Thursday, January 18, 2018

where do i start in trying to think of what i may have in dual diagnosis?

hi! im 19 years old, i have an appointment with my mental health clinic's nurse practitioner on monday (1/22) to discuss my current diagnosis and maybe adding on one or two. so far, all i have is depression, but i've been Fighting for more cause i know that's just not all.

both my parents are opiate addicts so i have gotten through severe neglect and doing everything for myself. both my brothers were emancipated youth when i was young so they were never around. i was always alone. my communication skills are terrible, i cant help but burst into tears if something is expected of me that i might not be able to fulfill, i cant hold friendships or relationships because i cannot do what they want of me (communicating, flirting, expressing feelings), if i cant find something i've misplaced i have to sit down and breathe so i dont cry...

ive been going to CBT for a year and i am starting personalized recovery oriented services classes in a few weeks because i am not able to hold a job how i am right now, and id like to of course.

we've discussed one of the bipolar disorders in the past but i put it on hold because i needed to find out if the ups and downs are linked to my menstrual cycle or not. i know now that they arent, i'm up for 5-7 days and i'm down for 10-14 days. they're very distinct in that when i'm up i take all my medications with timeliness, eat responsibly, make phone calls... when im down i dont do anything and eat everything in sight and spottily take my medication. even if something is expected of me immediately. i just dont do it.

we wanted to discuss ocd too, but i don't really understand ocd. i pick my skin whenever i'm stressed and doing things i don't want to do, so im covered in acne scarring and stuff, and i have like 30 raw spots open on my face right now lol. but i don't see the link between obsession --> compulsion. so i don't really understand. there isn't anything else i do that would be a compulsion.

i am EXTREMELY forgetful. i have to write down Everything i have to do as soon as i hear it or i'll forget it within less than a minute. even right now as i write this, i have to go out in ten minutes, shit, but i haven't gotten ready yet. i take showers twice, i make food and then abandon it on the counter for a few hours, leave my laundry in the wash for a week before realizing..

other than that i really don't know what to say to her when i go on monday. i feel like this is too many things to bring up within an hour lol. what do you think? it would help me very much if i could hear from someone who currently has dual diagnosis. i'm thinking maybe some links to some websites with those online screening tests might help a lot but i don't even know what i would search. my current boyfriend has asperger's and he's also told me he feels like i should really look into autism's spectrum as well, because it seems like i have a significant bit of that too. i do do a lot of happy and unhappy stimming that isnt acceptable in public, but i know that's helpful for anxiety too hehe.

basically, i barely even know where to start. it's hard! a lot of things overlap. ill get back to whoever responds and takes the time to read, thank you again!

where do i start in trying to think of what i may have in dual diagnosis? Click here
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