Posted by Racer on July 13, 2006, at 21:06:57
In reply to finally a response, posted by wishingstar on July 13, 2006, at 20:52:10
A couple of quick notes:
"Adjustment disorder" is used a lot as a dx, because it's kinda meaningless. It is a legitimate dx, the insurance companies cover it -- it's Axis I, which is usually covered; Axis II isn't generally covered, and that's where BPD is listed -- it's pretty innocuous, so therapists use it as the dx rather than something that might be more accurate but also have some element of judgement in it. Also, if Laurie is considering you as a BPD client, she'll need to use something on Axis I for the dx on the paperwork. (And even if there's no insurance, the paperwork will stay pretty much the same.) Our marriage counselor lists "Adjustment Disorder" as my husband's dx on her paperwork -- in her words, he's adjusting to marriage. Really, it's just to satisfy the insurance company.
And then, about the message you left for Laurie, you might want to avoid saying things like:
>>I know I shouldnt be calling and that you'll say it's manipulative, but...
When I read that, my gut reaction is, "whatever follows will be manipulative..." It's not that I think you're manipulative -- I don't know you, you've never tried to manipulate me -- it's just that disclaimers like that always get my back up. Maybe saying something like, "Hi, you don't have to call me back, but I wanted to tell you that I feel as though you're pushing too hard right now, and I'm not sure I can say that in person next week." Just leave out anything about how she might perceive it. Kinda like the "I statements" here, you know? If she feels as though it's manipulative, she can bring it up herself. Otherwise, assume that you're expressing something that maybe you won't be able to in person and that Any Reasonable Person will understand.
Wishingstar, I had a terrible experience a couple of years ago with a lousy T -- she even tried to dx me with BPD, despite meeting pretty much NONE of the criteria for it -- and it did a lot of lasting damage in a very, very short time. I'm still not over it, despite more than two years since I saw her for the last time. I urge you to be very careful, and consider whether you might want to check into other options for therapy...
Take care, and good luck. I hope Laurie hears you, and pays attention to what she hears.
poster:Racer
thread:666420
URL: http://www.dr-bob.org/babble/psycho/20060703/msgs/666873.html