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Dr. Bob is Robert Hsiung, MD,
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Posted by trouble on March 20, 2002, at 21:23:52
dx:
major depression
schizo-affective
ADHD
PTSD
Pers.Disor. NOS
psychotic tendencies?this last is holding up my soc.security disability insurance. My p-doc says I have psychosis and the SS pdoc says I most emphatically do not, b/c I know when I'm getting confused and irrational, evin if I can't stop the thoughts I know they're off the wall. He says this self-awareness indicates I'm not psychotic, that to be psychotic is to believe your delusions are true.
My p-doc says it's not that simple.
Any information would be appreciated! I'll read books if that's necessary, of course.thanks
trouble
Posted by OldSchool on March 20, 2002, at 21:52:12
In reply to need psychosis defined if possible, posted by trouble on March 20, 2002, at 21:23:52
> dx:
> major depression
> schizo-affective
> ADHD
> PTSD
> Pers.Disor. NOS
> psychotic tendencies?
>
> this last is holding up my soc.security disability insurance. My p-doc says I have psychosis and the SS pdoc says I most emphatically do not, b/c I know when I'm getting confused and irrational, evin if I can't stop the thoughts I know they're off the wall. He says this self-awareness indicates I'm not psychotic, that to be psychotic is to believe your delusions are true.
> My p-doc says it's not that simple.
> Any information would be appreciated! I'll read books if that's necessary, of course.
>
> thanks
> trouble
Your Pdoc is full of shit, like so many psychiatrists. If you recognize your thoughts are not based in fact, you arent psychotic. It is something else, OCD or something. Period. Maybe your psychiatrist is the one who is psychotic, I think quite a few of them are nutcases themselves.Here is the Websters dictionary definition of psychosis: a major mental disorder in which the personality is very serious disorganized and contract with reality is usually impaired: psychoses are of two sorts, a) functional (characterized by lack of apparent organic cause, and principally of the schizophrenic or manic depressive type), and b) organic (characterized by a pathological organic condition such as brain damage or disease, metabolic disorders, etc.). see INSANITY
Thats what real psychosis is. Losing touch with reality. Hallucinations, hearing things, smelling things that arent there, feeling bugs crawling on you, delusions, serious paranoia.
One problem with the above definition of psychosis is that the neuroscientists are finding out that ALL psychotic illnesses are organic. Functional neuroimaging is clearly showing this. The brains of schizophrenics and manic depressives show deficits in function on high tech brain scans. You should read about the functional neuroimaging research of schizophrenia being done by Dr. Nancy Andreason, MD, PhD. There was some mention of her research in the January 2002 "Prevention" magazine. Schizophrenia is indeed a brain disease, it is not a "psychological" problem. That means psychosis...or insanity, is a neurological disease basically.
Your SS disability is probably trying to find a way to not give you disability by denying that you are psychotic in the classic sense. Which you probably are not. Psychiatrists have a tendendy to overreact, overanalyze and basically make people feel worse. If your SS disability says you are not psychotic, you probably are not.
You dont have to be psychotic to get SS disability BTW.
Old School
Posted by Janelle on March 21, 2002, at 0:30:37
In reply to need psychosis defined if possible, posted by trouble on March 20, 2002, at 21:23:52
I totally agree with what Old School has posted here, plus I would add that my pdoc says the SAME thing that your SS pdoc does - I do NOT have psychosis because (like you) I know when I'm getting confused, irrational, and have obsessive thoughts. Also like you , even if I can't stop the thoughts I know they're off the wall. My pdoc also says that it is the SELF-AWARENESS which indicates that I'm not pyschotic and which separates NON psychotic from pyschotic - a person who iss psychotic believes that their delusions are true.
The husband of a friend of mine IS psychotic and I can see MAJOR differences between his believing his irrational thoughts and my knowing that when I have irrational thoughts that they are NOT for real, my knowing that something is *wrong* or off about the thoughts.
Posted by Janelle on March 21, 2002, at 0:51:38
In reply to need psychosis defined if possible, posted by trouble on March 20, 2002, at 21:23:52
You mentioned that your regular pdoc and the SS pdoc are in disagreement about what constitutes being psychotic, and this leads me to ask if part of applying for SS disability involves them (SS) making you see one of THEIR pdocs as part of the evaluation process?
Posted by OldSchool on March 21, 2002, at 18:02:07
In reply to Question about SS pdoc » trouble, posted by Janelle on March 21, 2002, at 0:51:38
> You mentioned that your regular pdoc and the SS pdoc are in disagreement about what constitutes being psychotic, and this leads me to ask if part of applying for SS disability involves them (SS) making you see one of THEIR pdocs as part of the evaluation process?
Yeah that is how SS disability operates a lot of times. When I applied for SS disability a few years back (got turned down and didnt bother appealing it) I had to see this other local psychiatrist SS disability contracted with. For an "objective" or neutral opinion. Evidently what he thought was that I wasnt that bad. He thought I had agitated depression basically. I didnt like the psychiatrist SS disability had me see...I would never go to that guy on my own. But I didnt care, I paid nothing SS disability pays for it.So if they make you see another doctor, keep in mind thats normal and you wont have to pay.
Old School
Posted by judy1 on March 22, 2002, at 1:07:17
In reply to Question about SS pdoc » trouble, posted by Janelle on March 21, 2002, at 0:51:38
just wanted to mention i used a social security atty group- i think Allsup? (sorry, forgot) and never had to fill out forms or talk to any SS pdocs. Just gave the lawyer my pdoc and psychologist name and dates of hospitalizations and was approved for SS disability the first time in about 3 months. they did take a percentage of my back earnings. good luck- judy
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