- Username
- eternalblue
- Date posted
- 5y ago
Giving you a diagnosis she doesn’t genuinely believe you have would be unethical and could get her disbarred from practicing. She cannot “lie” to you about your diagnosis. And the worries you elaborate here are highly indicative of OCD rumination. Perhaps you can talk with her about this paranoia and even address it with some ERP? People with OCD often doubt the validity of their diagnosis, and it can even become the center of our obsessions.
@pureolife is right. Fear of not actually having OCD is a common symptom of OCD. But let’s consider something for a second. Take someone who has OCD 100% for sure, and send them to 100 therapists for a diagnosis. In all likelihood, not all 100 therapists will agree with the OCD Diagnosis. That means that a number of therapists gave a false diagnosis. 1 therapist’s diagnosis doesn’t define you.
Although a diagnosis is helpful, it is just a diagnosis, just words that can help you figure out what interventions you need. So if ERP or ACT is helpful then that’s great. But I relate because when I saw a new psychiatrist, he didn’t seem convinced about my OCD probably because I didn’t share a lot because I wasn’t sure if I felt comfortable
thank you both for answering. rather than a "fake" diagnosis (in my country private psychologists don't give out any documents that certify your diagnosis, they only tell you during sessions), im scared that she's being vague on purpose by telling me that i have "an obsessive profile", "obsessive-compulsive mechanisms", "a primarily obsessive and anxious disorder with comorbidity", "these are traits of OCD", instead of just saying clearly "you have OCD", and uses all these vague expressions that hint at just traits to avoid saying "you don't really have full blown OCD". sorry, i should have made this more clear in the post. her vagueness with words drives me insane and im scared of asking her something like "can you repeat to me exactly what's the diagnosis" because not only it's reassurance seeking so she probably wouldn't do it, but also i would hurt her feelings because it would seem like i doubt her abilities. she said that exposure worked for some of my past themes (harm mostly, which is more under my control now), but not this one because it's really so deeply rooted in me, and every exposure attempt ended really, really badly (i have some self harm compulsions). CBT didn't work either so we're gonna try ACT as well.
You said she rarely uses clinic terms, but those sound like plenty of clinical terms to me! And not vague at all. I think she’s responding to your tendencies with very specific descriptions and I see no reason to distrust her assessments of you. If having her specifically say “you have OCD” is important to you, tell her that! People have different opinions on receiving a formal diagnosis. For some, it’s a relief. For others, it’s like a mark that they thing pigeonholes them and doesn’t allow others to see them as individuals. She may be trying to prevent you from feeling like your experiences are being generalized to be like all OCD when yours are specific to you.
@pureolife Think* not thing
@pureolife thank you so much, i followed your advice and told her about this, and she agreed to make an assessment of the situation together to have an updated full view of my issues and comorbidities rn, and to address this first and work on this obsession specifically. i cant thank you enough, this really helped me so much. :)
This is half a vent session, half me asking for advice but: My OCD symptoms started on april 2020, one month after the pandemic. that has led me to constantly question whether it’s OCD or anxiety and of course i can’t really diagnose myself but it behaves very differently from anxiety. i’ve also been doing research and reading about OCD for over a year and i honestly honestly think i have OCD because i fit basically all the symptoms? anyways, I finally brought it up to my therapist a few appointments ago and i felt like they kind of dismissed me? not sure if that’s normal. they told me it’s could be because of heightened anxiety and to practice “thought stopping”. that has made me feel sooo bad about myself because i start spiraling and believing my intrusive thoughts MUST be true because of what they said, and because it makes me feel like I’m just using the OCD label for “attention”. i’m not sure if i should bring it up again in a future appointment? or maybe find a new therapist? or maybe I don’t have OCD at all? I don’t know what to do
Random blah-blah: I have GAD, and I think I have OCD too. I don't say that suffer from ocd since I'm not diagnosed. My ex-therapist suggested me to look up for bipolar disorder. The problem is, after half an year, I still don't think I am bipolar. Did my research inside my brain, as well as on the internet. The thing is, I am obssesing over my mental health. OCD was the last disorder that I checked, since I thought it's impossible for me to have it. I am anxious about this one. I am scared. I want to know if I have ocd, and since yesterday, that s all I am doing. Looking up on the internet to find an answer. I am scared if I book a call, the therapist will say: but you have GAD, not OCD. And this will be so bad because I... I honestly can t imagine why it would be so bad. Just that I ve lived in a lie for 2 days. I think my ocd is most obvious in my relationship with my bf. And I feel so bad because he keeps saying that everything he does - is never enough. It s complicated. I just want him to never doubt himself, his actions and our love.
My new physician who is evaluating me for OCD asked about if I hear voices. I immediately got anxious and still am 24 hours later. I am deathly afraid of going schizophrenic and losing my grip on reality so my intrusive thoughts are very much surrounded my sounds , imagining I’m hearing a voice , being hyperaware , or being afraid of silence. When I said no I do not have auditory hallucinations I then begin to tell myself that I was lying and I probably am having hallucinations but just sane enough to lie about it? I am in a cycle of self doubt and it is driving me nuts. Why can’t I just take my diagnosis for what it is? And believe it is the right one?
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