Kelly: I'm not too keen on giving my clients a diagnosis. In private praces, yes, I understand that they need a dx to get reimbursement from insurance and am happy to do that. In the system under which I currently operate, a dx is a necessity for acquisition of resources and a guide for treatment programs, but people are not mere dx, and I become rather irritated when people are treated as diagnosis (e.g., Hey bring the TBI back and take the PTSD to his next appointment). Okay, I'm off my soap-box.
Often times, two diagnoses could apply to the client. In that case, you have to ask questions to assess a "differential diagnosis." Let's flip this on me with " sprinkle of humor. I was ready to diagnosis myself with "adjustment reaction" when I read about the cultural adjustment cycle, and now, it is time for the differential diagnosis. The cultural adjustment cycle begins with enchantment (I was in awe of everything), then disenchantment (bitter about everything being closed on Sundays and evenings), then retreat (my current state), then integration. So, am I experiencing adjustment disorder or disenchantment...In an effort to reach the integration phase, I'm going to go for a walk, while there is still a sliver of daylight (at 4:45pm)!
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