Wednesday, August 17, 2022

Comments by acslex1041

Showing 2 of 2 comments.

  • I absolutely believe that we need a better system than the DSM. I disagree on the stance that it does more harm than good. We need better, however the field of psychiatry, as I said before, lags behind nearly all other fields of medicine and stances like this don’t help that.
    The idea that psychiatric illness doesn’t have physiological process is a little archaic. There are neurotransmitters, hormones, genetics, epigenetics, individual brain development, head trauma, etc. involved in things like depression. The research isn’t as advanced as, say, cardiovascular medicine, but that’s for the same reasons I mentioned before. Mental health research has always been a low funding priority. Just because we don’t understand the process of some diagnoses, doesn’t mean they don’t exist. People need means to acquire treatment & accommodations and the DSM provides the only current avenue for that. As you’ve said, you shouldn’t expect a persons who’s mom just died to be cheerful. Fair. But that doesn’t mean that person couldn’t benefit from mental health services to get to their new “normal” quicker and reduce overall suffering (e.g. to help them stay employed). As you said, we expect practitioners to apply discretion when making these diagnoses.

    P.S. your google search isn’t evidence. Try google scholar. Those are clickbait articles oversimplifying research.

  • Mental health is a real concern in America and DSM diagnoses are often the only way to receive insurance coverage for services. I understand the point of this article is that it’s too easy to misdiagnose or overdiagnose. But objective measures in psychiatry are difficult to come by bar the aforementioned dementia and chromosomal disorders, as well as intellectual disability and a couple of other developmental disorders that can be seen on fEEG or with cognitive testing and I’m sure a couple of others. Genetics is likely going to help us with making more objective diagnoses in the near future, but behavioral/ psychiatric genetics lags behind other areas of genetics just like many other areas of psychiatry. Psychiatric illness is intagible and therefore more difficult for many to conceptualize. So while I understand the writer’s perspective and there is certainly some truth to it, I believe it to be from a place of privilege. If you believe you can make more objective diagnostic practices while still getting people the help they need utilizing the resources currently available, please have at it. Unless you’re arguing that psychiatric illness is a figment of the imagination, in which case I cannot help you.