I am skeptical about my diagnosis.
I am a middle aged male.
I was hospitalized post suicide attempt for 3 weeks and given ssri 100 mg daily and experienced mild improvement. I had a history of depression and anxiety symptoms for 24 months prior to hospitalization. I was diagnosed at discharge with Axis 1 MDD, severe recurrent (without psychotic features). Axis 2 was deferred. Axis 3: orthopedic condition, partner relation problems. Follow up care consisted of psychotherapy and ssri.
One year later I was hospitalized second time for three weeks after experiencing a panic attack/mental break down in response to several stressful events the week prior to admission. In the months prior to this second admission, with doctors supervision, I had stopped my ssri therapy due to improvement of some symptoms. Upon second admission, went back on ssri, along with trazadone and clonazapam this time.
Discharge diagnosis was Axsis 1: MDD, in remission, r/o depression due to general medical condition (adverse drug reaction), adjustment disorder with depression/anxiety, partner relation problems, alcohol abuse. Axis 2: No diagnosis cluster b traits. Axis 3: post surgery orthopedic condition, chronic peripheral vestibular deficit
A second opinion with extensive testing after discharge diagnosed Axis1: schizophrenoform disorder, r/o psychotic disorder NOS, r/o MDD chronic with psychotic features, r/o alcohol abuse, partner relation problem Axis 2: no diagnosis with paranoid traits Axis 3 deferred
Several months after discharge diagnosis (not by doctor who gave second opinion) amended to Axsis 1: MDD, in remission, r/o depression due to general medical condition (vestibular injury), adjustment disorder with depression/anxiety, partner relation problems, alcohol abuse. Axis 2: Personality disorder NOS with paranoid traits. Axis 3: post surgery orthopedic condition, chronic peripheral vestibular deficit
Shortly after second hospitalization, lost my job. Took new job and moved to new city three months later.
Two weeks into new job was hospitalized for third time for depressive feelings and suicide ideation.
I am confused about what is a proper diagnosis?