Your Mental Health Diagnosis: Should You Ask Your Doctor? - Psychiatry

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I would like to know my diagnosis?


Hello, doctor.
I have been seeing a psychiatrist for over a year, and I feel that I have a good rapport with my doctor.
However, during this time, the doctor has not explained to me what exactly my condition is; I only see the diagnosis written on the prescription.
Previously, I was diagnosed with adjustment disorder with depressed mood and anxiety, but after my recent follow-up, it has changed to persistent depressive disorder.
Should I ask my doctor about my diagnosis? Is it normal for the doctor to only understand my situation and prescribe medication without explaining my condition? I want to understand my illness better, but I am afraid it might damage the doctor-patient relationship.
Thank you for taking the time to clarify this for me.

Yue, 20~29 year old female. Ask Date: 2023/05/13

Dr. Lin Mianzhang reply Psychiatry


Hello, 月: Patients have the right to understand their medical condition, and physicians have the obligation to inform patients about their health status.
It is advisable for you to ask your doctor.
If you are concerned about taking too much time, you can write down the questions you want to ask in advance, which will help ensure you don't forget anything.
Wishing you safety and good health!

Reply Date: 2023/05/13

More Info


It's completely understandable to feel uncertain and anxious about your mental health diagnosis, especially when it seems that your doctor has not provided a thorough explanation of your condition. You have every right to seek clarity regarding your diagnosis, and it is essential for your mental well-being to understand what you are experiencing.

Firstly, mental health diagnoses can often be complex and multifaceted. The transition from a diagnosis of "adjustment disorder with anxiety and depression" to "persistent depressive disorder" (also known as dysthymia) indicates a shift in how your symptoms are being understood by your healthcare provider. Persistent depressive disorder is characterized by a chronic state of depression that lasts for at least two years, and it can significantly impact your daily functioning and quality of life. Understanding the nuances of your diagnosis can empower you to engage more actively in your treatment and recovery process.

It is not uncommon for patients to feel hesitant about asking their doctors for more information, fearing that it might disrupt the therapeutic relationship. However, effective communication is a cornerstone of good medical care. A strong doctor-patient relationship is built on trust and transparency. If you feel comfortable, I encourage you to schedule a time to discuss your concerns with your doctor. You might consider writing down your questions beforehand to ensure you cover everything you want to know. Questions could include:
1. What does my diagnosis mean in practical terms?
2. How does this diagnosis affect my treatment plan?
3. What are the expected outcomes of my treatment?
4. Are there specific symptoms I should be aware of that indicate my condition is worsening?
Your mental health is a priority, and understanding your diagnosis can help you feel more in control of your treatment. Additionally, if you feel that your current doctor is not providing the level of communication you need, it may be worth considering a second opinion or seeking a mental health professional who prioritizes patient education.

Moreover, it’s essential to recognize that mental health conditions often require a comprehensive approach to treatment, which may include therapy, medication, lifestyle changes, and support systems. Engaging in therapy can provide a safe space to explore your feelings and thoughts about your diagnosis and help you develop coping strategies.

Lastly, remember that you are not alone in this journey. Many individuals experience similar feelings of confusion and fear regarding their mental health diagnoses. Seeking support from friends, family, or support groups can also be beneficial. Sharing your experiences with others who understand can provide comfort and validation.

In conclusion, do not hesitate to reach out to your doctor for clarification about your diagnosis. Your mental health is important, and understanding your condition is a vital step in your healing process. Open communication with your healthcare provider can lead to a more effective treatment plan and ultimately improve your quality of life.

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