diagnosis

There is clear evidence from internal investigations in the past that some raters actually see themselves as adversaries to veterans. If a claim can be minimized, then the government has saved money, regardless of the need of the veteran. Just recently, the press exposed an official e-mail from a high-level staff person who stated in essence that PTSD diagnosis was becoming too prevalent and offered ways to delay and deflect ratings in order to save the government money.

No one would ever say that someone with a broken arm or a broken leg is less than a whole person, but people say that or imply that all the time about people with mental illness.

The SCID-D may be used to assess the nature and severity of dissociative symptoms in a variety of Axis I and II psychiatric disorders, including the Anxiety Disorders (such as Posttraumatic Stress Disorder [PTSD] and Acute Stress Disorder), Affective Disorders, Psychotic Disorders, Eating Disorders, and Personality Disorders.The SCID-D was developed to reduce variability in clinical diagnostic procedures and was designed for use with psychiatric patients as well as with nonpatients (community subjects or research subjects in primary care).

What is actually observed in so-called 'biplar children'? If you read the research reports carefully, they describe broad and persistent emotional dysregulation. Although these children have mood swings, they do not develop manic or hypomanic episodes. They are moody, irritable, oppositional and likely to misbehave__ike all children with disruptive behavior disorders. Their grandiose thinking usually consists of little beyond boastfulness. No evidence from genetics, neurobiology, follow-up studies or treatment response shows that this syndrome has anything in common with classical bipolarity.

It is not unusual for subjects diagnosed with a Dissociative Disorder on the SCID-D to be surprised at having their symptoms validated by a clinician who understands the nature of their disorder.

Although Dissociative Disorders have been observed from the beginnings of psychiatry, the Structured Clinical Interview for DSM-III-R Dissociative Disorders (Steinberg 1985) was the first diagnostic instrument for the comprehensive evaluation of dissociative symptoms and to diagnose the presence of Dissociative Disorders.

If two people with no symptoms in common can both receive the same diagnosis of schizophrenia, then what is the value of that label in describing their symptoms, deciding their treatment, or predicting their outcome, and would it not be more useful simply to describe their problems as they actually are? And if schizophrenia does not exist in nature, then how can researchers possibly find its cause or correlates? If psychiatric research has made so little progress in recent decades, it is in large part because everyone has been barking up the wrong tree. It is not a question of getting a bigger and better scanner, but of going right back to the drawing board.What__ more, medical-type labels can be as harmful as they are hollow. By reducing rich, varied, and complex human experiences to nothing more than a mental disorder, they not only sideline and trivialize those experiences but also imply an underlying defect that then serves as a pseudo-explanation for the person__ disturbed behaviour. This demeans and disempowers the person, who is deterred from identifying and addressing the important life problems that underlie his distress.

I thought the doctor's diagnosis was the first step to mending her. I know now that a diagnosis is taken in like an orphaned dog. We brought it home, unsure how to care for it, to live with it. It raised its hackles, snarled, hid in the farthest corner of the room; but it was ours, her diagnosis. The diagnosis was timid and confused, and genetically wired to strike out.

It has many forms, not all of which look like what you see in movies.

I know, Little Man, you are quick with the diagnosis of craziness when you meet a truth you don__ like. And you feel yourself as the __omo normalis_. You have locked up crazy people, and the normal people manage this world. Who then is to blame for all the misery? Not you, of course, you only do your duty, and who are you to have an opinion of your own? I know, you don__ have to repeat it. It isn__ you that matters, Little Man. But when I think of your newborn children, of how you torture them in order to make them into __ormal_ human beings after your image.

The shrinks call it Posttraumatic Stress Disorder. I call it hell. The demons are waiting in each corner, ready to drag me back to the battlefield.- Puncture Wounds (2014)

Stigma against mental illness is a scourge with many faces, and the medical community wears a number of those faces.

I couldn__ trust my own emotions. Which emotional reactions were justified, if any? And which ones were tainted by the mental illness of BPD? I found myself fiercely guarding and limiting my emotional reactions, chastising myself for possible distortions and motivations. People who had known me years ago would barely recognize me now. I had become quiet and withdrawn in social settings, no longer the life of the party. After all, how could I know if my boisterous humor were spontaneous or just a borderline desire to be the center of attention? I could no longer trust any of my heart felt beliefs and opinions on politics, religion, or life. The debate queen had withered. I found myself looking at every single side of an issue unable to come to any conclusions for fear they might be tainted. My lifelong ability to be assertive had turned into a constant state of passivity.

I put the word "diagnosis" in quotes because I have not yet seen that case in which a "diagnosis" led to a "cure," or in fact to any outcome other than a confirmed, and therefore an enforced, debility.

You are not your illness. You have an individual story to tell. You have a name, a history, a personality. Staying yourself is part of the battle.

God will bring you a gift. However, it is up to you to stop shaking the same box and expecting something wonderful will fall out of it again. After a while, you are going to break that box and it won't remind you of that moment when it meant everything to you.