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willcannings | 13 years ago

You possibly didn't fool them - they may have suspected you were faking the symptoms, but when a patient shows up to a psychologist/psychiatrist on their own volition it suggests they're in distress. It could be considered malpractice to turn someone away who's seeking treatment.

A friend of mine spent two weeks in a hospital psych ward (in Sydney), and requested his records after he was discharged. It was surprising how much detail the doctors noted in the records, and how often they (correctly) picked up on avoidance and lying (yet they didn't give this impression in person). Based on this experience, it's possible the psychs your class visited gave you the diagnosis you wanted, but privately noted something very different you weren't aware of.

There has been a lot of progress in objective diagnostic tools recently - e.g there's a clinic in Sydney that diagnoses ADHD using EEGs, and selects medication based on response to the med (also measured using an EEG). And I read a paper last year that described a machine learning model trained on MRI images that could diagnose some of the organic psych diseases (bipolar, schizophrenia, depression etc.) with very high accuracy (70s/80s from memory), and distinguish between the diseases in borderline cases.

Psychiatry won't rely on symptoms alone forever, and don't think psychiatrists aren't already aware of the problems. But every psychiatrist who looked after my friend used whatever tools they had at the time to try and help. It's far from perfect, but they did their best and they really did help. And I'm really glad they did because he's finally a genuinely happy person.

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