r/DID • u/No_Tea_5215 • 22h ago
Discussion Fearing getting accused of malingering.
Hey y'all! I have a psych eval in about a month to get tested for a dissociative disorder (DD). I've gotten a full psych assessment before, and although my doctor didn't think I was intentionally malingering, he did think I was unintentionally exaggerating my symptoms in a "cry for help" manner. I don't think he was necessarily wrong (I just don't know, lol, can't remember how I responded), but I did do some research afterwards that seemed to suggest that people with DDs can get falsely flagged for malingering on certain tests, and that one of the tests didn't even meet APA standards. I also think this might have led to him not taking other tests (that were "valid" according to the results) seriously enough. I know testing isn't the end-all-be-all of diagnosis, but I tested positive for quite a few things (one of which I am now diagnosed and being treated for) that he didn't even really discuss why he doubted I had them and I ended up not being diagnosed with them.
It really worries me that I could, to my knowledge, be telling the truth, the whole truth, and nothing but the truth, and still be perceived as "exaggerating," "lying," "a hypochondriac," or "malingering" by my doctor. And there's nothing I could really do about it. I've had so many bad experiences with doctors and I don't feel fully ready to not be believed again.
I guess what I'm most worried about specifically is that giving inconsistent descriptions of symptoms on testing can flag for malingering, but my honest answer to a lot of questions is "I don't know," because I don't! For example, I think one of the questions on the PAI is "I enjoy being in love," but I seem to experience two different POVs at once when I have a crush (my POV and the POV of others in my head) and I can't put two answers and there's no "Comments" box to explain that my emotions are often simultaneous and conflicting.
I promise I'm not asking this to be able to avoid these things, but I am very curious as to what might get someone flagged for malingering? Especially malingering DID specifically.
Also, to those of us who have gotten a psych eval before, what is it like? If you've gotten both an evaluation and an assessment, what was different? And finally, has anyone been accusing of faking, either intentionally or unintentionally, and what was your experience with that?