WHO DO YOU THINK YOU ARE! Mental Health and Us!

Well, it is a question that begs an answer. With so many possibilities on the clinician’s ipad (DSM V) these days, one must wonder how to set limits when diagnosing a person. Don’t we have an obligation to really measure what is behavioral, familial, and what is a mental health issue? I think we have more than an obligation, we have a duty and a call to make sure we point the finger at the appropriate culprit. Many times, actually many hundreds of times I have worked with teens or adults that were very quick to tell me about their DSM diagnoses. They seemed almost glad to share their perceived limitations with me, and wanted validation from another clinician like myself for some reason. Hmm, after thinking on it for a minute, I began to question many things, not just their diagnoses. The other issues in their life and the effects they have had on the person. Anyone with a DSM can find a label to fit just about anyone, so where is the balance? Do we just address symptoms and neatly put together a well fitting tag out of  ” the book ” ? 

According to the information in the 1st link I provided, about 26% of the population meet criteria for a mental health diagnoses . So what will that number look like now that we have a “book” that is overly user friendly to clinicians, but also very dangerous to the general population? After all, we all have a few of these disorders…heck, my own daughter admits to  ” oppositional defiance” and I discuss with her what the rewards and consequences of certain behaviors are. Would I take her to a psychiatrist for this? Heck no. I would hope a good psychiatrist would send me home to do some parenting. Is that what you would do? Fasten your seatbelt, because these type of decisions are coming your way if you are in the mental health field. If you adhere to the DSM-V for every single case and only to the guidelines set forth in there for making a diagnoses, be ashamed! Hey don’t blame me, I am just paraphrasing the Duke heavy hitter who chaired the DSM-IV committee. Read the article, and see if you agree that the new ” book ” is crazy.

 

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml

http://brucelevine.net/925/

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Published by: www.dontlabelmykid.wordpress.com

I am a social worker and family coach for 20+ years. I have had around 50 foster kids , worked in every and any type of facility from juvenile centers to clinical treatment centers to schools for expelled youth . I've been successful with starting schools for violent offenders , training hospital staff , entire counties of public school teachers, parents and many more on behavior management and helping families in trouble . I have been honored to speak on many occasions and to teach professionals what is wrong with our systems for kids and adults, and how I was able to have successful outcomes in all the programs that I ran. And yes- I do have all the accolades and awards and pats on the back from high places and degrees but I'm not in this for that recognition. I appreciate the acknowledgement I've received over the years, but I don't even have an " I love me" wall in the office..so I don't even know where those things are anymore ..LOL I have lived a hard life myself and grew up in a very violent and abusive home. My family Is filled with depression , addiction and suicide. I also have had to navigate my way through these areas . I use my own experience to help others. I hope you will join the awesome people who follow me and share their stories. This Is a place to come to keep it real. We all struggle . So on this site we keep it legit. No judgement. What are you waiting for? Follow! tj

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