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The history
Published in Caroline J Rodgers, Richard Harrington, Helping Hands: An Introduction to Diagnostic Strategy and Clinical Reasoning, 2019
Caroline J Rodgers, Richard Harrington
Recurrent diagnoses (e.g. recurrent urinary tract infection) tend to be self-diagnosed most accurately, although there is little research in this area.6 Self-labelling is useful not only in informing the clinician’s approach to history taking, but also in helping to address the patient’s concerns. It is essential to consider a patient’s ‘self-diagnosis’ objectively. Is it correct? Is their suggestion possible or is it for whatever reason unlikely in your opinion? With the benefit of the Internet, self-labelling is more prevalent and hence it is useful to explore why and how the patient has come to their conclusions.
Finding help
Published in Adam Staten, Combatting Burnout, 2019
It is vitally important that you don't self-diagnose or attempt to self-treat if you or someone else is concerned that you may have more than a passing, mild mental-health concern. It's also really important to be honest with your GP; doctors often end up denying themselves the help that they need because they know how to say ‘the right things’ to make things appear better than they are. As with most conditions, the earlier you seek and gain the treatment you need, the quicker your recovery is likely to be. It can be difficult for many doctors to seek help as it may bring about feelings of shame, vulnerability, and failure, and seeking help is always the right thing to do.
What the Mental Health Literature Says About Body Dysmorphic Disorder
Published in Mark B. Constantian, Childhood Abuse, Body Shame, and Addictive Plastic Surgery, 2018
Self-diagnosis has its limitations: patients may deny or elaborate. Even physician evaluation imposes a margin of error unless the physician is trained to correct the problem that the patient sees. What this may mean is that we have no accurate idea of the real prevalence of body dysmorphic disorder. In fact, because the diagnosis depends so much on subjective decisions, like the severity of the deformity and life disruption, there are bound to be erroneous type I (false positive) or type II (false negative) errors.
Self-medication Behavior with antibiotics: a national cross-sectional survey in Sri Lanka
Published in Expert Review of Anti-infective Therapy, 2021
Shukry Zawahir, Sarath Lekamwasam, Kjell H. Halvorsen, Grenville Rose, Parisa Aslani
Self-medication behavior reflects the wish of individuals to take responsibility for their own health and treat minor ailments. Some of the benefits of appropriate self-medication include decreased healthcare costs, decreased physician consultations, and therefore, increased availability of healthcare workers for people with more urgent needs [43]. However, inappropriate behavior, especially with antibiotics, could result in potential individual harm, such as, worsening of health condition due to incorrect self-diagnosis and wrong choice of therapy. However, even more importantly, such unwanted behavior could promote the development of ABR [7,8]. A substantial proportion of the respondents in our study inappropriately self-medicated with antibiotics, which is comparable with studies conducted in other developed and developing countries [3,4].
Assessing our approach to diagnosing Fibromyalgia
Published in Expert Review of Molecular Diagnostics, 2020
Bennett and colleagues developed 2013 alternative diagnostic criteria (2013 AltCr) [87]. These criteria provided independent validation of the 2011 modified criteria while being tested in a broader range of chronic pain disorders. These alternative criteria are comparable to the 2011ModCr in diagnostic sensitivity and are somewhat better in specificity. They have the advantage of using just one combination of pain locations and symptoms and one time interval for reporting symptoms. The 2013 AltCr utilized self-report surveys composed of the 28 area pain location inventory rather than the 19 in the ACR 2010 and the 10 symptom items (rather than 6) from the Symptom Impact Questionnaire. Comparing the 2011ModCr with the 1990 ACR criteria provided a sensitivity of 83%, a specificity of 67%, and a correct classification of 74%. Maximal diagnostic accuracy was obtained with >17 pain sites (range 0–28) and an SIQR symptom score of >21 (range 0–50). These alternative criteria had a diagnostic sensitivity of 81%, a specificity of 80%, and a correct classification of 80%. Marginal improvement in differentiating chronic pain disorders was seen with the AltCr compared to the modified ACR 2011. The drawbacks of this alternative criterion are that it relies largely on self-report surveys and therefore runs the risk of leading to patient self-diagnosis.
A descriptive study of mental health and wellbeing of doctors and medical students in the UK
Published in International Review of Psychiatry, 2019
Dinesh Bhugra, Sophie-Odile Sauerteig, Duncan Bland, Andrew Lloyd-Kendall, Jeeves Wijesuriya, Gurdas Singh, Amit Kochhar, Andrew Molodynski, Antonio Ventriglio
The interpretation of these findings needs to take into account some caveats. First and foremost, it was an online survey which guaranteed confidentiality, but the respondents were self-selected and theoretically it is possible that those who were experiencing problems may have been more likely to respond. Thus, the responses may not necessarily be fully representative of the mental wellbeing of the whole profession. However, it provides a detailed baseline to explore the findings in the future. A qualitative exploration of these findings is essential and is under way. Secondly as there were no face-to-face interviews, it is not clear about the diagnosis. An additional key question that was not explored through the survey was who had made the formal diagnoses. It is conceivable that some of the high rates disclosed may be exaggerated self-diagnosis rather than specialist diagnosis.