#icd10

[writing-tics]

getting diagnosed with a tic disorder

I just wanted to try out talking about that experience. maybe someone will relate, or find it useful.

i don't really remember how my tics started. i have a tendency of not acknowledging my feelings and brushing things off. i have always been a little jumpy, so I just blamed my weird shrugs and other weird unwanted movements on being easily scared.

they got really bad after my 18th birthday. and soon i asked my parents to see a neurologist.

before that we had conversations about me seeing a specialist, but i didn't want to hear about it. i wanted to pretend that everything was normal.

i went to the neurologist privately. which means that i didn't have to wait too long for the visit but I had to pay for it. my school needed a confirmation that i do have that disorder for my final exams.

i was very stressed, but the doctor was super nice. i had prepared a whole document in which i described all my symptoms, with dates if i could remember them, what my tics feel like, what makes them worse, what makes them better, family history of tics, or similar conditions, etc.

she was really nice and understanding. i don't remember the specific questions that she asked, but something about what is distracting/difficult about them. stuff like that.

she asked me to close my eyes and touch my nose, or left ear, stuff like that. also she had a little stick (like the ones doctor use to look into someones throat) and she would lead it from my fingertips up to my shoulders. she also checked my knee jerk reaction.

over all it was more of a chat, than an actual physical test.

she gave me a prescription for a brain scan (magnetic resonance, which i couldn't do due to having braces, and we switched to an MRI with contrast) - nothing wrong with it, thank fuck. and she prescribed me medication. i fucking hated those meds. they were Awful.

I never got a diagnosis from her. She gave me meds, and reassurance that this is probably psychological, which was enough at the time. Even tho she was a really good neurologist, tics were not her speciality, so i tried another guy.

AND BOY O BOY

he was supposed to be the lead specialist on tic disorders in my country. and maybe he was.

i spend 4h traveling from my city to the capital, just so i could see him.

i knew that he would probably asked my father my childhood, so i was prepared that my dad would be present for a while during the visit. but no, the doctor ever asked him to go out of the room, after the conversation about my childhood ended (it was brief, i had no symptoms in childhood). the doctor would ask my dad about other stuff as well, stuff i could have easily have talked about myself.

and then he asked me about my self harm, and depression, and suicidal thoughts (with my father still present in the room). i answered truthfully, even tho I REALLY wanted to lie. i came out of that visit with my F95.9 diagnosis, and a bunch of other diagnosis like anxiety and stuff. and a prescription for anti-anxiety drugs that i never bought.

i am not sure if the F95.9 is my disorder, but it does fit my symptoms somewhat, so that's why i use it. it's definitely not TS, and at this point idc anymore. the guy saw me one time, and with my dad present, so the diagnosis is very questionable imo, but hey. whatever.

[pseudospectre]

First impressions of The Magnus Protocol: ICD-10 but make it Spooky xD

[mariamagdalenaposting]

by u/TerryTags on Reddit

[kingofkingsschizo]

F20.9 Schizophrenia unspecified ❤️🙏😎

[aspd-culture]

I'm so sorry if you've gotten this question a thousand times, but do you have any non-biased list of ASPD symptoms or things people with ASPD tend to do/think? I've been questioning if I have it but I can't find any list of symptoms that isn't extremely ableist

Well, part of that is because the diagnostic criteria's phrasing is pretty ableist. I can give you a quote from the most recent DSM (DSM-V TR, 2022) which is the book that professionals in the USA diagnose out of. I cannot give you the current criteria for ASPD outside of the US, because the ICD-11 has gotten rid of individual personality disorders in favor of a general "Personality Disorder" diagnosis with 3 severities but no clusters or individual disorders. I can give you the previous criteria from ICD-10, however.

(From DSM-V TR, 2022 - "Antisocial Personality Disorder, Diagnostic Criteria")

"A. A pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following: 1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest 2. Deceitulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3. Impulsivity or failure to plan ahead 4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults. 5. Reckless disregard for safety of self or others 6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations. 7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another B. The individual is at least age 18 years. C. There is evidence of conduct disorder with onset before age 15 years. D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder."

The important thing to remember is that the DSM specifically states it is not meant to be used like a cookbook, where a list of ingredients makes a final outcome. That is to say, having ASPD isn't as simple as having 3/7 of the numbered criteria and fitting the lettered criteria. There is nuance to understanding what ASPD looks like and feels like, the diagnostic and associated features sections, development criteria that must also make sense (aka what, as far as we currently know, are either genetics and/or environments that cause ASPD) within your life experience, as well as differential diagnosis to make sure the symptoms don't fit better elsewhere.

The associated features section of the DSM-V TR section on ASPD is fairly long, so I am unable to put all of that here.

The differential diagnosis section of the DSM specifically mentions a few types of disorders to look out for that may appear to be ASPD based on symptoms alone, which I can list here.

Substance Use Disorder: If someone would also qualify for a substance use disorder diagnosis, then ASPD is only diagnosed if ASPD symptoms were present from young childhood and to present day. Both can be diagnosed, even if both were present in childhood and adulthood, but it is not ASPD if no ASPD traits were shown in childhood prior to the use of substances.

Schizophrenia and Bipolar disorders: If ASPD symptoms are only present during episodes associated with Bipolar disorder (manic episodes) or Schizophrenia (psychosis), then that isn't considered ASPD.

Other Personality Disorders: ASPD *can* co-occur with other personality disorders, but you want to research all of them to be certain that it a different PD doesn't fit better than, rather than in addition to, ASPD.

(From ICD-10 Dissocial Personality Disorder)

"Personality disorder characterized by disregard for social obligations, and callous unconcern for the feelings of others. There is gross disparity between behaviour and the prevailing social norms. Behaviour is not readily modifiable by adverse experience, including punishment. There is a low tolerance to frustration and a low threshold for discharge of aggression, including violence; there is a tendency to blame others, or to offer plausible rationalizations for the behaviour bringing the patient into conflict with society."

(It is worth noting the word "gross" used in the phrase gross disparity is referring to a secondary definition of gross, meaning large/important/marked/prominent. They are not being bluntly ableist on main in the ICD).

In the ICD, they note exclusions, which I believe is similar to the differential diagnosis section in the DSM, for Emotionally Unstable Personality Disorder (BPD) and Conduct Disorders.

Overall, this criteria has its own serious issues for both versions, but it is the diagnosing criteria (current for the DSM and recent but not current for the ICD, as mentioned above) for Antisocial/Dissocial Personality Disorder and therefore needs to be a part of any research into self diagnosis.

I would highly recommend looking into the DSM entry itself for ASPD as it is lengthy but thorough (and yes, somewhat stigmatizing) in its explanation of how ASPD tends to present itself. Putting the term PDF after DSM-V TR definitely does (cough) not (cough) produce some results that would aid you in this, and idk why anyone would do that when there is a perfectly legal way to buy the DSM for over $100 for a PDF version.

I hope this helps!

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[transgreeshma]

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