Hi,
I'm a third year about to finish adult. I'm very frustrated with some of the patients I've inherited who are coming to my clinic with diagnoses of Schizophrenia, Unspecified Psychosis, Bipolar etc. when I do a more detailed history it is due to meth, spice, Alcohol use or marijuana.
This would mean changing their diagnosis to substance induced and I think they would not meet criteria to stay in our clinic. However, substance induced disorders can persist for a variety of years from what I've seen. Particularly spice.
I am tempted to change their diagnoses but then I worry if insurance will cover their medications down the line? I'm also worried what will happen with regards to their eligbility for services at my clinic.
Any tips for dealing with this?
I'm a third year about to finish adult. I'm very frustrated with some of the patients I've inherited who are coming to my clinic with diagnoses of Schizophrenia, Unspecified Psychosis, Bipolar etc. when I do a more detailed history it is due to meth, spice, Alcohol use or marijuana.
This would mean changing their diagnosis to substance induced and I think they would not meet criteria to stay in our clinic. However, substance induced disorders can persist for a variety of years from what I've seen. Particularly spice.
I am tempted to change their diagnoses but then I worry if insurance will cover their medications down the line? I'm also worried what will happen with regards to their eligbility for services at my clinic.
Any tips for dealing with this?