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Re: I am p****d off, feel dejected--jay

Posted by lostsailor on August 27, 2003, at 17:56:48

In reply to I am p****d off, feel dejected...SAILOR..whereRu?, posted by jay on August 26, 2003, at 19:51:10

Jay,
I have a bad elbow at the moment so this is gonna have to be a bit brief.

You might be on to something, but I don't think I am personally qualified to do on-line counseling. In general I have a lot of skepticism to its worth but have never looked at efficacy studies.

As for DSM coding...I just talk about that with doc. It is on my billing statement anyways (I assume it is on most everyone’s ins forms, but am not sure) He, at first, was not keen on the idea, but I got ruthless, already knowing my diagnosis' and started writing on paper midway thru session what I thought it would be and giving it to him at the end. I was usually right.

I am bi-polar (contained) as I call it, but there are only 4 possible codes 1, manic, 2, depressed; 3, mixed; 4 un-specified---he rarely uses specifiors, but when he had it was rapid cycling.

The other is panic disorder either with or without agoraphobia depending on that sessions focus. (I guess it truly falls under "w/ 'history' of agoraphobia, but he likes to seperate that into how I am doing at the moment.

he has also indicated, that I present what he calls a "constellation" of anxiety disorders but non are so prominent that they deserve a individual/separate diagnosis---but he , as a rule of thumb, is one that like to keep diagnosis to a minimum whereas some pdocs will write for each visit or cluster of visits.

I am on pbopen, though and have time on my hands usually so may be into something...drop me a line!!

Good to see you again.

In peace,
~tony


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