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#dsm 5
escuerzoresucitado · 4 months
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davidaugust · 25 days
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👵👧📖
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psychoticblorbobattle · 4 months
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Submissions open until January 15th!!!
Hello! Welcome to this lil tournament I'm putting together, despite also running two others right now. Why am I like this.
Anyways!!! I'm schizospec. Sadly, I don't know a lot of characters from media who are also on the schizospectrum or have psychosis. So, I figured, why not make a tournament for it?
Guidelines:
No ableism will be tolerated, nor will any other kind of bigotry.
You do NOT have to be psychotic to interact with this tournament/blog. Everyone is welcome! Honestly, I'd be really happy if lots of different people got to have a good time and learn here. Anyone can submit a character!
No anti-propaganda, bullying, harassment, etc. This is for fun.
All submissions must be sent through the ask box to be considered. This tournament will have 32 participants, tops.
NO NSFW IN THE IMAGES SENT. Light blood is allowed but please no full-on gore. A good example is YTTD or Danganronpa; there's blood, but nothing too explicit.
Headcanons are allowed! Please indicate whether the character actually fits the DSM-5 criteria or if it's your headcanon.
Characters with any condition that would cause psychosis are welcome, as well as schizospec characters without psychosis.
You can submit multiple characters in SEPERATE asks. One character per ask. Please do not spam the same character over and over.
No ocs, I'm sorry. I'm sure they're wonderful :)
In regards to images, I will accept fanart ONLY if the artist has given explicit permission, the artist's name is submitted with the art, and if official art isn't submitted in other submissions.
Rules may be added.
Now, you may be asking, what should I include in my submission? I would appreciate if your submission went something like this:
Character Name
Media Character is from
Image of character (links work fine)
What criteria do they fit and what is/would be their diagnosis (schizophrenia, bpd, ptsd, etc)
Curious about what the criteria is? Here's a link to the DSM-5 criteria for schizophrenia, which is a good place to start. I may post links to other collections, idk!!! But this is what we'll be using mostly. If it's difficult to understand or read, I can make a separate post explaining the official criteria. However, if you're schizospec or deal with psychosis and have your own experience to add to it, please feel free to say that!
If you have any questions, please feel free to ask.
Tagging for visibility (not very long tbh)
@actually-insane-blorbo-bracket @tournament-announcer @tournamentdirectory
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our-queer-experience · 8 months
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Is the difference between dysmorphia and dysphoria that dysphoria only works with genitalia and secondary sex characteristics (breast tissue/voice/body hair) and dysmorphia is just one’s body in general? /gen
oh, i love talking about psychology!
so dysphoria is a discomfort and dissatisfaction with one’s biological sex and how both you and others perceive it because you feel like it is incongruent or inconsistent with your internal identity- for example, i am a boy, and because having a female body means i’m perceived as a girl and i also feel like i should have been born male, i’m incredibly depressed and anxious about these things in ways that interfere with my ability to function. sometimes it’s about my secondary sex characteristics or primary ones- “i have small shoulders that mark me as female/i have a vulva/i have a high voice, this all feels wrong, help!” but sometimes it’s social ones- “when the class split into boys and girls i had to go with the girls and that made me uncomfortable and sad.”
dysmorphia is entirely about your body, not about social things, and it covers a wide variety of things. i know less about this, so i’ll take quotes from the apa.
“BDD is defined as a preoccupation with a slight or imagined defect in appearance that leads to substantial distress or impairment in social, occupational, or other areas of functioning.” key word being a slight or imagined defect. for example, i am perfectly aware of my birth sex and i know it’s not defect or disgusting, however i also know my birth sex doesn’t align with my internal sense of self, which causes the distress.
an important note- everyone has dysphoria and dysmorphia to some extent. there are normal levels of discomfort with your body, your sex, and your social gender that everyone has somehow. it becomes diagnosable and disordered when it interferes with your ability to function socially or at work and causes you constant amounts of stress or depression. that’s a part of the dsm requirement for having the disorder. it’s important to know the distinction between ordered and disordered behavior.
