How Do You Define A Disorder?
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- Опубліковано 18 чер 2017
- The tremendous complexity of the human brain makes it difficult for psychologists to pin down exactly how and why things go wrong, so how do we define and diagnose disorders?
Hosted by: Brit Garner
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Sources:
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Great topic, guys! You should definitely make a video on the stigma of mental illness - the majority of people hold negative attitudes and stereotypes towards people with mental illness and that's mainly because they don't understand the problem. I believe that more awareness should be raised!
Not only that, the victims of the disorders feel ashamed for being that way, leading to a deeper spiral plunder of isolation and motivation for suicide. Furthermore, the sufferers aren't taken seriously because teens use it since it's "edgy and common." (aka Scene kids). Society needs to stop stereotyping mental disorders and take them more seriously.
I completely agree! As Ruby Wax said on her TED talk "one thing that you get with this disease (this one comes with a package), is you get a real sense of shame, because your friends go, "Oh come on, show me the lump, show me the x-rays," and of course you've got nothing to show, so you're, like, really disgusted with yourself"
pfeh, speak for yourself, I've got a mild form of autism and embrace it as a cornerstone of my personality.
granted, there's a few things i'd still like to work on improving about myself that are caused by autism (like being a generally quiet person with people i don't know, even though i'm not shy, just don't know wtf to say half the time)
It's really cool how you embrace your situation, mate, but sadly that's not the case with many people
The way you say you have "a mild form of autism" is telling. I don't use labels like high/low-functioning and discourage others from using them as well. I'm autistic myself and have many mental illnesses but I can't always find pride in being neurodivergent because my life is a mess. The same way I can't always find pride in being trans. It just feels less than desirable when you have lots of dysphoria and it feels like you will never be treated like cis people are. