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Forever Sleep

Earned it we have...
May 4, 2022
11,853
Obviously, we are going to have short comings compared to a medical professional seeing as they at least ought to be more well versed in varying conditions and, how they manifest. That's assuming you have faith that they always get it right! The whole thing seems rather woolly to me.

But, I want to consider this from two perspectives. The possible advantages/ damages of diagnosing ourselves and when we tend to suspect conditions in other people. I'm not encouaging self diagnosis or diagnosis of others here. It's more something I've observed.

I understand on the one hand, those with real diagnoses feeling frustrated that now, so many people suspect themselves to have this or that. Of course, that's presumably how it starts for all of us though. Something doesn't feel quite right. We may try to figure out what it is ourselves and, we might see a doctor. But, I can definitely understand the frustration of someone severely struggling being surrounded by others who insist they must have the same thing when, they likely don't. At least, not to the same severity.

I wonder if it can be a self fulfilling prophecy sometimes. If we convince ourselves we have this or that and that that means we will struggle in certain situations- will that amplify our anxiety in those situations? There's the obvious concern that we may have diagnosed ourselves wrongly all together.

I think self diagnosis can also help though. Three things I realised I struggled with- social anxiety, limerence and borderline eating disorders meant I could be more self aware and try to address those problems. Some more effectively than others! So- it's been a positive experience for me- identifying things like limerence. Perhaps it was still a misleading self- diagnosis but, it ended up sparing me a lot more suffering.

The other situation is when we find ourselves diagnosing others. In particular, I want to focus on narcissism here because, it relates to my own experience.

I do understand why people with diagnosed NPD get upset when the term is banded about. Plus, villified. It can't be enjoyable to have a condition you didn't exactly choose to have more or less satanized.

However, personally speaking. While it could never likely be an official diagnosis, a person in my childhood who caused my ideation to begin with, I do believe to be a narcissist. So much of their behaviour fits the description. The bullying was of a very specific sort. Things like: gas lighting, playing the victim, triangulation, huge self promotion and simultaneous belittling of others.

It actually did so much for me in terms of validation to learn about narcissicism. It's like- all their truly baffling behaviour had some kind of reason. I truly was so terrified and confused at the time that I used to wonder whether I was the crazy one. Maybe I'd slept walked and done all these things they were accusing me of.

But it helped- somewhat in trying to come to terms with it. I think that- in large part is why we do try to diagnose others- it becomes a feasible reason for the way they are acting as they are. So, while it may not be accurate and while it's unkind to outright villify it, I think it can help us both heal but also, avoid future entanglements.

If we know we struggle in relationships with people with certain conditions, we can remain couteously distant from those in future who present red flags. Really- why shouldn't people who have been deeply screwed up by others avoid future people who seem to be similar? Why should they risk their own wellness? That's not to condone being nasty or rude but, we can politely keep them at a distance.

I briefly also want to say that, while it is unfortunate, it's kind of inevitable that people who's lives have been dramatically and negatively affected by an observed (guessed at disorder) will likely have some prejudice against it. It's not that we should judge all people with it to be the same but- I think for self protection, there's bound to be wariness.

The main point though, that I've taken ages to get around to is: Mental illness and personality disorders seem mostly to be diagnosed by a set of symptoms or behaviours a person is exhibiting.

Do our doctors know us better than ourselves or, those around us most of the time? Surely, they have 15-20 minutes maybe to observe the person, ask a few questions. Do we exhibit our honest entire character around our doctor? I'm imagining not. So- who is the more reliable observer of our own and other people we are around's behaviour? Surely- we are.

Of course, for the interpretation and diagnosis bit, the doctor ought to have more knowledge and skill. Still- it could surely be very possible that we are right- in the diagnosis of ourselves and others.

I suppose this is in some way, a rant. As in- Don't call that person a narcissist unless they have been officially diagnosed. I kind of get it. Better to say (suspected) narcissist for a start. But still- how will they be diagnosed? By analysing their behaviour- presumably in some part. Their behaviour may match on multiple levels to the description of narcissistic behaviour. So- isn't it reasonable to at least wonder?

