The DSM-5 isn't supposed to be a Pokédex
(midwest.social)
Brand New SentenceMental Health Issues: Gotta Catch 'Em All!
A better title
The DSM-5 is a manual for insurance companies to pay hospitals and pharmacists for care
Cptsd isn't even fucking in it yet
My favorite part is how there's like 16000 combinations of symptoms that mean you have PTSD.
In all seriousness, this is a system failing this person.
It can't properly diagnose them.
It would be like a Pokedex that sees a Pikachu, but reports it as a Raichu, or maybe a Pichu, or maybe a Plusle or Minun.
What, do we think the American health care system ... delivers good results in any realm?
No, its a broken exploitative mess, and that applies to mental health as well.
If you're some kind of psychologist, you can fuck right off if you wanna try and gaslight me about this, say that I'm promoting a mindset of hesitancy and skepticism toward your broken as fuck system that you know is broken.
You should agree with me, and be fixing the problem, such that my skepticism is actually unwarranted.
I'm Brazilian and the mental health care also sucks over here, too, even though Brazil is known for having public health care. I once got the "schizotypal personality disorder" diagnosis after I opened myself too much about my left-hand path spirituality for a psychiatrist biased to christian worldviews stemmed from a mostly-christian country. If I were to say "I saw Our Lady of Aparecida in a toast back in this morning's breakfast", that would be totally okay for a psychiatrist in a christian country, but because I said "I felt Lilith's presence at 3AM after reciting the RVALL Enochian mantra", oh, "you got some magic thinking atypical beliefs, here's your Risperidone/Aripiprazole/Escitalopram prescription".
I frankly don't see how religion isn't a presistent delusion.
Like, it literally is, its just popular.
Popular != based in reality.
I frankly don’t see how religion isn’t a presistent delusion.
its more like a system that wants everyone to be Pikachus and gives them meds that slowly wear them down to pikachu shape
The problem with the mental health system is, like all systems, it is primarily there to serve itself.
As such, it has to have problems it can solve, and if it can´t solve them, it has to have someone to blame. The problems it can´t solve are those of patriarchy and capitalism and white supremacy and imperialism, and the person it can always blame is the patient.
A Borderline Personality Disorder diagnosis (BPD) is the soap that the mental health system uses to wash its hands of clients harmed by systems the mental health system needs to protect.
Damn, coming hot off the heels of "the DSM V is 100 traumas in a trenchcoat", you just want to keep going – you just do not actually care that you lack the most baseline understanding of mental health as a science, as a practice, or frankly as a concept.
As such, [the mental health system] has to have problems it can solve, and if it can´t solve them, it has to have someone to blame.
What on Earth are you talking about? If you want to understand how mental health professionals understand mental health disorders, I'll give you one that you'll like, because it's known to be heavily rooted in trauma: watch Robert Sapolsky's survey lecture on depression. These are among the factors that mental health professionals try to consider – to the extent they can know them – when figuring out how to help a patient with depression. Different professionals will focus more heavily on different aspects – Sapolsky, for example, is a neuroscientist and so more heavily emphasizes neurobiology in his lecture.
Therapists are trained not to blame their patients. I don't know if you've ever read any of the lit-- pfft, nah, just kidding, you haven't ... or been to therapy, but a therapist is taught to toe a difficult line between helping a patient to feel empowered and not blaming them for their mental or material condition. A therapist is not there to adjudicate your life. If a patient can't remove themself from a shitty environment, a therapist will of course try to help them navigate it as best they can. But then calling a therapist helping a patient work with what they have "blaming" is like claiming a physiotherapist who helps you work on your back pain is "blaming" you because they have no possible influence over your exploitative employer who makes you do backbreaking labor. They might give you tips for stretching or posture when lifting; that doesn't mean they think it's your fault.
the person it can always blame is the patient.
It literally doesn't. Do you know what a social worker is? Do you understand what an LCSW is (again, DSM, so default US for the acronym)? I'll give you a hint: literally their entire job is to consider the mental health of the patient and how the family, community, society, etc. around them factor into said mental health. To try to get them help within their environment and to get them out of toxic environments to the extent that they can. Their actual job is to consider a patient's mental health in the context of their environment – and to clarify, regular-ass therapists will do this too but just aren't specialized in it.
It's like you have literally no understanding of who mental health professionals are, what they even practice, and how they understand the field. But that makes complete sense coming from someone who's claiming that they can boil down the entire DSM V to post-trauma.
If you want to give systems and society some or even most of the responsibility for mental health, be my guest. Depression – even accounting for better awareness and diagnostics – has been on the rise for decades. Don't, however, demonize the individuals actually trying to help people within that shitty system while you sit here confidently asserting obvious pseudoscientific garbage about mental health based on vibes.
It's impossible to evaluate a vacation destination merely by looking at the brochure; same for systems.
I have a lot of experience in the mental health field in various capacities other than but including patient. My interest in the field is more than lazy contrarianism.
The question for you is whether you are willing to look beyond the superficialties, the stated purpose, the stated means, to how things are actually practiced, what the power relations are, and what the lived experience of other people is, people with different backgrounds and presentations.
Daniel Mackler is a former therapist with critiques of the system that echo my own experience. His video on the role of BPD in relation to PTSD was the inspiration for my original joke. You can find it if you want to know more.
And I'm glad you've found people in the system helpful to you, though. That's really great. I wish everybody did.
A lot of times mental illnesses comes in groups.
If it were, it would jut be one Pokémon named Post--Traumatizaur with 100 different forms.
Edit: More useful discussion question than slapfight: what percentage of BPD cases could just as easily be classified as CPTSD? I'd say close to 100%.
Okay, so you don't understand the DSM V or mental health generally. Like at all if you think that every mental health condition is the result of trauma or if you think the DSM even implies as much. This is so off-base that it doesn't even work as hyperbole.
Maybe you don't understand mental health as well as you think.
Isn't this fun?