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sheep-and-shepherd · 9 days
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Hello anti-endo systems (& singlets)!
We are currently working on an OSDDID pro-recovery, anti-endo research/experience syscord, and we're open to creating a staff team!
Please fill this out if you'd like to be considered as an addition to moderation, or to help out with the server/research content.
It would be greatly appreciated! (As would reblogs!)
We'll let you all know when the server is ready :)
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moomatahiko · 1 year
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Diagnostic Criteria for Allism Spectrum Disorder
also known as, Neurotypical Disorder
(Parody)
To meet diagnostic criteria for Allism Spectrum Disorder according to DSM-5, a child must have persistent deficits in each of three areas of social communication and interaction (see A.1. through A.3. below) plus at least two of four types of restricted, repetitive behaviors (see B.1. through B.4. below).
A. Persistent deficits in direct, honest, and compassionate social interaction and patterns of using deception and manipulation of others perception. Deficits persist across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive; see text):
Deficits in social-emotional reciprocity. For example, a. Indirect, ambiguous, or deceptive communication style, b. Over dependence on social norms and generalizations, c. Frequently superimposes subtext or places unfounded meaning on concrete, literal, or factual communication, d. Struggles with comprehending consent and personal boundaries in social interaction.
Deficits in verbal and nonverbal communicative behaviors used for social interaction. For example, a. Ritualized use of unusual or menial conversation topics (e.g. comments on weather), b. Pervasive passive aggressive communication style (saying “that’s different” when really meaning “I don’t like that”), c. An excessive use of eye contact, abnormalities in body language, and deficits in understanding and use of gestures.
Deficits in theory of mind and developing, maintaining, and understanding autistic relationships. For example, a. Difficulties adjusting behavior to suit various social contexts, b. Inappropriate or undesired responses in conversation (e.g. using repeated passive/apathetic responses to end a conversation, visible discomfort when your interests or opinions vary from theirs), c. Absorption in perceived social status “ranking”, d. Deficit in comprehending bodily autonomy and personal space, e. Restrictive fixation with and dependence on gender social constructs, f. Repeatedly engages in tribalistic behaviors, such as compulsive attempts to control reputation in groups, and exploiting, marginalizing, or punishing groups deemed unworthy or inferior.
Severity is based on social communication impairments and impairment in organized, specialized behavior. For either criterion, severity is described in 3 levels: Level 3 – requires very substantial support, Level 2 – Requires substantial support, and Level 1 – requires support.
B. Patterns of over-dependence on heuristics, social norms, and generalizations in behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive; see text):
Stereotyped or repetitive verbalization, use of objects, or speech. e.g., a. Simple motor stereotypes, b. Repetitive vocal stimming via verbalizing unfiltered thoughts or patterns of erroneous intonation c. Recreating social scenarios with toys or objects as children, d. Repetitive use of involuntary scripted phrases (e.g. “Lets hang out soon”, “How are you”, “Long time no see”, or “It’s nice to meet you”).
Insistence on sameness, extreme adherence to pre-existing social norms, or ritualized patterns of verbal or nonverbal behavior. e.g., a. Ritualized use of indirect communication, b. Strong attachment to group identity, rigid thinking patterns, greeting rituals, c. Need to conform, d. Difficulty in challenging pre-existing constructs in the world, e. Gullible to group biases such as bandwagon effect, groupthink, or status quo bias.
Lack of specialization or pattern-recognition that is abnormal in apathy or disorderliness. e.g., a. numerous superficial, shallow hobbies and interests with deficit in or complete lack of deeper exploration of interests, b. selecting interests based on social group or social influence, c. utilizing interests as social currency without genuine passion, d. ignoring small details because they do not align with expectations, context, or pre-existing beliefs, e. overly concerned with social perception instead of concrete objects or information.
