Відео

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@MuhammadSabra You what's up brother?! Of course I remember you man. I just sent you an email bro. Thanks for checking out the vids lol.

Hi Gabriella. Thank you for reaching out. Interesting enough. I finished a masters in clinical mental health counseling, before my PhD in educational psychology degree. It's definitely a good foundation to have for a school psychology doctoral degree. It really all depends on if the program sees value in the clinical mental health counseling degree and if there are any prerequisites needed. If there are prerequisites required, I'd complete those, but I'd also reach out to faculty at the programs you are interested in and let them know you're interested and would like to meet to discuss your plans. Clinical mental health counseling degrees give a good foundation in counseling theory and techniques that I feel very much compliment the role of school psychology.

So while all that you mentioned can, indeed cause someone to develop a mental health disorder....there is a difference between having a mental health condition and experiencing grief, stress, psychological distress, emotional distress, etc. Not everything is a condition. You have to ask yourself, if I remove the major things in my life (not saying it is easy to remove) that cause major dysfunction would I still feel symptoms of anxiety, depression, etc. You cannot look at everything as a disorder/condition or otherwise pathologize everything one may go through. Stress, grief, distress....whatever you want to call it, is a normal part of life. While it can develop into a condition, those things in themselves are not mental health conditions. You can get therapy and medication to try to fix things, but if you don't address the etiology (relationship issues, substance/alcohol use, financial challenges, etc.) then the medication and therapy won't work. It's like having a skincare routine, but not using sunscreen. So again, while all the things that you mentioned can lead to a condition, they are not in themselves conditions. You can also think about it this way....just because someone drinks heavily, does not necessarily mean they are an alcoholic. While someone can develop alcohol use disorder, drinking excessively does not necessarily constitute a disorder. Different social-ecological factors need to be considered. While drinking in excess can be unhealthy, you cannot just diagnose someone without having their full story. Mental health conditions are real, but not everything is as a result of a condition. This is why there is diagnostic criteria. But there are also ways to help relieve life challenges, be it spiritual, financial counseling, change of work environment, changes in social circle, changes in what content you take in, diet, exercise, sleep hygiene, etc.

