A provisional diagnosis is essentially their “best guess” based on the information they have.

The provisional diagnosis differs from what is known as a differential diagnosis.

The provisional and differential diagnoses are two different steps in the process of diagnosing a mental health condition.

Diagnosis words laid out in a circle

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They both serve essential, but differing, purposes.

What Is a Provisional Diagnosis?

With a provisional diagnosis, a doctor makes an educated guess about the diagnosis you most likely have.

you’re able to think of a provisional diagnosis as a temporary or working diagnosis.

It can help guide the initial treatment process until a more formal diagnosis is made.

This provisional specifier is removed once more information is gathered and a final diagnosis is made.

Researchers suggest that a provisional diagnosis recognizes that each person’s experience is unique.

Based on this initial diagnosis, a doctor may order additional tests and assessments to confirm their findings.

What Is a Differential Diagnosis?

A differential diagnosis means that there is more than one possibility for your diagnosis.

A doctor must differentiate between multiple diagnoses to determine the correct one and make an appropriate treatment plan.

For instance, there are currently nolab tests to identify depression.

Instead, the diagnosis is based on your history and your symptoms.

According to Dr. Michael B.

In general, there are two possible reasons for this: malingering disorder or factitious disorder.

When people feel they have something to gain from a particular diagnosis.

For example, they may want to avoid certain responsibilities.

When people derive psychological benefits from playing the role of a person with a health condition.

These can include the drugs listed below.

Sometimes, the family is interviewed as well.

For instance, you might be going to therapy and takingantidepressantsfor your symptoms of depression.

To rule conditions out, clinicians will ask about previously diagnosed conditions.

They are particularly interested in those that may have begun around the same time as depression.

Lab tests may be ordered to screen for conditions commonly associated with the symptoms of depression.

Clinicians must differentiate major depressive disorder from related mood disorders and other disorders which often coexist with depression.

This is done by following the criteria established in the DSM-5.

This allows communication of the specific reason the presentation does not meet the criteria.

Step 6: Establish Boundary

Finally, clinicians need to make a judgment call.

Provisional vs. A differential diagnosis involves the process of differentiating a condition from those that have similar symptoms.

The provisional diagnosis is often given at the beginning of the process.

It provides a starting point but lacks confirmation.

The differential diagnosis focuses on listing the conditions that might match a patient’s symptoms.

It can help doctors collect the information they need to rule out other causes.

As more information is collected, a provisional diagnosis can then become a final diagnosis.

The treatment you need depends on your specific diagnosis as well as other factors.

Aims Center University of Washington Psychiatry and Behavioral Sciences.

First MB.DSM-5 Handbook of Differential Diagnosis.1st ed.

Arlington, VA: American Psychiatric Association Publishing.