Blog Layout

Understanding Your Diagnosis

https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Understanding-Your-Diagnosis • Apr 24, 2020

Understanding Your Diagnosis

Some people with mental health conditions experience relief and hope when they get a diagnosis. Others may feel like a diagnosis is "just words."

You may even feel several competing emotions at the same time—relief at having a name for the things bothering you, but fear and anger that you have an illness. You may feel that the diagnosis you received carries negative or damaging perceptions and may not want to accept it, but getting a diagnosis is a useful step in receiving effective treatment and improving your quality of life.

Getting A Diagnosis
Unlike diabetes or cancer there is no medical test that can provide a diagnosis of mental illness. A health care professional can do a number of things in an evaluation including a physical exam and long term monitoring to rule out any underlying medical conditions that may be causing symptoms.

Once other medical conditions are ruled out, a person might be referred to a mental health professional that will use The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), to make a diagnosis. The DSM-5, published by the American Psychiatric Association lists criteria including feelings, symptoms and behaviors over a period of time that a person must meet in order to be officially diagnosed with an illness.

Why A Diagnosis Matters
A medical professional determines a diagnosis by interviewing you about your history of symptoms. Sometimes a doctor will require a couple of medical tests to rule out possible physical ailments, but we cannot evaluate mental health itself through blood tests or other biometric data. Instead, doctors use their experience to determine how your set of symptoms fit into what we know about mental health.

The diagnosis is an important tool for you and your doctor. Doctors and therapists use a diagnosis to advise you on treatment options and future health risks.

Another reason a diagnosis matters is that it tells health insurance companies that you have a condition requiring medical care. A doctor's diagnosis is also necessary to qualify for Social Security disability support or for job protection under the Americans with Disabilities Act.

Even though labeling your symptoms doesn't automatically relieve them, congratulate yourself on having moved forward in the process of getting treatment and protecting your rights.

What Next
You may already have learned as much as possible about mental illness, or you may be facing the topic for the first time. In either case, a diagnosis is a good starting point for learning more.

When your doctor talks about your condition, take notes so you can look up your diagnosis later. Ask your doctor to recommend books and websites with additional information. When you read about your condition, you may find your symptoms match in some ways and don't match in others. This is normal.

Focus on learning about symptoms and treatments. You may come across discouraging predictions about how it's impossible to "cure" serious mental illness. However, with treatment you can reduce or eliminate your symptoms. A diagnosis is a gateway to good treatment, not a sentence to lifetime imprisonment.

If you haven't already found a support group, this is a good time to reach out to others with your condition. NAMI's Peer-to-Peer classes and discussion groups can provide encouragement and advice from people who are living well with mental illnesses.

What If You Disagree About Your Diagnosis?
After reading about your condition, you may have questions for your doctor. How do your symptoms match this diagnosis rather than another? Couldn't it be something else? What if it's a physical illness instead or a misunderstanding?

It's important to feel that your doctor considered all the possibilities. If you disagree with your doctor's evaluation, however, don't automatically quit working with him or her. Your doctor is already familiar with your symptoms, and the diagnosis is simply a tool to help you and your doctor address those symptoms. If possible, it's worth it to stick with a doctor who already knows you.

Ask yourself if you can work with this doctor, not if you believe in this diagnosis. When you discuss your concerns, does your doctor listen to you? Try to answer your questions? Does your doctor show sympathy? Understand your goals? What treatment does the doctor recommend for helping you meet those goals?

Consider whether you can "agree to disagree" about the exact diagnosis, while agreeing to try out the doctor's recommendations for a certain period of time.

Reevaluating A Diagnosis
A diagnosis is only as good as the treatment it leads to. Whether or not you feel confident in your diagnosis, it's important to reevaluate occasionally.

After pursuing treatment for a time, you and your doctor should meet to discuss your progress. Consider how treatment is helping your condition, or if it doesn't seem to be helping. If treatment isn't sufficient, other options for treatment can be considered or changing your diagnosis.

A mental health professional makes the best diagnosis possible with the information they have. Over time, as you work together, he or she will observe you, listen to you, and gather new information to help refine your diagnosis. Your diagnosis is the beginning of an investigation into how to make your life better.

