Tommy’s guide to self-dx
(from a professionally diagnosed individual)
This is about psychiatric/neurodivergent conditions.
I want to start off by saying that everyone has mental health problems. Not every struggle means that you necessarily have a disorder. People have symptoms, and your symptoms are valid. You deserve help and resources for your struggles. Depression doesn’t necessarily mean you have Major Depressive disorder. Disordered eating doesn’t necessarily mean you have an eating disorder. Inattentiveness doesn’t necessarily mean you have ADHD (and as well as being a stand-alone symptom, it can also be a symptom of many, many other psychiatric and physical disorders).
And so you think you’re symptoms might be more than just symptoms? What should you do?
It might be tempting to google “do I have [this]?” or ask your friend with the condition if they think you have it. Which I would advice against either. A 20 question quiz through a screen isn’t a good indicator of anything (and most symptoms have overlap with other disorders), and your friend is going to have a hard time being honest/unbiased since you’re friends.
I have a process for starting research that I usually recommend, and this is just a recommendation.
1.) Google the disorder. This doesn’t mean to trust doctor google, but it’s impossible to understand the disorder unless you know about it. Use several different websites and use critical thinking to gauge which websites are giving helpful information and which ones are bull. Literally, please please please read the DSM 5′s entry on the disorder. I don’t understand people who self-dx without even knowing what the diagnostic manual outlines. During this step, I would avoid seeking out social media information on the disorder since it’s not helpful here.
During this step, if you notice any symptoms that keep coming up, take note.
2.) Research disorders with similar symptoms. Research should make you think about the topic. It’s good to change your mind if something comes up that brings new information to the table. Maybe you thought had BPD, but looking at the symptoms, your experiences more closely match Bipolar disorder, or ADHD, or something else entirely (and maybe it’s just symptoms and not anything more). It’s good that you noticed this so that you can better understand yourself. Maybe this exercise helped you understand the disorder you came in with better, and now that you researched other disorders, you know that those don’t match your experiences. But now you can say with more certainty that you might have what you came in with in mind. Or might have something else. If you came across another disorder that most closely matches your experiences, go back to step one.
3.) Move away from websites with general information. Read papers written by psychologists. Read personal experiences of those living with the disorder. Watch YouTube videos by psychologists/people with the disorder. Go on a deep dive to try and understand the daily struggles and thought patterns of the disorder you think you have. It’s really important to understand what it’s like living with a disorder. It gives you a much deeper understanding than a list of symptoms (which is also important to know about). Psychology papers are sometimes inaccessible, so it’s fine if you can’t find many, but try your best.
4.) After all of this, now talk to people with the disorder. It’s really really annoying when someone comes up to me and asks my opinion on whether or not they have my disorder when they haven’t done a minute of research. I (and most people) don’t want to do your homework for you. I’m happy to help, but only after you understand what it is you think you have. And if you’ve reached this point and decide you probably don’t have the disorder you previously thought you did, that’s awesome! I’m glad you understand yourself better.
I would recommend hanging out in spaces for those with the disorder, instead of directly asking “Hey do I have this?”, because again, that’s really annoying. Join discord servers. Spend time in the tags. Make friends. There are a lot of ways to meet people with the disorder you think you have. And maybe once you get a better understand of real life people with real life symptoms, you can start asking the question “do you think what I’m going through might mean I have this?”
5.) With all of this information, you probably have questions and concerns, so doing more research might give you an even better understanding.
Now that you’ve done all of this, it’s really up to you to decide what you think. I personally think that it should take at least a month or two to determine what you think you have, but the time isn’t important so much as the research and knowledge. It should take a period of self-reflection though. There are some disorders that are really hard to self diagnose, so please just take your time to really understand yourself. It’s really annoying to see people who don’t understand themselves or the disorder say they have, for instance, BPD, and then spread blatant misinformation. And this just makes self diangosers look really bad and annoying in general. Just… use critical thinking please.
New information will come across your life all the time. It’s okay to reevaluate your symptoms and realize you were wrong about [xyz]. That first self-dx gave you access to resources and knowledge that helped you better understand yourself, so it wasn’t a waste or harmful.
Note: Self-diagnoses should be used for resources, support, trying to better understand yourself/cope, and creating accommodations in your life. Self-dx isn’t for labelling yourself and then not doing anything. Otherwise, what’s the point? The only reason people are professionally diagnosed is for (again) resources, support, medication and therapy, and creating accommodations in life, so it should not be any different for self-dx. I know some people would prefer if self-dxers used the phrase “I think I have [this]”, but I personally don’t care.