Honestly, I'm also curious as to how narcissism is actually arrived at. I doubt many people actually want to be told they are a narcissist. I know we likely all have narcissistic traits but for them to be so prevalent, it's considered a disorder may not be what anyone wants to hear.

I'm actually truthfully curious. Would they even reveal some of the things they find themselves doing? That they find themselves lying to or about other people? Who wants to admit that? Do they even fully realise it themselves or, do they believe their own lies to such an extent, they are oblivious? I find it curious.

Also, in fairness, I know there are some members here who have identified that they suffer with NPD. Some that are highly conscious of monitoring themselves. I'm not meaning to downplay people like that. I actually think that must be so difficult. Plus, I'm not trying to blame here. I do realise that everyone suffers here. It's meant more as a representation of the other side and how (possible) victims may try to cope. (By trying to fathom out their bullies behaviour and reaching a diagnosis.)
 
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Griever

Griever

SN
May 1, 2025
437
You can read through the criteria of a diagnosis and then assume that you have the diagnosis, but if you want clarity that you really have the diagnosis or not, you should talk to someone professional
 
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Namelesa

Namelesa

Trapped in this Suffering
Sep 21, 2024
1,659
Definitely self diagnosis can be useful. Sometimes its really hard to actually get to see a doctor to see if you apply to the diagnosis or not and doctors aren't always reliable and can suck at their job or be lazy with it and dismiss symptoms. Diagnosis can help in knowing what kind of help you need. Probably most people with D.I.D don't actually have a diagnosis but definitely do have it so its useful to self diagnosis so you know what issues you face and able to easily express that to others with the label.

I myself have self diagnosised with BPD in the past tho I don't know if i actually have it or not with people saying about you shouldn't self diagnosis as you may not be right si I just say I suffer with some of the symptoms of it such as fear of abandonment and feelings of emptiness and large mood swings as I would say they are a major part in my suffering.
 
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lionetta12

Just a random person
Aug 5, 2022
1,252
Obviously, we are going to have short comings compared to a medical professional seeing as they at least ought to be more well versed in varying conditions and, how they manifest. That's assuming you have faith that they always get it right! The whole thing seems rather woolly to me.

But, I want to consider this from two perspectives. The possible advantages/ damages of diagnosing ourselves and when we tend to suspect conditions in other people. I'm not encouaging self diagnosis or diagnosis of others here. It's more something I've observed.

I understand on the one hand, those with real diagnoses feeling frustrated that now, so many people suspect themselves to have this or that. Of course, that's presumably how it starts for all of us though. Something doesn't feel quite right. We may try to figure out what it is ourselves and, we might see a doctor. But, I can definitely understand the frustration of someone severely struggling being surrounded by others who insist they must have the same thing when, they likely don't. At least, not to the same severity.

I wonder if it can be a self fulfilling prophecy sometimes. If we convince ourselves we have this or that and that that means we will struggle in certain situations- will that amplify our anxiety in those situations? There's the obvious concern that we may have diagnosed ourselves wrongly all together.

I think self diagnosis can also help though. Three things I realised I struggled with- social anxiety, limerence and borderline eating disorders meant I could be more self aware and try to address those problems. Some more effectively than others! So- it's been a positive experience for me- identifying things like limerence. Perhaps it was still a misleading self- diagnosis but, it ended up sparing me a lot more suffering.

The other situation is when we find ourselves diagnosing others. In particular, I want to focus on narcissism here because, it relates to my own experience.

I do understand why people with diagnosed NPD get upset when the term is banded about. Plus, villified. It can't be enjoyable to have a condition you didn't exactly choose to have more or less satanized.

However, personally speaking. While it could never likely be an official diagnosis, a person in my childhood who caused my ideation to begin with, I do believe to be a narcissist. So much of their behaviour fits the description. The bullying was of a very specific sort. Things like: gas lighting, playing the victim, triangulation, huge self promotion and simultaneous belittling of others.

It actually did so much for me in terms of validation to learn about narcissicism. It's like- all their truly baffling behaviour had some kind of reason. I truly was so terrified and confused at the time that I used to wonder whether I was the crazy one. Maybe I'd slept walked and done all these things they were accusing me of.