National Alliance for Mental Health (NAMI) https://www.nami.org/Your-Journey/Individuals-with-Mental-Illness/Understanding-Your-Diagnosis
By Maggie Lavey 10 Aug, 2021
Mindfulness encompasses a variety of definitions although most are similar in concepts. Mindfulness is described as an awareness that arises from purposely paying attention in the present free from any judgements. Mindfulness is a state of awareness of ones emotions, thoughts, and sensations when each occurs. A third definition of mindfulness is a nonjudgmental state of awareness of present experiences. Various interpretations exist dependent on the context in which mindfulness is being examined. For example, mindfulness can be examined in improving emotional regulation and as a coping tool for stress management. Mindfulness is being in the present moment in ones body in a fully conscious state, aware of ones own experiences without judgement or narrative- just being in the moment in the here and now with an acceptance of how things are; being aware of our own thoughts, emotions, sensations without being caught up in them- an outside observer of self with an awareness of the moment. Mindfulness can be used throughout the day when walking, eating, and whenever feeling emotionally “charged” to step back and observe internal experiences. Yoga, meditation, and breathing are a few ways to cultivate mindfulness. Being mindful allows for intentional actions and responses rather than living on autopilot without being aware. The benefits of mindfulness are plentiful, and a regular practice is beneficial for enhancing wellness. Being able to stop and really get into the here and now and out of automatic unconscious living enhances feelings of well-being and an ability to respond more effectively with emotional control. Mindfulness can improve experiences and interpersonal relationships alike. Mindfulness is Intentional Living. Give it a try and see what happens. How do you define mindfulness? How do you cultivate mindfulness in your daily life?
By Stephanie Pappas 09 May, 2021
Each day in the United States, an average of 3.1 million COVID-19 vaccines are going into people’s arms. According to an April 9 White House briefing, a quarter of the country's adults are now fully vaccinated. The pandemic is not yet over, but vaccination could soon yield a much more normal life, especially for those who have been vaccinated. The Centers for Disease Control and Prevention, for example, now recommends that fully-vaccinated people can visit with each other indoors and travel without quarantining. But for many, reopening comes with its own set of anxieties. According to APA's Stress in America polling, around half of people say they feel uneasy about readjusting to in-person interaction post-pandemic. Ellen Hendriksen, PhD, a clinical psychologist at Boston University's Center for Anxiety and Related Disorders and author of How to Be Yourself: Quiet Your Inner Critic and Rise Above Social Anxiety , is an expert at clinical strategies for calming anxiety. She spoke to APA about what's driving post-pandemic anxiety and how psychologists can best help. What do you think is driving the anxiety many people are feeling about reopening? Anxiety is driven by uncertainty. There is so much uncertainty right now, from the vaccine roll-out to society reopening to the new normal workplace to the virus and the variants themselves. Every day there is more evidence that vaccines keep us and people around us safe, but there are lingering questions about how long immunity lasts, how susceptible kids are to COVID-19, and when they will get vaccinated. Nobody alive today has ever emerged from a global pandemic into a digital world and navigated this before. We're making it up as we go along, so of course we're anxious. Here at the Center, we have the longest waitlist in our 25-year history. So many people are emerging from the pandemic feeling exhausted, burned out, anxious, or depressed. Collectively, our resources are low, which makes it harder to navigate the layers of uncertainty. How can people handle social anxiety and awkwardness around different levels of comfort as places reopen? The fact that reopening is a moving target makes it difficult to align with other people. You and your bubble might be ready to dine in at a restaurant or get on a plane, but the family next door might have a child who is immunocompromised and is living as they were in January. There are more variables to manage compared with before the pandemic. Plus, social anxiety is driven by avoidance, and we've all been avoiding social interactions for the better part of a year. The fact that we're all rusty is going to make us feel wobbly as we re-enter. It's OK to say we don't know how to do this, and it's OK to ask people what they're comfortable with. That normalizes the uncertainty and awkwardness, and it's quite validating to say, “What are we doing?” or “How does this work?” It can help you feel like you are united with the other person against this larger problem, as opposed to negotiating one against the other. This is a strategy borrowed from couples therapy, where it is often highly effective. How can people feel more comfortable with re-entry? There's one question I've been getting over and over from people who struggle with social anxiety. They'll say, "I did so much work pre-pandemic to get to the point where I could give a presentation or raise my hand in class." They’re worried they’ll be back at square one when they are again in large groups. But social confidence is like a muscle. If you have done work on your social anxiety in the past, that architecture is still there. It will feel awkward at first, but it will come back faster than the first time around. As for feeling comfortable returning to everyday activities, there are dozens of points of re-entry. There will be a first time on public