@@Joelschoolpsy okay… so while I do agree with you in certain aspects we still need to address abnormal behavior and neurological disorders, that are often passed down through genetics and while genetics play a part this disorder doesn’t present throughout childhood and/or early adulthood. This neurological disorder can, and usually is, brought on by a significant life event. Such as… a bad divorce, a near death experience, a sexual assault, ect… from this event a patient can begin to develop symptoms of the disorder they’ve essentially carried their whole life. A personality disorder is completely different right? This is usually a learned behavior that happens over a period of time… patients usually wait years and years before seeking help and it is why some of these disorders are so difficult to treat. Some patients don’t even know they are in fact sick or acting in a fashion (usually a family member or close friend would pick up on this before the individual. I guess I just don’t see where you are going with this (respectfully). While myself I am a big advocate for healthier life choice, a cleaner way of living and more CBT. My stance is always less pharmaceutical HOWEVER…. We both know that medicine has come a long way and with specific disorders it’s 100% needed to help the patient manage the symptoms he/she is experiencing. With all that said the DSM-5 is here for a reason. This is hundreds of years of work put into understanding symptoms, diagnostic criteria, treatment plans, ect. I mean if your stance is that we shouldn’t label things or we do it too often… my question to you would be so what do we do with it? A married 45 year old, father of 3, working 2 jobs, has a mortgage, bills, and losses one of his jobs and he comes into the office with his with saying he’s having full blown panic attacks at random times…. In the grocery store, before bed, driving home from work, ect….. so is this that not a case of Panic Disorder? If it’s not classified or “labeled” (as you say) how do we treat it? Now if the conversation is clinically doctors are in the pocket of the pharmaceutical industry and writing too many prescriptions… that I will agree with. We, the United States, are the most medicated country in the world. However, In an industry that I am presently in… an industry where we have massive shortages of qualified clinicians combined with an enormous demand for mental health treatment… I can’t see how we are over diagnosing people. Labeling in the context of sociology, culture, gender, or sexual preference… is a bad thing. Labeling itself needs to go away and as a society I hope we get to that point someday. However, I can’t stand behind less labeling when it comes to a persons mental health. If the clinician is doing their job correctly they are meeting with patients many times, watching and paying attention to body language and understanding more than the words coming from an individuals mouth all before a possible diagnoses could be considered. You use excessive drinking of alcohol as an example and although it’s a good analogy I believe you’re failing to look beyond the drinking. Why are they drinking excessively? Is it recreational? Possibly… if they are younger. Is the drinking excessively being used to numb something? A childhood experience, a trauma, a present problem they have in their life. So while that individual shouldn’t be labeled an alcoholic…. Could the “label” be PTSD or CPTSD? It would still be a label. It would still represent and present symptomatically. If the conversation is we are too fast to diagnose and label disorders I could get behind this. But I don’t believe that’s what you are saying, if I am hearing you correctly of course. In my world the only way to formulate a treatment plan is to have a diagnosis. The diagnosis that you suggest isn’t always needed. I guess I would ask you if you believe in less labeling how do we fix the mental health crisis that the United States is facing right now. We are in a crisis that’s a certainty. Millions of Americans are depressed, self isolating, withdrawing, turning to drugs and alcohol, experiencing social anxiety along with generalized anxiety, relationships and marriages are ending at numbers this country has never seen before, internet addiction is through the roof… without sounding like a broken record, yes some of them are not direct disorders (depression, anxiety, addiction excluded) if they aren’t being caused by something (a label) then why are they happening?

