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Re: Misdiagnosed??

Posted by noa on April 16, 2003, at 9:40:09

In reply to Misdiagnosed??, posted by sedona on April 16, 2003, at 1:18:05

Sedona, I am sorry you are going through this.

Your therapist told you she thinks of you and thinks of impasse. Then she gives you a test and tells you you're borderline.

That sounds to me to be one of the worst uses of diagnostic tools I have ever heard!!

A diagnosis is only as good as it is useful for helping direct the treatment. Borderline is a rather catch-all diagnosis, imho. And it has a reputation for being used when a therapist is frustrated by a client. But there are many reasons a therapist could be frustrated by a client, and not all of those reasons are from the client's side.

Put the ball in her court now. I would ask her how the diagnosis is going to help her in her treatment of you--ie, what new information or insight does it provide her in trying to get through the impasse. How does she now propose to help you now that she has determined that you have this diagnosis. Ask seriously, not rhetorically. Then, depending on what kind of answer you get, you might have more information about whether you want to continue to work with her.

If the therapy is in an impasse, it might be time to get a consult. Either together, if she is willing, ie, another shrink consults with both of you to help figure out if the impasse can be overcome and how to do that. I know this because a long time ago, my therapist suggested it as a possibility when I felt we were at an impasse (he never thought we were at an impasse, though). Or, for you to get a consult on your own.

You said you want someone warmer. That is important that you know that. It is important to have a therapist whose style matches your needs.




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