Is that how it usually goes?

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Well it's not like they have to send anything to the lab to get tested. If you "definitely have it" than it seems reasonable to expect that a decent psychiatrist would definitely be able to tell. And since you're not a kid, they can just ask you questions instead of playing all kinds of weird games with you and studying your behavior, which seems like it would probably make the whole process a lot faster. :B

I was diagnosed all the way back in 1988 when I was 5 years young, so I don't remember how the diagnostic assessment was. In fact, I don't remember it at all. For my current diagnoses (especially the Evil Schizoaffective Disorder) it took one appointment, basically saying I have "bizarre" delusions (which I don't, they are real, not fake....I have seen evidence of this) and hallucinations. I think I know the difference between reality and fantasy, therefore no break in reality. Not psychotic! Just plain neurotic! I just "love" the cloaking FBI agents that spy on me for destroying the world. I didn't mean to though, it wasn't intentional. I was diagnosed with GAD hundreds of years ago....I think as a child. I have been anxious since I was born. Same with depression. The DID was diagnosed a few years ago. I think I am a Walking Talking DSM IV. I have things that are not even in the book yet, Old Age Syndrome and Generalized Confusion Disorder. OAS is basically as I said in other posts, when you have the symptoms of "old age" without being chronologically old. GCD is when you are confused most of the time, my family has that one badly! There is a genetic component to that one, that's how I got it. There have been a lot of people talking about their age lately, so they might have OAS as well. It might not be as rare as you think.