Is it possible to withdraw from the dispensary with the diagnosis "personality disorder"
Currently, patients with psychiatric diagnoses on the account do not put. In the Russian Federation is a consultative and medical assistance to the mentally ill absolutely for free. After treatment, patients take under the dynamic dispensary observation. What does it mean?
This means that the patient is recommended to visit a psychiatrist every 3-6 months, and receive recommendations for methods of further treatment. That is, the psychiatrist systematically reviewing the tactics of treatment and prescribes the appropriate drugs to maintain mental health.
Most often, the diagnosis of "personality disorder" I wish to remove patients who are planning to get a driver's licence or a weapon and apply for a position, for example, chauffeur and an armed guard.
If the patient for one or more years does not apply for advice to a mental health facility, his medical records after five years pass for storage in the archive. A certificate from psychoneurological dispensary may require the investigating authorities, the Prosecutor, the court and the personnel Department, if a citizen is arranged in the bodies of the Federal security service, the Ministry of internal Affairs or the Ministry of defence.
Theoretically withdraw from the dispensary dynamic observation is possible in five years. If after one year the psychiatrist completely abolished maintenance therapy, and for five years there was no recurrence of the disease, the patient is considered fully healthy and can get a certificate that will confirm it.
If necessary remove the diagnosis of "personality disorder" earlier, the patient goes to the regional psychiatric clinic. He set a date when you will run the Commission. Several experienced psychiatrists conducted the appropriate testing, ask a number of questions. Then the diagnosis can be removed.
It should be noted, this happens infrequently. And if the patient believes himself completely healthy, the Commission may give quite a different conclusion. Therefore, in practice, to remove the diagnosis of "personality disorder" ahead of time - a task difficult.
What to do?
To obtain the decision of the independent medical expert psychiatric Commission, you need to go to court. If on the basis of re-examination and testing reveals that you are absolutely healthy, a diagnosis of "personality disorder" will be removed and will be given a medical certificate confirming this.
Advice 2: How to remove a diagnosis of schizophrenia
The diagnosis "schizophrenia" is on the basis of survey results, interviews, tests. Schizophrenia is a split personality and consciousness. An accurate diagnosis is possible only in the period of exacerbation, when the patient may behave very inappropriately, for example, to say that he's Napoleon and lead the troops under his command. But this, of course, an extreme case. Non-acute schizophrenic can behave quite adequately, and does not differ from healthy people. This diagnosis is possible only after a lengthy examination.
The diagnosis "schizophrenia" you got as a result of objective causes and long-term testing. You are on the account in psychiatric clinic, and everyone who is on the account about any disease in any medical institution, are obliged to systematically visit the doctor for routine examination and appointment or correction of maintenance therapy.
The diagnosis can be put only psychiatrist on the decision of the medical Commission. Remove the diagnosis can only the medical Commission of psychiatrists. As with the diagnosis "schizophrenia" has a number of limitations, for example, you cannot drive a vehicle, obtain a firearm permit, to work in places of high responsibility for the life and health of people, of course, many patients want to get rid of this diagnosis.
If you want a diagnosis has been cleared, refer to a psychiatrist from whom you stand on the account. You will be assigned a number of surveys and medical tests. But examined for removal of the diagnosis is possible only if you have over 5 years there were periods of aggravation, you just came to the outpatient clinic, did not receive maintenance therapy with neuroleptics and antidepressants and never sought treatment for the alcohol or drug poisoning (article 37 of the law 3185 on psychiatric assistance to the population of the Russian Federation).
First and foremost, the members of the Commission are required to hold a conversation with your family and loved ones. You give undergo a series of tests developed by doctor of medical Sciences in psychiatry. Prescribe common tests, cerebrospinal fluid analysis, x-ray, encephalography, tomography and ultrasound of the brain. You will have a half-hour conversation with different issues related to testing.
If all test results will show a full mental health and adequacy, the diagnosis can take.
But if the Commission decides that the diagnosis is impossible to make it, to challenge it is quite useless. The courts do not have jurisdiction over these issues.
How does a schizophrenic? Clinic schizophrenia presents a wide range of psychopathological manifestations. The most common violations are the intellect and the emotions. If you thought disorder patients complain of inability to focus thoughts, difficulties in mastering the material, uncontrolled flow of thoughts, blockage or stop of thinking parallel thoughts.
People can be very loud music, as if trying to drown out something that bothers him. In this case, you must behave very calmly and in no case over him not to laugh. Remember that during the attack, the schizophrenic seems that everything that happens to him is real. Therefore, it is better to ask what he now sees and hears, than it irritated him.
Advice 3: As diagnosed by a psychiatrist
In the diagnosis of mental illness is descriptive method. Using this diagnostic method the psychiatrist tries to discover the most important manifestations of mental illness and a differential diagnosis of other diseases.
Quite difficult to understand what is guided by a psychiatrist in diagnosis, if your knowledge about psychiatry as a science is limited. Psyche in Greek means "soul," and iatreia –"healing". From this it follows that the word "psychiatry" literally means treatment of the soul.
In today's world, psychiatry has acquired the status of a significant branch of medicine that deals with the study of mental disorders and their external manifestations, the treatment and prevention of mental disorders. But it should be noted the fact that successful treatment of any disease is important, proper and timely diagnosis.
In 1803. Rail, coined the term "psychiatry" (from the Greek psyche - spirit, soul, consciousness, iatrea - treatment)
Usually in the formulation of different diagnoses specialist uses various kinds of laboratory and instrumental researches allowing to diagnose quite accurately and quickly. However, in the diagnosis of mental disorders laboratory methods play only a supporting role.
Diagnosis of mental illness
The main method of diagnosis used by the psychiatrist, is descriptive method. Using it, the psychiatrist aims to identify mental phenomena, which are relevant for the emergence, course, and manifestations of mental illness. The doctor describes the mental life of the patient, based on the inspection data, the patient observation and collection of information obtained in the course of the conversation of the doctor with the patient and his loved ones.
Unfortunately, the descriptive method depends on the experience and abilities of the psychiatrist and is quite subjective. By studying the information about the patient, the doctor may set an important diagnostic data such as time of disease onset, its clinical course, changes in the nature and behavior of the patient during the years of the disease. The doctor collects and logs information separately from words of the patient (subjective history), and separately according to the patient's relatives (objective history).
To exclude the subjective evaluation of the patient, the psychiatrist uses a special rating scale the main clinical and psychopathological characteristics. On this scale, the doctor can accurately determine the symptoms of the disease, avoiding their double interpretation, a qualitative and quantitative assessment of the deviation.
"Mental health is a harmony of spiritual manifestation or the condition of spiritual life in which a person is fluent in all functions and actions of the soul." (P. O. Butkovsky)
During external examination of the body of the patient attention is given to the body type of the patient, the skin, which can hide a propensity of a patient to self-harm, drug abuse, antisocial or past traces of the migrated disasters. Diagnosed organs and systems of the patient to a chronic and complicated disease which can lead to mental illness. The psychiatrist also explores memory and the harmony of mind of the patient, type of his personality. Based on these observations, a psychiatrist and diagnoses the patient.