Dulled or hyporeactive to sensory input or information that does align with pre-existing knowledge, beliefs, or self-interest. e.g., a. ”tuning out” sounds in environment deemed unimportant, b. easily influenced to interpret information based on how information is presented, c. overly gullible to confirmation bias, halo effect, and attentional bias, d. restrictively applyies existing social constructs as rules/expectations for all interaction and modelling of instead of generating beliefs based on sensory input and pattern recognition.
Specify current severity:
Severity is based on social communication impairments and restricted, repetitive patterns of behavior. (See table below.)
C. Symptoms must be present in the early developmental period (but may not become fully manifest until their behavior becomes intolerable to autistics).
D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.
E. These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay. Intellectual disability and allism spectrum disorder frequently co-occur; to make comorbid diagnoses of allism spectrum disorder and intellectual disability, communication should be below that expected for general developmental level.
Note: Individuals with a well-established DSM-IV diagnosis of allism disorder, neurotypical disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of allism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not otherwise meet criteria for allism spectrum disorder, should be evaluated for social (pragmatic) communication disorder.
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han-does-psych · 10 months
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05.30.23
tonight, i'm studying abnormal psychology. a few years ago, while in college, i made a comprehensive table summary of the dsm-5. i've been using it to brush up on my knowledge and understanding of mental disorders ever since.
so, here's my messy, messy desk for tonight :) i also got my drawing tablet out bc i just finished doing a commission hehe :3
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mischiefmanifold · 8 months
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Diagnostic Criteria Examples Masterpost
This is a series of posts that I'm hoping eventually covers all the disorders in the DSM-5-TR.
**This will be periodically updated as more posts are made. Please come back to the original post to see these updates**
NEURODEVELOPMENTAL DISORDERS
Intellectual Developmental Disorder (Intellectual Disability)
Global Develolmental Delay
Unspecified Intellectual Developmental Disorder (Intellectual Disability)
Language Disorder
Speech Sound Disorder
Childhood-Onset Fluency Disorder (Stuttering)
Social (Pragmatic) Communication Disorder
Unspecified Communication Disorder
Autism Spectrum Disorder (Levels System)
Attention-Deficit/Hyperactivity Disorder
Other Specified Attention-Deficit/Hyperactivity Disorder
Unspecified Attention-Deficit/Hyperactivity Disorder
Specific Learning Disorder
Developmental Coordination Disorder
Stereotypic Movement Disorder
Tourette's Disorder [Tourette Syndrome]
Persistent (Chronic) Motor or Vocal Tic Disorder
Provisional Tic Disorder
Other Specified Tic Disorder
Unspecified Tic Disorder
Other Specified Neurodevelopmental Disorder
Unspecified Neurodevelopmental Disorder
SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS
Delusional Disorder
Brief Psychotic Disorder
Schizophreniform Disorder
Schizophrenia
Schizoaffective Disorder
Substance/Medication-Induced Psychotic Disorder
Psychotic Disorder Due to Another Medical Condition
Catatonia Associated With Another Mental Disorder (Catatonia Specifier)
Catatonic Disorder Due to Another Medical Condition
Unspecified Catatonia
Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
BIPOLAR AND RELATED DISORDERS
Bipolar I Disorder [Includes criteria for manic episodes and major depressive episodes]
Bipolar II Disorder [Includes criteria for hypomanic episodes and major depressive episodes]
Cyclothymic Disorder
Substance/Medication-Induced Bipolar and Related Disorder
Bipolar and Related Disorder Due to Another Medical Condition
Other Specified Bipolar and Related Disorder
Unspecified Bipolar and Related Disorder
Unspecified Mood Disorder
Specifiers for Bipolar and Related Disorders
DEPRESSIVE DISORDERS
Disruptive Mood Dysregulation Disorder
Major Depressive Disorder
Persistent Depressive Disorder
Premenstrual Dysphoric Disorder
Substance/Medication-Induced Depressive Disorder
Depressive Disorder Due to Another Medical Condition
Other Specified Depressive Disorder
Unspecified Depressive Disorder
Specifiers for Depressive Disorders
ANXIETY DISORDERS
Separation Anxiety Disorder
Selective Mutism
Specific Phobia
Social Anxiety Disorder
Panic Disorder
Panic Attack Specifier
Agoraphobia
Generalized Anxiety Disorder
Substance/Medication-Induced Anxiety Disorder
Anxiety Disorder Due to Another Medical Condition
Other Specified Anxiety Disorder
Unspecified Anxiety Disorder
OBSESSIVE-COMPULSIVE AND RELATED DISORDERS
Obsessive-Compulsive Disorder
Body Dysmorphic Disorder
Hoarding Disorder
Trichotillomania (Hair-Pulling Disorder)
Excoriation (Skin-Picking) Disorder [Also called Dermatillomania]
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder
Obsessive-Compulsive and Related Disorder Due to Another Medical Condition
Other Specified Obsessive-Compulsive and Related Disorder
Unspecified Obsessive-Compulsive and Related Disorder
TRAUMA- AND STRESSOR-RELATED DISORDERS
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Adjustment Disorders
Prolonged Grief Disorder
Other Specified Trauma- and Stressor-Related Disorder
Unspecified Trauma- and Stressor-Related Disorder
DISSOCIATIVE DISORDERS
Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder
SOMATIC SYMPTOM AND RELATED DISORDERS
Somatic Symptom Disorder
Illness Anxiety Disorder [Hypochondria]
Functional Neurological Symptom Disorder (Conversion Disorder)
Psychological Factors Affecting Other Medical Conditions
Factitious Disorder Imposed on Self
Factitious Disorder Imposed on Another
Other Specified Somatic Symptom and Related Disorder
Unspecified Somatic Symptom and Related Disorder
FEEDING AND EATING DISORDERS
Pica
Rumination Disorder
Avoidant/Restrictive Food Intake Disorder
Anorexia Nervosa
Bulimia Nervosa
Binge-Eating Disorder
Other Specified Feeding or Eating Disorder
Unspecified Feeding or Eating Disorder
ELIMINATION DISORDERS
Enuresis
Encopresis
Other Specified Elimination Disorder
Unspecified Elimination Disorder
SLEEP-WAKE DISORDERS
Insomnia Disorder
Hypersomnolence Disorder
Narcolepsy
Obstructive Sleep Apnea Hypopnea
Central Sleep Apnea
Sleep-Related Hypoventilation
Circadian Rhythm Sleep-Wake Disorders
Non-Rapid Eye Movement Sleep Arousal Disorders [Sleepwalking and Sleep/Night Terrors]
Nightmare Disorder
Rapid Eye Movement Sleep Behavior Disorder
Restless Legs Syndrome
Substance/Medication-Induced Sleep Disorder
Other Specified Insomnia Disorder
Unspecified Insomnia Disorder
Other Specified Hypersomnolence Disorder
Unspecified Hypersomnolence Disorder
Other Specified Sleep-Wake Disorder
Unspecified Sleep-Wake Disorder
SEXUAL DYSFUNCTIONS
Delayed Ejaculation
Erectile Disorder [Erectile Dysfunction]
Female Orgasmic Disorder
Female Sexual Interest/Arousal Disorder
Genito-Pelvic Pain/Penetration Disorder
Male Hypoactive Sexual Desire Disorder
Premature (Early) Ejaculation
Substance/Medication-Induced Sexual Dysfunction
Other Specified Sexual Dysfunction
Unspecified Sexual Dysfunction
GENDER DYSPHORIA
Gender Dysphoria
Other Specified Gender Dysphoria
Unspecified Gender Dysphoria
DISRUPTIVE, IMPULSE-CONTROL, AND CONDUCT DISORDERS
Oppositional Defiant Disorder
Intermittent Explosive Disorder
Conduct Disorder
Pyromania
Kleptomania
Other Specified Disruptive, Impulse-Control, and Conduct Disorder
Unspecified Disruptive, Impulse-Control, and Conduct Disorder
SUBSTANCE-RELATED AND ADDICTIVE DISORDERS
Alcohol Use Disorder
Alcohol Intoxication
Alcohol Withdrawal
Unspecified Alcohol-Related Disorder
Caffeine Intoxication
Caffeine Withdrawal
Unspecified Caffeine-Related Disorder
Cannabis Use Disorder
Cannabis Intoxication
Cannabis Withdrawal
Unspecified Cannabis-Related Disorder
Phencyclidine Use Disorder
Other Hallucinogen Use Disorder
Phencyclidine Intoxication
Other Hallucination Intoxication
Hallucinogen Persisting Perception Disorder
Unspecified Phencyclidine-Related Disorder
Unspecified Hallucinogen-Related Disorder
Inhalant Use Disorder
Inhalant Intoxication
Unspecified Inhalant-Related Disorder
Opioid Use Disorder
Opioid Intoxication
Opioid Withdrawal
Unspecified Opioid-Related Disorder
Sedative, Hypnotic, or Anxiolytic Use Disorder
Sedative, Hypnotic, or Anxiolytic Intoxication
Sedative, Hypnotic, or Anxiolytic Withdrawal
Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder
Stimulant Use Disorder
Stimulant Intoxication
Stimulant Withdrawal
Unspecified Stimulant-Related Disorder
Tobacco Use Disorder
Tobacco Withdrawal
Unspecified Tobacco-Related Disorder
Other (or Unknown) Substance Use Disorder
Other (or Unknown) Substance Intoxication
Other (or Unknown) Substance Withdrawal
Unspecified Other (or Unknown) Substance-Related Disorder
Gambling Disorder
NEUROCOGNITIVE DISORDERS
Delirium
Other Specified Delirium
Unspecified Delirium
Major Neurocognitive Disorder
Minor Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to Alzheimer's Disease
Mild or Major Frontotemporal Neurocognitive Disorder
Mild or Major Neurocognitive Disorder With Lewy Bodies
Major or Mild Vascular Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury
Substance/Medication-Induced Major or Mild Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to HIV Infection
Major or Mild Neurocognitive Disorder Due to Prion Disease
Major or Mild Neurocognitive Disorder Due to Parkinson's Disease
Major or Mild Neurocognitive Disorder Due to Huntington's Disease
Major or Mild Neurocognitive Disorder Due to Another Medical Condition
Major or Mild Neurocognitive Disorder Due to Multiple Etiologies
Unspecified Neurocognitive Disorder
PERSONALITY DISORDERS
General Personality Disorder
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder [Anankastic Personality Disorder]
Personality Change Due to Another Medical Condition
Other Specified Personality Disorder
Unspecified Personality Disorder
PARAPHILIC DISORDERS
Voyeuristic Disorder
Exhibitionistic Disorder
Frotteuristic Disorder
Sexual Masochism Disorder
Sexual Sadism Disorder
Pedophilic Disorder
Fetishistic Disorder
Transvestic Disorder
Other Specified Paraphilic Disorder
Unspecified Paraphilic Disorder
OTHER MENTAL DISORDERS AND ADDITIONAL CODES
Other Specified Mental Disorder Due to Another Medical Condition
Unspecified Mental Disorder Due to Another Medical Condition
Other Specified Mental Disorder
Unspecified Mental Disorder
MEDICATION-INDUCED MOVEMENT DISORDERS AND OTHER ADVERSE EFFECTS OF MEDICATION
Medication-Induced Parkinsonism
Neuroleptic Malignant Syndrome
Medication-Induced Acute Dystonia
Medication-Induced Acute Akathisia
Tardive Dyskinesia
Tardive Dystonia [and] Tardive Akathisia
Medication-Induced Postural Tremor
Other Medication-Induced Movement Disorder
Antidepressant Discontinuation Syndrome
Other Adverse Effect of Medication
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disease · 2 months
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she’s… extensive. 😵‍💫😮‍💨
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Genuine question, what’s wrong with the DSM?
