this post was submitted on 01 Sep 2025
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I see little real value in diagnosis or doctors in general. That stems from my personal harsh reality of experiencing first hand the real limits and incompetency of current medicine. Go start having serious spinal issues that are not strait forward, and you will watch the house of cards fall apart.
Ultimately, none of us are like flags in the register if a computer; some binary state. We are all a spectrum. That applies to all things in life. You may be shifted strongly in one direction or another, but most of us fall somewhere close to the median.
I think a lot of people fail to understand that we all have the tendencies and mechanisms present for all disorders, baring schizophrenia. Labeling anything a disorder only means that whatever behavior is causing you distress and harm in a meaningful way. Just by asking if you have this issue is itself an admission of distress and you altered your day to go to the doctor, so you've already had it technically qualify as a disorder.
IMO, where possible, take the meds and see if it helps you in some tangible way. Maybe it does, maybe it doesn't. What I'm saying is the threshold for disorder is ridiculously blurry and rather meaningless. When stigmatized, it is outright harmful. For me it is largely a choice and a comfort zone. Maybe that is just my bias. I do not test as autistic. Even as a kid, I had the Machiavellian awareness to become whatever I wanted and bend a test to my desired outcome.
I like to think of it as a large list of granular, contextual rpg stats.
"You get an average 6 for concentration while in a quiet room between 15-20 deg c. Assuming you've not taken more than 10 points of psychic damage in the last 3 hours and are well rested."
They are, in theory, comparing your scores in a set of somewhat defined contexts to see if , overall, it's causing you problems that might be helped in someway by a treatment that has worked for other people who have similar scores in the same set of criteria.
That sentence being so full of caveats is why I think diagnosis is hard for this sort of thing.