Settle a disagreement

[Sanman]

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You’re avoiding the entire thing. Let me rephrase your question:

Veteran can get $3k/month in tax free income, free college for their kids in some places, and other things, IF someone says they have PTSD. Why is the person, who self selected into a violent profession, aggressively seeking that diagnosis? Maybe it’s the money. Maybe it’s because society will “give” them a mulligan for domestic violence/dui, if they have that diagnosis.

Name another profession that has its own criminal justice system.

Significantly more than $3k/month if you include caregiver support payments. I know of several cases where disability income is the most they ever earned outside of the military. Many are not hiding it either. Just check reddit and walk into the DAV.

Veterans courts will let them slide on more than domestic violence. I know a few that got months instead of years for assault with a deadly weapon.

 

[borne_before]

When testing, I put mild id, autism, adhd, sld, etc., all in the patients chart because they're part of the differential. Is this wrong?

 

[PsyDr]

It would make less sense to not to try and get extra cash tied to distress about serving in the military. If there was a payout for that in our line of work, it would be easy to justify having witnessed, experienced, and heard criterion A trauma. Inpatient psych unit and covering the ED provided a lot of that. Sometimes I even remember the bad things and sometimes I can’t sleep very well. I could easily make/feign a case for that.
Of course, usually when I can’t get to sleep I’m either thinking about business stuff or mulling over perplexing case that gets stuck in my head for whatever reason. It has nothing to do with any of the scary stuff and the only reason I remember that stuff is because it stands out and was emotionally intense and sometimes it’s helpful for training purposes.

I am highly surprised to hear a learned professional making a false equivalence between distress and the diagnosis of PTSD. Since PTSD IS NOT JUST DISTRESS, the person would have to actually lie about their symptoms, or find someone who didn’t under that the disorder is a series of symptoms that must have onset in a specific timeframe, and be functionally impairing relative to baseline.

If you chose to fake that you are functionally impaired, you might have to list that on your license renewal.

1. Politician
2. Oligarch / Billionaire

That's more about implicit biases the normal criminal justice system. I'm referring to an explicitly separate criminal justice system, that is solely based upon profession. Corporate personhood is probably another great example of an explicitly separate criminal justice system (e.g., you can't criminally try a corporation for a murder, but the state considers corporations to "people" for all other processes).

Significantly more than $3k/month if you include caregiver support payments. I know of several cases where disability income is the most they ever earned outside of the military. Many are not hiding it either. Just check reddit and walk into the DAV.

Veterans courts will let them slide on more than domestic violence. I know a few that got months instead of years for assault with a deadly weapon.

So bringing that back to your original question:

 

[AcronymAllergy]

When testing, I put mild id, autism, adhd, sld, etc., all in the patients chart because they're part of the differential. Is this wrong?

Only if you don't include at least 2 or 3 mutually-exclusive diagnoses. Like Bipolar + MDD and PTSD + Adjustment Disorder for the same incident and symptoms. And always be sure to include at least one random sleep disorder, whether or not it's appropriate. The more, the merrier!

 

[smalltownpsych]

I am highly surprised to hear a learned professional making a false equivalence between distress and the diagnosis of PTSD. Since PTSD IS NOT JUST DISTRESS, the person would have to actually lie about their symptoms, or find someone who didn’t under that the disorder is a series of symptoms that must have onset in a specific timeframe, and be functionally impairing relative to baseline.

If you chose to fake that you are functionally impaired, you might have to list that on your license renewal.


That's more about implicit biases the normal criminal justice system. I'm referring to an explicitly separate criminal justice system, that is solely based upon profession. Corporate personhood is probably another great example of an explicitly separate criminal justice system (e.g., you can't criminally try a corporation for a murder, but the state considers corporations to "people" for all other processes).


So bringing that back to your original question:

I was not being serious but was referring to how many of the public view it and that there is financial motive to exaggerate symptoms. It’s easy for sarcasm to get missed in text.

 

[PsyDr]

I was not being serious but was referring to how many of the public view it and that there is financial motive to exaggerate symptoms. It’s easy for sarcasm to get missed in text.

I suspected, but I publicly apologize for being hard headed towards you.

 

[psychma]

So back to bpd then. I was reading a journal article that basically said that inter-rater reliability for axis 1 disorders produced kappa scores at or above .7 for most disorders, except anxiety and depression which were abysmal just using the DSM, but to get the kappa scores above .7 when diagnosing bpd you need to use structured interviews, like the scid-5-PD, questionnaires like the McLean, and get collateral information. Also, tests like the PAI were suggested. To me, this also seems to be the best way to go about it. I mean, I know collateral reports can leave something to be desired, but with a good interview, you could probably get the information you need.

 

[R. Matey]

So back to bpd then. I was reading a journal article that basically said that inter-rater reliability for axis 1 disorders produced kappa scores at or above .7 for most disorders, except anxiety and depression which were abysmal just using the DSM, but to get the kappa scores above .7 when diagnosing bpd you need to use structured interviews, like the scid-5-PD, questionnaires like the McLean, and get collateral information. Also, tests like the PAI were suggested. To me, this also seems to be the best way to go about it. I mean, I know collateral reports can leave something to be desired, but with a good interview, you could probably get the information you need.

It would be better if you posted the paper so we can see it for ourselves.