[OP refers to the Diagnostic and Statistical Manual of Mental Disorders, which I mentioned being unpopular among mental health professionals.] Disclaimer: I'm not a psychiatrist, I'm not a therapist, and I'm not trained in counseling. I'm a social psychology researcher. If a therapist contradicts me, listen to the therapist.
The problem with the DSM as I understand it: a lot of counselors/ psychiatrists/ etc. want to move away from a category- and source-based diagnostic system, toward a symptom-based treatment system. For example, think about Pepto Bismol: you feel nauseous, you chew pink tablets, it ends your nausea. It doesn't matter if your nausea is indigestion or seasickness or lactose intolerance. You match a treatment (pink bismuth) to a symptom (nausea) and don't waste time or money on diagnosis unless that treatment proves ineffective.
A large percent of counselors etc. would like to take the same approach to mental health. So we'd be researching treatments for nightmares (neurofeedback? MDMA?) in the long-term, and giving clients treatments for nightmares (meditation! Ambien!) in the short-term. All without worrying too much about whether the nightmares are caused by General Anxiety Disorder or a phobia or Seasonal Affective Disorder. There are many strengths to that approach.
Only, see, there's this big purple dinosaur holding us back.
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[Image ID: Hardcover copy of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, DSM-5, American Psychiatric Association; the title is white text on a purple background.]
So if everyone who uses the DSM also hates the DSM, why does it still exist and why do we keep buying it every time a $100 text revision gets published? Two reasons, in order of importance:
Insurance
Communication
Insurance is, I kid you not, the DSM's #1 reason for existence. American insurance companies won't cover treatment unless it's for a diagnosed illness, and so therapists put diagnosed illnesses on what they'd often be more comfortable describing as "bro, this dude is hella distressed and I'm trying to help undistress him." Note the word American on the cover; other countries have other manuals, and no other country's counselors are as chained to theirs as we are to ours. This means that the DSM helps — yay, affordable therapy! It means the DSM hurts — sets of symptoms get grouped artificially, spectra get split into categories, and diagnosis happens way too early in the therapeutic process.
Another comparison to unmental health: I don't have carpal tunnel syndrome, but my insurance provider thinks I do. I only announce that I don't because I haven't told you who I am or where I live. (If the insurance companies find us... Well, we just won't let them find us. The thing you should know is everyone is getting screwed by health insurance. Yeah, even you.) I have wrist pain and tingling. It has the wrong antecedents for carpal tunnel, and it has weird manifestations — pressure on the base of my thumb causes pain in my pinky — but my OT wrote down "Carpal Tunnel" on the forms because the alternative was a $500+ round of diagnostic scans. No one cares whether my median nerve is inflamed or not; occupational therapy still looks like "try this stretch, that stretch, this brace, that brace, and these activity changes; keep whichever combination makes the pain and tingling go away."
This kind of thing also happens in mental health all the time. Many therapists don't care — and neither should you — if your serotonin levels are low; if you're miserable and an SSRI prevents the misery, take the dang SSRI. If your mother was harshly critical and now you feel panic at any hint of criticism, it doesn't matter whether that better fits C-PTSD or NPD; it matters whether you cope with soothing self-talk or if you cope with alcohol. Put something from the DSM on the forms, and focus on finding which stretches (breathing exercises) make the tingling (panic) go away.
Communication is the biggest strength of the DSM. It means that clients can benefit from labels ("I'm not lazy, I'm ADHD") and consistent standards of treatment can be applied across different clients in different states. The DSM has huge lists of things like "if your client shows memory problems, be sure to check for alcohol abuse" or "if they have self-harm, make sure it's non-suicidal before you do anything else" that are tremendously helpful. It can help therapists who encounter a set of behaviors they've never seen before to go "client is rigid, rule-bound, and lacks insight... huh, looks like I'd better refer them to an OCPD specialist." (It's also the source of a lot of toxic misinformation on social media when symptom lists get taken out of context without that all-important differential diagnosis information, but I digress.)
