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Thursday, May 29, 2008 buffy asks

Q: How long does it usually take to get a diagnosis from a psychologist or psychiatrist?

I have suffered from depression and suicidal thoughts for  most of my life. I am 37 and recently had an episode of severe depression with suicidal ideation. I have never gotten therapy before but my friend convinced me to go get help this time. I have been in therapy with a psychologist and seeing a psychiatrist for about 3 weeks now. They have prescribed Prozac and Wellbutrin for me which I have just started taking. I do not have depression or depressed mood constantly. It comes in episodes of a few days to a week. At other times I feel either normal mood or energetic. I wouldn't call it manic but I can get lots of things done during that time. The depressed moods are very severe when they come however. I have asked my psychologist for a diagnosis but he says he doesn't like to label people and that it is difficult to diagnose something after only seeing someone for 3 times of an hour each time. The psychiatrist says similar things but now seems to be diagnosing clinical depression. Sometimes I feel like the psychiatrist doesn't necessarily listen to everything I am telling him. He tends to talk over me in a way. The therapist is great however. Anyway, how long does it take to get a diagnosis for a mental illness? When should I reasonably expect one?  Sometimes I feel like the psychiatrist is just medicating me to see what happens and then will decide on a diagnosis after he sees the effect the meds have on me.

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Answers (3)
5/29/08 10:54pm

Honestly, I've never heard of a diagnosis taking that many visits. It sounds odd to me that they are that reluctant to give you a diagnosis. Just for practical reasons, I believe that they have to present your health insurance with some kind of diagnosis to get reimbursed.

 

Also, if there is a possibility that you are bipolar instead of unipolar, antidepressants are a tricky proposition. If I were in your position, I would get another opinion, from a second  psychiatrist.

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5/30/08 8:13am

i am in exactly the same possition, i feel that i have been messed about and dont think they know what is wrong with me.  every antidepressant they give me ( 3rd) i go manic but they tell me i am not bipolar must not fit neatly into there box's that why. i have been on the brink of suicide many times and have switched to over happy, this will be my 5th visit for half an hour and nothing. i am broke with spending, telling and talking to people and having no memory at all of what i have done. There a waist of space if you ask me, its peoples lifes and like yourself i just want answers and none of this chat and go stuff and feeling once again that you have got nothing out of it.

maybe you have had this, the psychiatrists who read your notes for 10mins and have made there own conclusions, i have had 2 potential dignoses but nothing official, both  of these things are not made by my regular psychiatrist....

 

arrrgggg, i feel for you! and totally understand

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6/ 2/08 3:58pm

It seems to me you have answered your own question, " I suffer from depression with suicidal thoughts"  thats a pretty good decription of your problem isnt it? Medical names wont change things too much, just insurance people of other doctors will have much interest in these names.

   It takes some time to fit the right medication and dose to each person plus it takes 4 to 6 weeks for them to work. It takes some patience but most psychiatrists will find the best combination of meds for you. Taking 3 or 4 isnt much, there are many now and combinations.

  I have depressed periods like you, I dont usually know there coming but I have learned to notice a few things that may trigger these periods such as too much stress, too little sleep, missing taking meds or missing /skipping meals and blood sugar drops-worst depressive symptoms i have.  So try to notice anything in common next time your mood drops, maybe you can work your way out of it

   Also if you dont think your doctor is listening, stop what you are saying and ask him, "are you listening to me"??  Its your time and money, you dont have to be niceLaughing

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