Recently I’ve been rethinking my stance on diagnosis that tag on NOS, for example, Paranoid Schizophrenia NOS or Major Depression Disorder NOS.
When I used to work in psych wards in Los Angeles County, it used to irk me that the treatment team would throw out diagnosis left and right with NOS for either they didn’t have to time to properly diagnose patients cause the hospital was a rotating door, OR, they don’t know enough about mental illness to properly diagnose someone so stick on the NOS to be safe. It annoyed me on multiple levels cause once a person has an Axis I diagnosis it’s documented in a system. Patients would come and go and float from hospital to hospital and when I would pull up their name in the system the patient would have several different diagnosis NOS…NOS…NOS.
Before posting, please read our blog moderation guidelines. The comments below begin with the oldest comments first. Click on the last comments page to jump to the most recent comments.
Before posting, please read our blog moderation guidelines.
Post a Comment:
… Everyone eats free food in the office! E
Copyright © 1995-2013 Psych Central. All rights reserved.
Site last updated: 25 May 2013
|
I have been diagnosed bipolar NOS on more than one occasion. I believe this is because my bipolar is kind of atypical, serious, hospital-stay-bad mixed episodes, dysphoric mania and rage, etc instead of classic mania. I know it used to be that if you had mixed episodes you were categorized as bipolar 1, so I don’t know why I have been diagnosed with this.
Your case sounds a lot like mine, and I’m BP-NOS too. I’ve never been hospitalized but I’ve come close, and my manias often turn on me—I’ll be all euphoric and bouncing off the walls, then fly into rages and/or overreact to every little thing. Maybe they just don’t have a word yet for the kind of bipolar we are?
I am bipolar NOS because I was unable to continue seeing my psychiatrist or psychologist due to insurance/finances, so my diagnosis process was never completed.
I have a diagnosis of EDNOS – eating disorder NOS – amongst other things. For me, this is the only thing that really fits as I have aspects of anorexia and bulimia but not enough of either to get a more concrete diagnosis. I tend to think NOS recognises that mental health conditions aren’t concrete. They can present in many different forms and those forms can overlap with other issues and be jumbled and messy. The important thing isn’t whether someone fits the standard criteria for a diagnosis, but that they are able to get help.
Excellent comment. You’re right. Thanks for the insight, e
It true that people experiencing different illness and very seldom that most of its finding is not really specified.It really is the fact the diagnosis is not pinpointed any further than the global diagnostic term. I agree with your post. I don’t even know how I ended up here, but I thought this post was great. I don’t know who you are but definitely you’re going to a famous blogger. You are doing a great job on this. It is merely an informative one!