transportation, a first time in someone's house, a first time taking a rideshare. We'll work our way up to large gatherings. Just because you feel rusty or nervous doesn't mean you're doing it wrong. It means you're getting back out there. Your brain will recalibrate with experience. We all need love, support, and community. Studies show that the quality of our relationships predict our future health, happiness, and even longevity, so it's worth it to push ourselves a little to get the interaction we all need, even if we are the most introverted of introverts. What should psychologists keep in mind for helping their clients right now? Psychologists have a big job ahead of us. It may be hard to balance supporting and pushing our clients simultaneously. It’s important to support each individual’s comfort level and choices, but psychologists also need to notice and address life-limiting avoidance. These are anxious, uncertain times, but there is also a sense of hope and renewal. It is an honor that we as psychologists get to play a leading role. Article by Stephanie Pappas from the American Psychological Association (APA)
By Steven C. Hayes, Ph.D. 29 Apr, 2021
Imagine you are sitting in a car, and you are driving down a lonely highway. Suddenly, in the middle of nowhere, a warning light goes off. Your oil pressure is very low. If you just ignore it and continue your drive, you run the risk of doing serious damage to your engine. You know you can get a tow, but this is going to take a while. As you are considering your next step, you suddenly remember a trick about how you can short circuit the warning light. This would not change anything about the engine—it would still be starved for oil—but the low-pressure signal would no longer be blinking on your dashboard, and you could ignore it more easily. Here’s the question: Should you do it? Unless you are seriously intoxicated (at which point you shouldn’t be driving at all), you won’t hesitate to say “no” to that impulse. Rightly so. Turning off the light will not do anything for you. The light is just the messenger, and not the problem in itself. Instead, you would be better advised to take in the information and deal with the situation. This is easy and intuitive to understand when it comes to external problems like car maintenance. It’s much more confusing, however, when the problems occur internally. When we are confronted with difficult emotions like anxiety, depression, stress, grief, anger, or loneliness, we are quick to search for the off-button on our emotional dashboard instead of taking in the messages they contain. Make it stop! Give me the wine and cigarettes. Let me cancel this appointment. Engage me on social media. Show me the movies and video games. Do whatever, but just make it stop! This is often our first response when difficult emotions show up: We try to mute the signal. But emotions are not the problem. They are merely messengers. And the messages they carry deserve at least to be heard. They often contain important lessons, and can call us to helpful actions. Often they show us opportunities. What Emotions Can Signal Fear might show us that danger is up ahead, and we better prepare ourselves. Loneliness might urge us to prioritize close relationships. Grief might open us up to what is important and meaningful to us, while calling out for social connection and support. Your dashboard doesn’t need to be covered up. It needs gentle attention. No, the dashboard isn’t everything—you still have a road to see and navigate. When emotions arise, you can ask yourself: “What am I feeling right now?” and “Where can I feel it?” and “What does my emotion ask me to do?” and “What does this suggest I am yearning for?” No one turns their driving over to a dashboard, but questions like these help our emotions play their proper role. If it were just negative emotions, this “turn off the indicator” move would be bad enough, but we are similarly incompetent when it comes to positive emotions. Imagine noticing on your car’s dashboard that your fuel tank is full. Oh, joy! You want it to stay this way, and so you decide to rewire so that the gauge always remains full. And people avoid positive emotions too! When we feel joy, we sometimes focus on how we will feel when it goes away, so we try never opening up to joy at all. That would be like the person who just disconnects the fuel gauge altogether so that she will never be disappointed when the fuel runs out because she never allowed herself to notice it was full in the first place. All of this is self-defeating, and yet it’s exactly what many of us do when we feel happy or sad or anxious or hopeful or depressed or satisfied. We like feeling this way, and never want it to stop, and so we cling onto this pleasant feeling, in the hopes of never losing it. Or we detune so it won’t be noticed when it stops, as if being numb is the definition of happiness. We dislike feeling this way, so we push it away as if feelings are the enemy. Feelings are not just about like and dislike. They are how our past and present impact us. They help train our ability to notice what is present, based on what we’ve experienced in the past. They’re like dashboard gauges that help us adjust to the challenges of our life journey. Emotions are temporary. They aren’t meant to be avoided, nor are they meant to be clung to. They are meant to come and go, flowing through you in their own time. They contain important lessons when things are off, and beautiful rewards when things fall into place. Allowing emotions to be there when they occur, to listen closely to their message, to feel them fully with neither clinging nor needless defense, allows them to serve their proper role. Your emotions are not the problem, so feel fully, embrace the change, move forward, and learn how to drive. For more on the Author: Steven C. Hayes, Ph.D.
Share by: