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Unread 08-02-2008, 07:42 AM   #1
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Default What does R/O mean (as part of a diagnosis)?

I recently acquired my psychiatric records for transfer to a new doctor out-of-state. I thought I was Bipolar II, but the diagnosis my psychiatrist wrote every visit was Mood NOS (R/O bipolar).

What does that mean? I know the "Mood NOS" indicates a mood disorder not defined in the DSM-IV, but was he trying to rule out bipolar every time he saw me? In this context, does "R/O" really mean something more like "maybe?"

I'm confuzzed.
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Unread 08-02-2008, 07:48 AM   #2
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Default Re: What does R/O mean?

r/o = rule out
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Unread 08-02-2008, 08:12 AM   #3
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Default Re: What does R/O mean?

It seems to me that he was working on a more clear dx? Highly suspecting it was a mood disorder of some kind, with his primary focus being to rule out (or confirm) a highly suspected Bipolar?

I'm not even close to a professional, but that might be one way to interpret it?

KD

*** edited to add:

It could read to me too that he's ruled out the obvious bipolar, but I don't think that would be the case because I don't think he'd allow you to continue to think that your dx. if he'd specifically ruled it out?
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Unread 08-02-2008, 01:03 PM   #4
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Default Re: What does R/O mean?

It means he didn't know yet.

Any dx with NOS is a wastebasket diagnosis.

All my best,
Okie
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Unread 08-02-2008, 02:56 PM   #5
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Default Re: What does R/O mean?

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Unread 08-02-2008, 03:02 PM   #6
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Default Re: What does R/O mean (as part of a diagnosis)?

if im not mistaken, NOS means Not otherwise specified.
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Unread 08-02-2008, 06:05 PM   #7
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Default Re: What does R/O mean (as part of a diagnosis)?

Yes, Not Otherwise Specified is indeed a diagnosis (in my opinion) when they "cannot fit" you into anything else in a clean way, or they dont know for sure.

R/O is rule out, at least in my schoolin'.
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Unread 08-02-2008, 06:15 PM   #8
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Default Re: What does R/O mean (as part of a diagnosis)?

Yes, r/o is rule out. They do thyroid function tests to r/o thyroid disorder, for example. Or a patient shows signs of different diagnoses and the doctor applies the most likey diagnosis but is open to the possiblity of a different or additional diagnosis.

NOS is not otherwise specified so the diagnosis provided is the most likely diagnosis, based on all the data the doctor had at that time.
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Unread 08-03-2008, 02:25 AM   #9
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Default Re: What does R/O mean (as part of a diagnosis)?

</font><blockquote><div id="quote"><font class="small">Quote:</font>
Teenie331 said:
I recently acquired my psychiatric records for transfer to a new doctor out-of-state. I thought I was Bipolar II, but the diagnosis my psychiatrist wrote every visit was Mood NOS (R/O bipolar).

What does that mean? I know the "Mood NOS" indicates a mood disorder not defined in the DSM-IV, but was he trying to rule out bipolar every time he saw me? In this context, does "R/O" really mean something more like "maybe?"

I'm confuzzed.

</div></font></blockquote><font class="post">
Confused... well that's common. I'm confused all the time
Your doctor wrote shorthand that says "Mood Disorder, Not Otherwise Specified, Rule Out for Bipolar Disorder"
He thinks you have a Mood Disorder, more than likely in his mind, Bipolar Disorder (many kinds of Bipolar which we can include Cyclothymia here or under broader category of Mood Disorders). Mood Disorders are Bipolar Disorders, Major Depressive Disorders, and Dysthymia (aka Dysthymic Disorder). So he thinks you have one of those, but he can't specify.

He just meant he couldn't pin it down.. and depending on how long you saw him for, I either would or would not be surprised. If you saw him for awhile, and he still didn't know, I'd think he was a quack.
Did he refer you, or did your parents refer you to a new one?
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Unread 08-03-2008, 09:20 AM   #10
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Default Re: What does R/O mean (as part of a diagnosis)?

The NOS is probably the best thing in the DSM, in my opinion. Why? Because rarely does someone have a disorder that fits so exactly and neatly into the criteria that they have established.

I am diagnosed with bipolar NOS. This is because my mood swing patterns do not follow what is outlined in the DSM.

R/O is something that is noted when the evaluating doctor does not yet have enough information to diagnose you with something that includes a need for futher observation/evaluation on symptom patterns, frequency and duration of symptoms, etc.

It is written down as part of the diagnosis to note that there are reasons to believe that you may be bipolar because you do have some presenting symptoms that follow that pattern-- but not enough information is yet present.
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