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Old 24th September 2016, 10:40 AM   #1
Bob001
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You can be crazy and still be sick...

I had never heard of this, but apparently it's well-established that when someone has a history of treatment for mental illness, he is likely to be discounted and demeaned when he seeks help for physical medical conditions. It's called "diagnostic overshadowing," where docs attribute all symptoms to the psychiatric issue. People actually die unnecessarily because of it. Anybody have any experience with this, as a patient or a medical professional?http://www.slate.com/articles/techno...tally_ill.html
http://www.nytimes.com/2013/08/11/op...nate.html?_r=1

Last edited by Bob001; 24th September 2016 at 10:43 AM.
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Old 24th September 2016, 10:43 AM   #2
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It's worse that that, because mentally ill people are actually more likely to have a physical illness than normal.
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Old 24th September 2016, 10:49 AM   #3
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I'm not a doctor, but case histories are discussed on This Week in Parasitism; typically the symptoms on one episode and the diagnosis is revealed on the next. This case involved a refugee. To make matters worse, he gave a correct self diagnosis long before the doctors agreed with him.

http://www.microbeworld.org/podcasts.../2070-twip-103

http://www.microbeworld.org/podcasts.../2075-twip-104
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Old 24th September 2016, 10:58 AM   #4
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Old 24th September 2016, 01:59 PM   #5
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It certainly happens, and you don't even need a major mental illness to be affected by it. I spent years getting more & more anemic because my complaints were assumed to be part of my anxiety.

Another example would be multiple sclerosis. It's said the average time to diagnosis is about 10 years - 10 years of being told it's all in your head while the demyelinating goes on unchecked.
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Old 25th September 2016, 04:46 AM   #6
MCel58
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Originally Posted by deadrose View Post
It certainly happens, and you don't even need a major mental illness to be affected by it. I spent years getting more & more anemic because my complaints were assumed to be part of my anxiety.

Another example would be multiple sclerosis. It's said the average time to diagnosis is about 10 years - 10 years of being told it's all in your head while the demyelinating goes on unchecked.
You can add various autoimmune diseases, hypothyroidism, transverse myelitis, to your list too. By the time they do diagnose you, you are so ill that it may be too late and these diseases have affected your major organs and your brain. Of course no-one has taken you seriously and it has had a major impact on every part of your life.

Last edited by MCel58; 25th September 2016 at 04:48 AM.
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Old 26th September 2016, 10:12 AM   #7
Dancing David
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Originally Posted by Bob001 View Post
I had never heard of this, but apparently it's well-established that when someone has a history of treatment for mental illness, he is likely to be discounted and demeaned when he seeks help for physical medical conditions. It's called "diagnostic overshadowing," where docs attribute all symptoms to the psychiatric issue. People actually die unnecessarily because of it. Anybody have any experience with this, as a patient or a medical professional?http://www.slate.com/articles/techno...tally_ill.html
http://www.nytimes.com/2013/08/11/op...nate.html?_r=1
There is also the converse, a person living with schizophrenia who has 'negative' symptoms is very likely to way under report any physical symptoms they have.
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Old 26th September 2016, 12:59 PM   #8
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Originally Posted by MCel58 View Post
You can add various autoimmune diseases, hypothyroidism, transverse myelitis, to your list too. By the time they do diagnose you, you are so ill that it may be too late and these diseases have affected your major organs and your brain. Of course no-one has taken you seriously and it has had a major impact on every part of your life.
I might have gotten lucky then.
I went to the doctor complaining that I seemed stuck in perpetual 'planning mode'. I would have a plan for just about everything, such as raking leaves, in detail. I would go over it in my head again and again, but never actually get out and begin it. All jobs seemed like a gigantic effort, Herculean tasks. Turned out I am hypothyroid. Cheapest pills on the market and I now easily move past plans into action.
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Old 26th September 2016, 01:45 PM   #9
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maybe this is not specific to mental illness.

The moment I was diagnosed with type 1 diabetes, any time I was ill, doctors would start from the point of a patient having type 1 diabetes and miss things.

About 10 years ago I was diagnosed with hypothyroidism. After three years of feeling icky, One clever specialist decided to test me for it as I had too many white blood cells in my tests.

The other medical professionals I had seen over the three previous years had just put it down to type 1 diabetes and missed it.

Last edited by p0lka; 26th September 2016 at 01:46 PM.
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