@micdropfroggyface6466 So, some good points you made... the crux of dealing with a problem may or may not be tied to a label. You used an example of the father who is having panic attacks....well, look at all of the things that you mentioned he is going through.... The father has 3 kids, a mortgage, and he lost a job....he is now having panic attacks....so you really answered your own questions.... you can certainly diagnose him with generalized anxiety disorder, but is that going to help him, or is providing him financial resources, daycare support, and help finding another job or just one job that would allow him to have financial stability for himself and his 3 kids? He's having panic attacks because of the social-ecological issues that he is having....if indeed you fix those issues, the panic attacks would likely go away. If you were to fix all of those issues and he continued to have panic attacks, in spite of his situation being better, then that's when we start looking at diagnosis. His situation is that of stress, not necessarily a disorder. Not until we fix those issues to see if that is the root cause of the panic attacks. Addressing neurological conditions... we have to be clear on what those are. If we are talking about traumatic brain injuries, that's one thing....if we are talking about ADHD and autism, those are neurodevelopmental. While there is a neurological component to several mental health disorders (these being diagnosable conditions), then sure thing! Absolutely recognize that the individual has a diagnosable condition. However, neurological issues are not typically caused by stressful life events. There is a difference between a neurological disorder and a mental health disorder... we have to be clear on what we are referring to here. Working in mental health can be tricky, because people come to you with a set of symptoms, but when we know the root causes of the problem and yet instead of providing resources, we simply diagnose and then provide medication and counseling, we are still not dealing with the issue. We do not want to be so quick to label....that's the point. We do not want to over-diagnose either, because then we lose out on resiliency. Please don't look at this as a black and white issue where I'm saying....stop diagnosing. These labels are not real.... I'm saying let's not be so quick to label and continue to recognize what life stress and grief are and how those things manifest in our behavior. Some people manage both stress and grief differently. Some individuals have fantastic coping mechanisms, and some people do not. As you mentioned about the drinking.....that's exactly the point I'm making here...you've described very much what I'm saying.... If you read an intake form that says....the patient has been drinking in excess for quite some time, what does that tell you about that person's story? Nothing really, other than they have been drinking in excess for a long time. You listed several questions that need to be addressed. So, in that respect, before you diagnose, let's find out what the person's story is. If they drink in excess because they are young and think it's cool, but it does not cause a major disruption in their life....you don't then diagnose them and send them to rehab....you provide them resources and some good ol advice and tell them to make responsible choices when they drink. If the drinking is caused by life issues....then let's work at trying to manage those life issues. Does the person need a diagnosis of alcohol use disorder in order to help them....the answer is sometimes yes and sometimes no. At the end of the day, we just don't want to see the world as one big cesspool of pathology....this is why we have thousands of people diagnosing themselves on UA-cam, tiktok, snapchat, etc. The pendulum has gone from stigmatizing mental health at every turn to overgeneralizing conditions, overdiagnosing conditions, and pathologizing for everyday life stressors. As someone with a PhD in Psychology....who is not only a school psychologist, but provisionally licensed as a licensed psychologist, we just have to take our time and not be so quick to diagnose all our problems away. Let the person's story play out, and let's find solutions before we give someone a diagnosis of something they have to live with for the rest of their life. You also talked about things manifesting later in life. That can certainly be true. However, you can't always know if someone was born with something or if it was directly caused by their social-ecological circumstances. We kind of just have to take that on a case by case basis, but we certainly don't want to assume it is a diagnosable condition until we've done our due diligence and exploring their life experiences. Now, personality disorders; these disorders are still very hard to understand because there is usually a mix between social-ecological issues and neurological/ biological challenges. So I'll end with this....it is easy to receive a diagnosis. It is much harder to receive the correct diagnosis. It is even harder to work through the social-ecological challenges that we deal with on a daily basis, but it is possible even without a diagnosis. To use just one last metaphor for this discussion....if at the height of the Covid-19 pandemic, we diagnosed millions of people with GAD, MDD, PTSD, etc., would that fix people's financial situations, job loss, loss of friends and loved ones, dealing with the physical effects of covid-19, etc? What would help them is getting them back to work, money in their pocket, grief counseling, food on their table, a sense of normalcy. You don't need a treatment plan to help them in those ways. If, however, they continue to experience significant mental health challenges in their lives once we've tackled the issues at hand, then we should consider diagnosis.

Thank you so much for the support and for leaving a comment. I really hoped that this would help others and that it would be relatable.

Hello. I studied educational psychology!

Lol yes indeeed!

Hello. Thank you for reaching out. Are you hoping to study internationally? Since you just graduated, now is the time for graduate school. There are many school psychology and educational psychology programs that lead to licensure as a school psychologist. Is school psychology licensure in Bangladesh?

I just want to sit for an exam that will lead me to become a licensure as a school psychologist. I do not want to pursue any other degree rather want to be a psychologist only by passing that exam. for example, NASP, ISPA etc.

@tusharkabir I see. So each U.S state will have specific course/practicum/internship requirements for licensure. Most states pretty much align with NASP requirements. To get NASP certification, at least 1200 hours of internship is required, after finishing a practicum. Both must take place in your program. NASP also outlines specific coursework that is required for NASP certification. Below is a link to that information. www.nasponline.org/standards-and-certification/national-certification

Go the direction you feel you are making a difference that is the most rewarding career because it doesn't feel like work at all. God Bless in your direction!

Try the religion route pastors are counselors

Hello Noah. Thank you for reaching out. Clinical Mental Health Counseling programs have become more accepting of individuals who may have education that is unrelated to counseling/psychology/sociology, etc. Many programs just require a bachelor's degree, a specific GPA, and certain other application requirements (personal statement, letters of recommendation, etc.) Some programs do require some prerequisite coursework, but there are many that don't have that requirement. Some of these requirements may depend on if the program is CACREP accredited or not. Please let me know if you have any other questions.

Men are more discriminated in the field.

Do you have a good supervisor to talk to?