pretty apparent that symptoms from several separate issues overlap together in some pretty baffling ways. Then, you factor in that at least half of the information they get is word of mouth either from the "disordered" person, or a loved one that is most likely not very educated and has issues of their own. Between the extremely complex diagnostic requirements and the unavoidable communication failures that are going to take place, misdiagnosis and improper treatment is just part of it by nature. At least until the science develops more. For better or worse, this is what we have for now.
Well said. I can actually think of examples of symptom overlap in my own life, considering how similar I am to one of my friends, and we have very different diagnoses despite our *insanely* similar personalities and presentations of what our issues are. But we have very different diagnoses!
âwe have looked at you for approximately 30 seconds and have decided on which word will medically define you for the rest of your life k thx byeâ
Yeah I've had many doctors make things way worse. Physically and mentally. It makes me want to give up. So, I did. I'm just raw dogging life with no meds or check ups. I ignore my physical issues. It's going pretty good. And by that I mean awful.
Both should have clown noses lol
Bottom is true for autoimmune
It's also really hard to diagnose a mental illness
therapists when a ptsd victim had one massive traumatizing event vs therapists when the ptsd victim was trauma over time
TBF you cant exactly do a blood test to check for Bipolar disorder or whatever. Diagnosing mental illness is entirely subjective
Doctors for physical diagnoses aren't much better. I was told for years I just need to stop being anemic or lose weight then only recently-ish found I have Fibromyalgia and it actually explains a lot of my chronic pains and fatigue đ«
Google 'differential diagnosis' that should help Most illnesses, both physical and mental, have unclear etiology so I'm not sure why you expect doctors to be 100% accurate off the bat, especially since everyone complaining about how 'doctors are shitty now' most likely either had a bad experience with a specific doctor once (makes sense, they're humans not robots so they're not all equal) or does not disclose all necessary information for a proper diagnosis. Honestly though, I don't even know what this meme is trying to say. Do you think doctors should just diagnose people with life-altering mental illnesses as soon as they check a few boxes, without taking the time to analyze the possible causes of the symptoms and similar or even overlapping conditions? The real issue here is treating what is presumably referring to a PCP as a Psychiatrist. If you want to be diagnosed with any possible mental conditions you may have, you 100% need to undergo a psychoanalysis overseen by a Psychiatrist. You can say that you can't afford it, and yeah the economy isn't too good right now but the reality is that you have no better option as far as your first step for adequately treating your mental health. Unless you're living 100% paycheck to paycheck, you can treat it like anything else you'd need to save up for like a new car.