Tag Archives: diagnosis

More Appointments

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Today, I saw my GP. I got to ask for a referral to get a diagnosis for some kind of a-neuro-typicality. I’ve known for a long time that I’m not neuro-typical, but I haven’t felt the need to get a diagnosis for it. Some of my past therapists and psychiatrists have suggested that I might have ADD, ADHD, sensory processing issues, OCD… My last psychiatrist did a brief assessment between me and my mom and told me that it was very likely that I fell on the Autism Spectrum (the “Asperger’s” end), but that he wouldn’t give me a diagnosis.

So, today, I had a thorough talk with my GP about the potential diagnosis, the first steps in the process, and why I’m seeking an answer now of all times. Despite living in the land of “free health care,” the diagnosis is going to come out of pocket for me. I’m okay with that, in the long term, I feel like I’ll save money. I’m seeking the diagnosis because I intend on returning to school. I know that I don’t do well in a university classroom, and I want to change that. I feel like having a diagnosis and answers about what can help me, will enable me to get the assistance and accommodations I need at university in order to succeed. It may cost a bunch to get the diagnosis, but in the end, I’ll save money by actually completing my courses instead of failing them and ending up with a higher earning potential.

Tuesday (two days ago), I had a different appointment. I had my intake with the local sexual assault clinic. I don’t know if I’ve talked about this in past posts, I don’t read my post history. I was in an abusive relationship for two years fresh out of high school. My first sexual encounter (in grade 12) was coerced. When I was a live-in nanny and doing everything I could to escape the abusive household I worked for, I spent a lot of time at the bar. One of those nights, I didn’t go “home” and ended up spending it with someone I thought was a friend, who raped me.

I’m dealing with a lot of anxiety and emotion lately and I feel like I could really make use of the clinic’s group courses that they offer to deal with everything that’s coming to light right now. However, I’m not sure that counselling with the center is what I need because so much of what I’m dealing with is life-long, not just what’s gone on since sex became a part of my life.

Self-harm is one of those things that pops up as a life-long issue. I have three potential earliest memories. 1: A dream, very vivid, thought it was real life, and related it to my family on waking as “yesterday” until I was corrected. 2: Sitting in the stroller beside a brick wall, trying to work out how the buckle functions so that I can escape and go play. 3: Sitting on the top bunk of my sister’s bed, with a hammer I had stolen from the garage, hammering at my knee trying to break my kneecap. I cried when I couldn’t do any damage. I had a plan for if I had succeeded to “fall” off the bunk then claim I had fallen and that’s how I broke my knee.

This stands out because it’s a clear thought, clear plan, and a distinct memory. However, there’s nothing in my head for before this (all three of these things happened within a year of each other, if not closer together). Self-harm is one of those things that doesn’t just spontaneously appear. There has to be a reason, a why, a cause. You don’t just wake up and decide “oh, I’m going to do permanent damage to myself.” Something has to happen to you first. One group that’s more at risk for self-harm is those who are LGBT, of which I am both G and T (gay and trans), but at that age, I didn’t know or have any inkling of either. It would be years after this age before I started really expressing frustration about gender expression. Self -harm typically doesn’t start to show up until late childhood/early teens, and this memory is definitely from when I was no more than 3.

All this boils down to a question that popped up when I was hanging with a friend, refocusing, after the intake meeting:

Did anything happen to me (and possibly my sibling) when I was quite young that I just can’t remember? Does my sibling remember?

Time Flies

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I suppose I should update, since it’s been a while.

I got in to see the counselors at the university, specifically, the counselor that was recommended by my counselor at the college. He’s a great guy, listens well, helped me get in a good headspace. I saw him twice before I realized I probably don’t actually need counselling right now. I’m in a pretty good space right now and don’t feel the need to work through anything.

I also got in to see a psychiatrist at the university. Finally. The appointment was over an hour and a half long and went through my entire mental health history. He actually read my files going back years. He took me seriously. I recognized my need for a diagnosis and is working with me on that. He gave three preliminary names of what I might have, but he wants more information before he actually gives a diagnosis. Schizoaffective disorder, borderline personality disorder, and Asperger’s (high functioning autism). He gave me a printout to have my parents fill out and they went over it when I was up to see them for Thanksgiving. Hopefully that will give him some clues. I’m ready to be armed with a diagnosis that will help me find ways to cope and make things better.

In a non-mental health vein, something happened with my physical health that has been weighing on my mind as well. A couple months ago, I started lactating. I saw a walk-in doctor first and she ordered a battery of bloodwork. I saw my GP a week later and he didn’t see anything alarming in the bloodwork but suggested I talk to my endocrinologist (who I’m working with through my gender transition because I’m on hormones). I saw him a couple weeks later and he was concerned by my bloodwork. My prolactin level was 99, normal is 25. He didn’t seem to think that it was because of my being on testosterone (though that’s a common problem) and ordered a CT Scan and some more bloodwork. I’m still waiting on the scan, but it should happen soon. He said that the scan would look for a growth on the pituitary gland which would cause the spike in prolactin. My research has found that the growths are fairly common and mostly benign, but I’m still worried. What if it isn’t?

In terms of transition, everything’s on track. I got in for my consult for top surgery a couple weeks ago, which means the surgery itself will be in three to four months, a lot faster than it was originally going to be. I’m excited and more than a little nervous. Part of the nerves come from wondering if I’m going to have enough funds saved up to make it through the two month recovery. I hope so.

I think that’s everything of note.