I talked to the P today that did the testing... . he explained that my dd could not have the mood disorder along with ODD... . something about the mood disorder coming first so they could not give her the ODD dx... . I asked how he knew which came first... . he told me by talking with my dd... . this is the part I find really odd because no one asked us what her history was so they simply were only going on what dd said.
Say what? My d was dx w/ odd first (by a t and later confirmed during inpatient psych testing), emerging BPD (by a t), mdd (during inpatient psych testing) and BPD traits confirmed (through the same psych testing). At no time have any of her diagnoses been removed... . during RTC her pdoc (who I had 0 faith in) questioned the Axis II dx of BPD (emerging/traits of) and in the same breathe said her treatment would be best focused on her Axis II diagnoses. Her first outpatient visit w/a psychiatrist was a fiasco! We already had the "emerging BPD" diagnoses from her t... . we went to this pdoc to get a med evaluation to see if she could benefit from any meds. First he tt my d and I together, then he spoke w/my d alone, then he called me back in. He told me 1) No, meds won't help 2) Here's a book to help you understand your d and he showed me a copy of "Stop Walking on Eggshells" ... . which I had already read 3) Told me her "T can't do that!" When I said "what if I told you she has already been dx w/emerging BPD?"
So you see... . it all depends on the individual "professional". By the way, this is the same adolescent psychiatrist on staff at the psych hospital my d was admitted to and had the inpatient testing done. When I saw his name on the admissions forms as the treating psychiatrist I (in writing) requested he not evaluate, treat, or test my daughter. Because of this my d was evaluated by the head of the hospital and he continues to be her pdoc to this day. We have a very good working relationship and he has helped us in many many ways.
The outpatient t my d had for a few years before rtc as well as after RTC coded her treatment as "depression" so that our insurance would pay. At the same time he treated her based on what my d needed by addressing her Axis II diagnoses. The best of both worlds in a way
I have to say I really have some reservations about this RTC... . they mailed the reports to me and by accident they also included a report about another patient at the RTC... . I was more than a little shocked at this mistake.
Another
My husband has been trying to get answers to our questions regarding our dd escape from the center two weekends ago. We still have not had all our questions answered and we keep having to email and call. I think they think we will just get tired and go away.
Another
All these things might be little things but I really have some concern with their lack of organization and they seem not very structured. Her P that she has seen for the past two years is the one that told me about the BPD... . Her T also agrees... . but can it be she is not Borderline? IS this possible? Leaves me confused... .
I try to look at these events and situations as stepping stones towards solutions and recovery. As we have talked about before jellibeans... . is this a long term option for care or just a stop along the way to garner what you can from it while you make other plans?
As your d's advocate the choices
you and your dh make are the most important ones.
I know this is all very confusing, frustrating, and scary. Knowledge is power. Don't be afraid to challenge what you are told when the facts tell you different.