- User type
- OCD Conqueror
- Date posted
- 3y
I've never heard about therapist not sharing the diagnosis with you when it's OCD, but I only know two people with it in real life. I wonder if it has to do with the level of distress if they fear aggravating it/if it's before medication with heavy anxiety or depression/the theme? In some specific cases with other mental illnesses, it would make sense to withhold it first before stabilizing the patient. But with OCD, don't know how you could do ERP and CBT without knowing what's problematic... In my case, two told me it was OCD, one said it was GAD/phobia, but all of them gave me the info right away! You can ask for a diagnosis and specify that that is your goal. A therapist is here to help you feel better and help you manage the symptoms, and I don't think confirming the diagnosis would qualify as reassurance. Usually, people tend to actually question the validity of the OCD diagnosis. Good luck!
As someone who worked in medicine, withholding a diagnosis would be illegal unless the individual was a dependent. This is on the us anyway... heck even minors have a right to their diagnosis I think? At least teens do.
I think with BPD, it's not uncommon to withhold it due to the difficulty of it and some possible repercussions, and I think, not illegal in that case and a couple of others (depending on the country I guess, I'm not from the US, I also worked in the field)
@Anonymous2201 It's got to bea country thing, I can't imagine hippa allowing that. But I never worked in psychology
@compulsion5000 In some countries, it's called therapeutic privilege... Well hopefully it's illegal in the asker's country 🙏 I think OCD should be shared as a diagnosis, it brought me relief to know I wasn't just exagerating. I have a question for you, but of course only if you don't mind sharing/answering, did you leave the medical field because of your OCD? It's just out of curiosity, because I've been wondering if I should just give up even though I love it, just because the exposition is constant. You really don't have to answer if you don't feel like it
@Anonymous2201 Tbh I enjoy medicine. I am clerical and quality of life for residents so I rarely encounter bodily fluids. I actually felt it very complimentary to my ocd since my hygiene obsession was appreciated. I sometimes wonder if I have ocpd as well as ocd though because in some settings my ocd genuinely feels like a benefit and my understanding is thats not typical.
@compulsion5000 The orderliness, hygiene, and routine of assisted living is very comforting for me...my ocd symptoms actually improved doing that work. I left because covid hit and I am non Essential... want to return eventually
@compulsion5000 Thank you for answering and sharing! I see, I also struggle in seeing the "irrational part" at times and I feel like it's also knowing maybe a bit too much, especially with health concern/contamination OCD, having a confirmation bias of sort. In the country I was starting residency at, there is sadly no avoiding bodily fluids, even in psychiatry for check-ups with some meds. I hope you can return soon then and glad to hear your symptoms improved!! :)
@Anonymous2201 I have a friend who developed severe health anxiety after becoming a nurse. It's more common than you'd think but a lot of people keep it to themselves out of a desire to be professional. I could never do that kind of work. It's very brave and kind. I know its overused lately but I have always felt doctors nurses qnd the like who do the "dirty work" are heros.
@compulsion5000 Thank you, you're right and I've never thought of it (it being common). This is very validating, and I've always thought it's a bit more difficult to see the irrational part of it when you're in this field and have a specific personality. Thank you for the last part too 🤍
My therapist told me it wasn’t ROCD and was more my low self esteem and seeing it in this light has helped me
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