Reply to Should I be concerned? Psychiatrist added new diagnosis code on insurance billing.

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Definitely talk with the provider. But if the provider believes the diagnosis is correct, don’t expect that it will be removed. [/quote]

OP Here: It is so strange, though, that there would be no conversation about it! Should I continue with this provider or switch to someone else? I'm uncomfortable that it was added without any explanation or conversation. I really liked them initially as well! Is this something that will now follow my child to another psychiatrist? [/quote]

If you aren’t comfortable with the provider definitely change. When your kid needs psychiatric care, it’s always hard and not trusting your provider would make it unmanageable for me.

As to the diagnosis following, if a new provider asks for records then yes. As to not discussing with you, I’ve had it both ways - full discussions and discovering new things from reading records, getting a new prescription that wouldn’t be indicated for the diagnoses I new of, discussions with my kid, etc. there is no singular way it’s done.

One last thing from my experience. Each time we got a new psychiatrist there was some difference in the way the doctor viewed things. And over time, diagnoses evolve given that the same symptoms can be part of many diagnoses. Some of the diagnoses we’ve gotten were hard to hear and weren’t always apparent to us at the time. And sometimes one would give one diagnosis and the follow up one wouldn’t agree - such as inpatient versus outpatient long term provider. [/quote]

OP Here. Thanks. Both our psychologist and new psychiatrist are with the Chesapeake Center and now have different diagnoses. Is this normal? I changed to a psychiatrist with the same practice for ease, but I might make a different decision depending on the new doctor's response. I would assume there would be some questions asked of my son prior to diagnosing something like this. Maybe a survey? He has had some behavioral issues at school lately but is generally well-liked. The behaviors just started in December when the social scene became more difficult for him to navigate. He's also 14, so I wonder how much of the irritability is a normal teen attitude, as he is helpful at home. On our call, we talked about social anxiety and RSD; DMDD wasn't mentioned.

We're getting our neuropsych testing updated, and I was going to use the Chesapeake Center again, but now I'm nervous. [/quote]

I do think it’s somewhat normal to get a different or additional diagnosis when you get a new provider. They are looking at things from a new light. Personally I don’t think that’s a bad thing unless there is a contraindicationed treatment that is provided.

Another thing that changes is treatment protocol when you switch providers. Everyone has their own favorites when it comes to protocols. I think that can be helpful if you’re going through a rough patch. Of course it can also be disastrous.

DMDD is not a diagnosis we had so I don’t know what is considered. But I would expect that the interaction between the doctor and your son along with other information would have led to the diagnosis. Having behavioral issues at school sounds problematic even with teen hormones. Don’t know if that would lead to DMDD diagnosis though.

I wouldn’t be worried about the neuropsych testing. Chesapeake has a good reputation. [/quote]

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