3 ms·
For most people, psychiatry is overkill, sure sure. But heck, look at the diagnostic criteria for Bi-Polar, > The mood disturbance is sufficiently severe to c
by com2kid 8y ago
For most people, psychiatry is overkill, sure sure.
But heck, look at the diagnostic criteria for Bi-Polar,
> The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others, or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
That line about "marked impairment in occupational functioning" is a common theme in the DSM. (Hypomania has a lower threshhold, but still involves risk to self) If someone is able to live their life, hold down a job, isn't a risk to themselves / others, then they should be directed to a psychologist or therapist.
Bloody hell, the DSM says this, again and again and again.
In the must be met criteria for ADHD:
> There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning.
Major depressive disorder, again, with this requirement:
> Cause significant distress or severely impact social, occupational or other important life areas
The diagnostic criteria is pretty on point.
But even so, misdiagnosis is possible. If someone comes in and says that they hate their job and their spouse is abusive, the correct solution is a lawyer / career training (probably in that order?), not a pill!
If someone comes in and says "my life has no meaning", maybe it isn't anhedonia, maybe the activities in their life legitimately aren't of interest to them!
We all feel social pressure to fit in with the culture we grow up with. The great thing about America is, if we don't fit in with that culture, plenty of other culture's abound! But first people have to realize that they can leave the culture they are familiar with if it isn't bringing them happiness.
We all know that one engineer who decided to be become a brick layer, and who is now super happy! Heck one of my friends and old co-workers went from being a preacher to coder!
We all need to realize that laying bricks is just as fulfilling and meaningful as writing code[1] and not being judgmental about people's choice to leave one career behind and go into another.
My masseuse used to be in the corporate world.
One of the best Chocolatiers[2] alive used to work at Microsoft.
Parents, if you kids aren't happy living the upper class lifestyle that you dreamed of when you were working your way up the ladder, then support them doing something else! Tell them that they don't have to live up to your dreams, or fit into the societal image of perfection created by the culture one is surrounded by.
[1] Possibly more so, the bricks are going to outlive 99.9% of code that is ever written, and will likely be appreciated by far more people.
[2] I've traveled to quite a few countries and found her equal, but none that surpass. http://bruggechocolates.com/ http://bruggechocolates.com/
- SketchySeaBeast 8y agoThe definitions can be more easily met when you consider "Cause significant distress" or "reduce the quality of, social, school, or work functioning" - that's much larger, and people can be visibly firing on all cylinders, but if they report reduced quality or distress, then it meets those criteria.
- com2kid 8y agoBut as the article made clear, the drugs were reducing her performance at school! This is one area where I think the ADHD community has pulled ahead, good doctors will, when someone starts a new treatment, do weekly check-ins[1] with how one's quality of life is going across multiple metrics. Mood, self image, social life, and work/school performance. The fact this isn't done for all forms of psychiatric treatment is shocking and sad. From a non-medical perspective, Cognitive Behavioral Therapy is good in that it tries to help people find fulfillment, or at least come to peace with themself. [1] Proper ADHD treatment is supposed to be provided by a psychiatrist and psychologist working in tandem and communicating with each other. Unfortunately the % of times this is actually done is most certainly way under 1%. Not even going to get into the insurance issues around this...
- SketchySeaBeast 8y ago> But as the article made clear, the drugs were reducing her performance at school! She was by no means stable before the medication. In fact - Bipolar, if the hypomanic/manic states hit at the right time, could be a huge help with school. I'm not saying it's in any way right, I'm saying there are broad criteria for getting on medication, and there's no DSM criteria for when she should be coming off.
- GuB-42 8y agoThe article mentions talking about wanting to die, cutting oneself with razor blades, drinking through the night and doing cocaine. And that's before treatment, so it is not at fault. That's not something to take lightly, especially combined together. Also, that story somehow reminds me of someone I know who really is bipolar, she looked somewhat normal until she went completely bonkers, burning down most of her stuff at home, etc... It is serious. She now takes mood stabilizers (lithium) and lives a healthy life. So don't dismiss psychiatry.