However, diagnosis should never be the beginning point for therapy — it's impossible to know your client's mind without first building trust and transference — but reliance on the DSM for insurance often forces it to be. Diagnosis should never be the end point for therapy — knowing your perceptions don't match others' because of Bipolar I won't stop you hearing the dang hallucinations — but home use of the DSM often acts that way. Categorical diagnosis is limiting if your therapist is primarily interested in how depressed you are but the Beck Depression Inventory uses an absolute cutoff point for "depressed" or "non-depressed." Categorical diagnosis is useless if over 50% of people diagnosed with a depression are later diagnosed with an anxiety disorder, and vice versa. So it's an imperfect book that does a lot of things well and a few things badly, and many of its heaviest users would argue that it shouldn't exist at all.
For further reading, I recommend The Body Keeps the Score by Bessel van der Kolk. I don't agree with all the axes he grinds or all the ways he grinds them, but he's got decades of psychiatry experience and is (I hope) predicting the next paradigm shift in mental health.
For instance, van der Kolk argues that it doesn't matter if at intake your client has long blond hair and is named Linda, only to show up the next time with no hair and the name Gerald, only to come next time with short red hair and the name Taylor. The therapist should only be asking "how does the client feel about these changes?" and "what are these changes doing for the client?" If Linda can't remember what Gerald did, then focus on the terrible memory gaps that alter identities create. If Taylor became Gerald to try and please you, then focus on teaching mindfulness and self-compassion. If this is a happily genderqueer person, then figure out why they're seeking help and don't worry about the appearance changes. If this is someone who thinks in absolutes and regards their personality as constantly changing, then work on teaching them to see the world and themself with moral complexity. It doesn't matter whether Dissociative Identity Disorder exists or not; just ask your client what they need and how you can help, then go from there.
Anyway, the DSM is an imperfect solution to a complex problem, and a lot of mental health practitioners view it as a relic of a more paternalizing era. No one has come up with a really good solution for how to remove and replace it, so for now it's the least-bad option.
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sophieinwonderland · 3 months
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I don't know if youre the best to ask about this but, are there any records of the movement made to try and demedicalize DID? We have heard that something happened online with nondisordered systems trying to demedicalize it because they thought it was about them not recognizing that its a different experience but that stuff isnt talked about on pro endo blogs so I just was looking for someone to talk about it who *wasnt* using that as an argument against endogenic systems
A bit. I'm not sure how far this actually got but there were some who were advocating this.
The reason this doesn't get brought up is because it's largely ancient history. We're talking about a group who pushed this before "endogenic systems" was part of anyone's vocabulary, before the publication of the DSM-5, even before Tumblr was a thing.
I also think that it's important to contextualize this in the time period, because this came came at a time when multiplicity was treated as inherently pathological. Under the DSM-5, there's a criterion that a disorder can only be a disorder if it causes clinically significant distress or impairment. This criterion wasn't in the DSM-IV though, creating an impression that all multiplicity was a mental disorder.
While trying to remove DID from the DSM was too far, I really don't think that sort of movement would have existed under the DSM-5 criteria. In my opinion, it was a direct response to what people felt was pathologizing their experiences.
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my fictional crush is mr diagnostic and statistical manual of mental disorders <3
🌈🌟valentine🌟🌈
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jazzikayz · 21 days
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Therapy is conditioning, usually social control. That's it. They'll find new ways to do it that hurt less but as long as you meet the goals set by a room of fancy psychiatrists with a lot of power, you're "healthy"
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spidergirlsmith · 1 year
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Or 1/4 of the diagnosis in it
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femme-in-stem · 7 months
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Muriel is hoping that these books might have insight to explain the mood of Aziraphale’s grumpy friend Mr. Crowley (demon).
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wreyeder · 1 year
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Honestly at this point I'm group-testing this to check its accuracy. Feel free to suggest diagnostic criteria questions for anything that I've missed!
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