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FTA: "Will maladaptive daydreaming ever end up in the DSM? In the most recent version, hoarding and skin picking made an appearance for the first time, as a par

FTA: "Will maladaptive daydreaming ever end up in the DSM? In the most recent version, hoarding and skin picking made an appearance for the first time, as a part of obsessive-compulsive disorder. For people who suffer from these conditions, this means they can now receive treatment and insurance reimbursement for behaviors that were previously considered odd but not pathological." Am I the only one who worries about everything and anything ending up in the DSM, to then be controlled by medication? Unless what's going in your head actively interferes with your day-to-day existence, why does it matter what you do?

unicornporn 11y ago
> Am I the only one who worries about everything and anything ending up in the DSM, to then be controlled by medication? Unless what's going in your head actively interferes with your day-to-day existence, why does it matter what you do? But isn't that the point of DSM, to diagnose those with conditions that really interferes with their day-to-day existence? Medication is only one way to cure/control these disorders.
Nursie 11y ago
Well the woman who wrote the article does sound impaired by this, reporting everyday life as a struggle to wrest herself away from the stories in her head in order to interact with people and tasks in the real world. So... sounds a bit like a disorder to me. Not that I'm qualified in such matters, but it could be evaluated in a similar way to HPPD - it's only HPPD if it interferes with your life, otherwise it's just a psychedelic hangover.
DanBC 11y ago
"Interfering with your day to day life" is one of the things used to decide if you want or need treatment. There are limited situations when treatment is forced upon you and hoarding or skin picking probably aren't them. Don't forget that something with a common English word as a name ("hair plucking") is not as simple as "occasionally plucks some hair", but "compulsively plucks hair, to the point of semi baldness, with distress as a result".
- logfromblammo 11y ago
  With a sufficiently large vocabulary, it is easy to distinguish between cosmetic depilation and trichotillomania. While drugs and therapies are prescribed to people suffering from the latter (clomipramine, acetylcysteine), they are also available over the counter for the former (thioglycolate). One could also make the argument that perhaps it is real life that is interfering with the daydreams, rather than the other way around. If that's the case, we also have drugs to treat that (alcohol, psilocybin, heroin, marijuana, nicotine, LSD-25, cocaine, MDMA, etc.). Keeping it out of the DSM won't stop anyone from inventing treatment options.
deleted 11y ago
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unicornporn 11y ago

> Am I the only one who worries about everything and anything ending up in the DSM, to then be controlled by medication? Unless what's going in your head actively interferes with your day-to-day existence, why does it matter what you do? But isn't that the point of DSM, to diagnose those with conditions that really interferes with their day-to-day existence? Medication is only one way to cure/control these disorders.

Nursie 11y ago

Well the woman who wrote the article does sound impaired by this, reporting everyday life as a struggle to wrest herself away from the stories in her head in order to interact with people and tasks in the real world. So... sounds a bit like a disorder to me. Not that I'm qualified in such matters, but it could be evaluated in a similar way to HPPD - it's only HPPD if it interferes with your life, otherwise it's just a psychedelic hangover.

DanBC 11y ago

"Interfering with your day to day life" is one of the things used to decide if you want or need treatment. There are limited situations when treatment is forced upon you and hoarding or skin picking probably aren't them. Don't forget that something with a common English word as a name ("hair plucking") is not as simple as "occasionally plucks some hair", but "compulsively plucks hair, to the point of semi baldness, with distress as a result".

logfromblammo 11y ago
With a sufficiently large vocabulary, it is easy to distinguish between cosmetic depilation and trichotillomania. While drugs and therapies are prescribed to people suffering from the latter (clomipramine, acetylcysteine), they are also available over the counter for the former (thioglycolate). One could also make the argument that perhaps it is real life that is interfering with the daydreams, rather than the other way around. If that's the case, we also have drugs to treat that (alcohol, psilocybin, heroin, marijuana, nicotine, LSD-25, cocaine, MDMA, etc.). Keeping it out of the DSM won't stop anyone from inventing treatment options.

deleted 11y ago

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