The last 8 months of my life has basically revolved around my somewhat sketchy health and the numerous doctor appointments I've pursued in order to try and find some sort of answer to my issues. The current round of medical professionals in my life are a Clinical Psychologist and a Psychiatrist.
Interestingly enough, every doctor that I've seen will agree that I do have some sort of problem. I mean, I agree with that assessment as well. However, while they revolve around similar things, no 2 doctors have actually yet agreed on what those problems are. I do understand that my issues are not as easily diagnosed as someone who walks in to see the doctor with a broken leg (technically, that person might not be walking but you get my point).
The progression goes something along these lines.
Family Physician diagnosis - Depression and slight possibility of bi-polar symptoms, but nothing that would be seen as problematic. The depression was the priority for treatment, and so anti-depressants were prescribed. In her opinion, there is no way to fix my sleep problem until the depression was under control.
First Therapist (Master's in Social Work) - Agreed with my family physician on the depression, but was quite interested in pointing to my lifestyle as part of the problem.
EMDR Therapist (Psychologist) - Surprisingly, wasn't concerned about what the current problem was, but where things started and directed the sessions accordingly. He actually firmly believed that things started a long time ago, and that my current problems were based on how my body has responded to highly stressful situations for a number of years. Did not believe that meds were the correct path. Interestingly enough I have shown the most significant positive change from this technique.
Clinical Psychologist - Diagnosed me with untreated (or not properly treated) post traumatic stress, and would like to avoid both the depression and bi-polar diagnoses. Claims that all 3 show similar symptoms and can often be mis-diagnosed. She is also not concerned as much about my current situation, but more the past stimuli that originally started this train-wreck of a sleeping pattern that I currently have. Recommends behavioral conditioning, and believes that I should be a very good candidate because of my positive results with the EMDR therapy.
psychiatrist - Diagnosed me as Bi-polar and thinks the depression is just part of my cycling. She claims that I'm currently in a hyper-manic state that is actually very pleasurable for me, and this is why I'm quite productive right now. She believes that I will back slide into a depression if this is not properly treated with Lithium or some similar drug. Post traumatic stress is not a valid diagnosis because, according to her, the original stimulus was too long ago. She actually believes that I've been in a hyper-manic state for the 3-4 years prior to my depression earlier this year, but struggles with this because it is generally a state that does not last as long as that. She does not believe that my current state is indicative of how I normally would be if I were leveled out with the use of Lithium. She believes that my sleep will be restored once I'm on Lithium. She also criticized the EMDR therapy explaining that the good feelings that I experienced afterwards were actually my cycling from depression into mania, which is common in that kind of treatment.
Alright. So, we have a whole pile of opinions here, offered up by some fairly well educated people. The first question is, are any of these actually correctly diagnosed?
What would have happened if I was in a central room and each of these doctors were in separate rooms looking in on me answering a bunch of general questions in a lab type setting so that each doctor saw and heard the exact same thing, on the exact same day? Do you think they would still disagree?
I've made phenomenal progress in the last few months, at least in my opinion, so technically what any of these doctors see today, is not indicative of why I was referred to them 8 months ago. Does that make a difference?
Does the smile I have today indicate that I'm covering something up in my subconscious that I don't even know exists, or is it a true honest smile?
If I don't show much sadness while discussing my uncle's death today, does that mean that I'm covering it up under a defensive technique, or could it mean that some other therapy has strengthened me when it comes to that particular topic?
Will I react the same way tomorrow if I were to discuss the same topic because I'm in a particularly good mood today or is this a sign that I might have made some genuine progress and that something has been changed?
If any of these doctors were to interview my family, they would probably return with the conclusion that I've always been moody and difficult, but is that really who I am? Could it be that being the black sheep in the family has always left me on the outside with no real way of properly fitting in and that's why my family sees me one way, and my close friends see me in some completely different way?
If you ask my mom right now, she'll tell you that I'm such a joy to have around, and that she's so thrilled about the progress that I've made. Ask my dad, and he'll probably tell you that he has noticed no change and that I'm just as moody as ever, but that would be based on the relationship that we have, because we just don't talk. So, how would all of these doctors know which was actually me?
In the end, all I know is that I'm currently in the best place I've been in a long time. We're actually talking years here. Maybe this is a cycle, or maybe it's not. Depending on who you interviewed and the day they were interviewed may give a completely different idea on who I am. So, how does anyone here actually know what the normal me is supposed to be?
Most likely, I no longer know who that person is. But, it's nice to be where I am now.
Discuss.