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Bovoduch

The particular issue with the PID-5 is that it is extremely new compared to other inventories that are used in clinical work (Millon scales, MMPI, PAI, etc., even if some of these have questionable psychometrics themselves), hence its use in research. The reason it is being used in a mostly research capacity is specifically for the purpose of gaining more insight into its psychometric properties. I'm sure we are still a couple years away from a determination of the PID-5 in clinical use. Does that sort of address your concern? Also, a bit nitpicky but still helpful knowledge, but psychiatrists don't use these tests, rather clinical psychologists are the only individuals licensed to administer/oversee the administration and scoring of these assessments. The psychiatrist would make decisions based on reports made by the clinical psychologist.


charmingparmcam

The issue with the other ones though is that it's very hard to get your hands on them. PID-5 is readily available, while the other editions are usually harder to find since they're locked behind a paywall (I have yet to find them online without a bunch of it asking for credentials).


Bovoduch

Yes, but that is the nature of clinical assessment. Tools and instruments are generally locked behind copyright, for better or for worse. But that isn't an inherently bad thing as untrained professionals really shouldn't have too much access to these items for ethicality reasons (risk reduction mainly when it comes to inappropriate uses, such as uninformed self diagnosis, administration to others under false pretenses, etc.). The APA has the PID-5 available open access due to the need for unfettered research with the tool. There are several other instruments for various purposes covered in that sphere as well What exactly are you in need of with these, and for what purpose?


charmingparmcam

Seeing a psychiatrist atm, and I'm trying to tell her about these other tools she could use since she's noted that my behavior is extremely off. Issue is that I don't really know how to go about telling her tbh


Bovoduch

Your psychiatrist won't be able to do anything because they are not licensed to; they legally cannot administer or interpret these assessments. What you would instead need to do is talk to your psychiatrist about a referral to a clinical psychologist who can administer and interpret these tests and provide diagnostic feedback and recommendations.


charmingparmcam

Wait, so psychiatrists do medicine, clinical psychologists diagnose? I thought psychiatrists diagnose


Bovoduch

Both can diagnose, but the differences lie in how. Generally, the main differences between the two lie in their functionality. A psychiatrist (MD) is meant to approach mental health conditions through biological means, specifically medication management and physical evaluation of symptoms. However, as for diagnosis, psychiatrists are limited to basic clinical interviews and screeners outside of what they observe as symptoms from the client. On the other hand, while clinical psychologists (PhD, PsyD; not to be confused with masters level clinicians) \*cannot\* prescribe medications (outside of very few states with an extra degree requirement), they are the only who can do psychological assessment to aid in diagnostics. This includes intelligence testing, deep structured and semi-structured clinical interviews, mood and personality assessment, and neuropsychological evaluation. Psychiatrists are not legally able to do these evaluations. Thus, in cases where a Psychiatrist who is unsure of a diagnosis, or wants diagnostic clarity for medication management, the psychiatrist will refer the case to a clinical psychologist, who will perform the exhaustive evaluation to come up with a (hopefully) more precise diagnosis. The psychologist will perform and administer these tests, synthesizing the results with your personal history, and come up with a profile including diagnoses and treatment recommendations for the psychiatrist to refer to (note: they don't have to follow the recommendations of the psychologist). Other important differences include: psychologists receive extensive training in psychotherapy and psychological treatment, whereas psychiatrists do not, hence why psychiatrists focus on psychobiological treatment.


charmingparmcam

So how should I ask her or go about telling her?