But it helped- somewhat in trying to come to terms with it. I think that- in large part is why we do try to diagnose others- it becomes a feasible reason for the way they are acting as they are. So, while it may not be accurate and while it's unkind to outright villify it, I think it can help us both heal but also, avoid future entanglements.

If we know we struggle in relationships with people with certain conditions, we can remain couteously distant from those in future who present red flags. Really- why shouldn't people who have been deeply screwed up by others avoid future people who seem to be similar? Why should they risk their own wellness? That's not to condone being nasty or rude but, we can politely keep them at a distance.

I briefly also want to say that, while it is unfortunate, it's kind of inevitable that people who's lives have been dramatically and negatively affected by an observed (guessed at disorder) will likely have some prejudice against it. It's not that we should judge all people with it to be the same but- I think for self protection, there's bound to be wariness.

The main point though, that I've taken ages to get around to is: Mental illness and personality disorders seem mostly to be diagnosed by a set of symptoms or behaviours a person is exhibiting.

Do our doctors know us better than ourselves or, those around us most of the time? Surely, they have 15-20 minutes maybe to observe the person, ask a few questions. Do we exhibit our honest entire character around our doctor? I'm imagining not. So- who is the more reliable observer of our own and other people we are around's behaviour? Surely- we are.

Of course, for the interpretation and diagnosis bit, the doctor ought to have more knowledge and skill. Still- it could surely be very possible that we are right- in the diagnosis of ourselves and others.

I suppose this is in some way, a rant. As in- Don't call that person a narcissist unless they have been officially diagnosed. I kind of get it. Better to say (suspected) narcissist for a start. But still- how will they be diagnosed? By analysing their behaviour- presumably in some part. Their behaviour may match on multiple levels to the description of narcissistic behaviour. So- isn't it reasonable to at least wonder?

Honestly, I'm also curious as to how narcissism is actually arrived at. I doubt many people actually want to be told they are a narcissist. I know we likely all have narcissistic traits but for them to be so prevalent, it's considered a disorder may not be what anyone wants to hear.

I'm actually truthfully curious. Would they even reveal some of the things they find themselves doing? That they find themselves lying to or about other people? Who wants to admit that? Do they even fully realise it themselves or, do they believe their own lies to such an extent, they are oblivious? I find it curious.

Also, in fairness, I know there are some members here who have identified that they suffer with NPD. Some that are highly conscious of monitoring themselves. I'm not meaning to downplay people like that. I actually think that must be so difficult. Plus, I'm not trying to blame here. I do realise that everyone suffers here. It's meant more as a representation of the other side and how (possible) victims may try to cope. (By trying to fathom out their bullies behaviour and reaching a diagnosis.)
I don't recommend self-diagnosing nor to assume that someone has a diagnosis that they have never been diagnosed with professionally.

The other thing is, if a person with an anti-social personality disorder like NPD were to go to therapy/to a psychologist, they most likely won't be fully honest or be themselves and would probably walk out of there without any diagnosis. They will turn on a facade, charm and twist and turn things to try and come accross as "normal". These people are very skilled at making up lies as they go and it is quite hard for even psychologists to catch it unless they are being honest and themselves. Antisocial personalities also sometimes have a tendency to go to therapy purely just to learn how to manipulate people better and how to act more "normal" around others to be able to reach their goals more effectivly.

If you go to a doctor to try and get a diagnosis, the doctor is usually under the assumption that you are there because you want help and you want to fix whatever problem you have or improve. They are going to try to trust that you are being honest because why else would you be there? There's no point in being there if you aren't going to be honest, in a rational persons mind. But the problem with the people who actually are NPD, rarely want to improve or solve things, because that requires a lot of energy, reflection, time, effort and it requires them to awknowledge that they are flawed, something they wish to not think about because they prefer to pretend that they are perfect since that is easier than it is to face a harsh reality.

Most people have narcissistic tendencies. It's probably easier to just say that this person has narcissistic tendencies or traits since that is true for almost every person to some degree, instead of assuming or labeling them as one without actually truly knowing.

I don't know if the person you suspected to be a narc in your childhood was a child as well or if it was an adult, but kids can be very narcissistic and you can't really diagnose a child with that disorder, because usually the average kid will out-grow that and become a normal empathetic functioning adult. But a true narcissist are those who never out-grow it and who are emotionally stuck with the personality and mentality of a child while they are an adult. They never matured.
 
