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The neuropsych said, "X is a life changing diagnosis, and I'd only give it in a case where the symptoms are so clear as to be unmissable and there are no other diagnoses that more elegantly explain the symptoms."

The psychologist said, "X opens doors to services, and getting the diagnosis only changes things for the better. Regardless of whether a child has X, the services are very helpful. It really doesn't matter whether X is the most accurate diagnosis, the services are what matter."

Sigh. Nothing about this surprises me.

In fact, I've had somewhat similar conversations with doctors about my DD's atypical asthma. (The concern is that the dx will "follow" her, with potential repercussions.)