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alwaysalone

Member
May 14, 2025
44
My personal opinion as an untrained person: I think the helpfulness of self diagnosed issues of any kind depends a lot on the individual. Some people can take the information and use it as a tool to help themselves a bit. However in my experience the majority use self diagnosis as a crutch. Meaning they don't even know if they have a mental health (or any health) issue and they convince themselves they are the worse case ever. Or they fixate on what they believe and it does become a self fulfilling prophecy in a sense.
My other concern is that humans rarely see themselvesrealistically. Most people, even "normal" people, are far to hard on themselves. Whether is looks, personality traits etc.. we tend to judge ourselves much harder then a hopefully non biased therapist would.
 
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Forever Sleep

Earned it we have...
May 4, 2022
11,853
I don't recommend self-diagnosing nor to assume that someone has a diagnosis that they have never been diagnosed with professionally.

The other thing is, if a person with an anti-social personality disorder like NPD were to go to therapy/to a psychologist, they most likely won't be fully honest or be themselves and would probably walk out of there without any diagnosis. They will turn on a facade, charm and twist and turn things to try and come accross as "normal". These people are very skilled at making up lies as they go and it is quite hard for even psychologists to catch it unless they are being honest and themselves. Antisocial personalities also sometimes have a tendency to go to therapy purely just to learn how to manipulate people better and how to act more "normal" around others to be able to reach their goals more effectivly.

If you go to a doctor to try and get a diagnosis, the doctor is usually under the assumption that you are there because you want help and you want to fix whatever problem you have or improve. They are going to try to trust that you are being honest because why else would you be there? There's no point in being there if you aren't going to be honest, in a rational persons mind. But the problem with the people who actually are NPD, rarely want to improve or solve things, because that requires a lot of energy, reflection, time, effort and it requires them to awknowledge that they are flawed, something they wish to not think about because they prefer to pretend that they are perfect since that is easier than it is to face a harsh reality.

Most people have narcissistic tendencies. It's probably easier to just say that this person has narcissistic tendencies or traits since that is true for almost every person to some degree, instead of assuming or labeling them as one without actually truly knowing.

I don't know if the person you suspected to be a narc in your childhood was a child as well or if it was an adult, but kids can be very narcissistic and you can't really diagnose a child with that disorder, because usually the average kid will out-grow that and become a normal empathetic functioning adult. But a true narcissist are those who never out-grow it and who are emotionally stuck with the personality and mentality of a child while they are an adult. They never matured.

Fair points. I also agree that the ideal would be to be diagnosed- and helped (hopefully.) I suppose I just don't have full faith in doctors/ therapists either! If I'm honest.

I suppose I certainly found being aware of anxieties and tendencies in myself helped me to be conscious of patterns I fell and fall into easily. I suppose I sort of feel like I was pretty effective in vastly reducing the effects of limerence and eating disorders in myself.

You're probably right to say that saying 'narcissistic- like' tendencies is the fairest way to go.

Yes, they were also a child/ young adult at the time- the person from my past. Thankfully, I don't have to be around them now to even know but, certain things I hear sound the same. Plus, they have children now that seem similar.

It's not the kindest or best approach probably but, in my head- it's helped me to label them that and to see their behaviour through that lense. The big and proper thing to do would be to try to understand it from their perspective and accept certain things. I can maybe do that more removed. What happened to make them behave that way? (I'm still uncertain to be honest.) Was I entirely faultless? No.

I guess it's about forgiveness though- ultimately. But, that feels more relevant (to me) if I still needed to have a connection to them, which I don't- largely- thanfully for both of us. So, I suppose I've tried to pack it away (unsuccessfully) without that.

Maybe greater understanding and acceptance would bring more closure. But, the paranoid part of me still perceives that as taking sides.

Plus, should we excuse all the crap? I don't know. I don't entirely forgive myself some of the things I did in childhood. (Not to them incidentally.) I can't really excuse myself of some things. I don't think I'd do the same now. Would they? I'm guessing- yes but, I'm grateful not to know for sure!
 
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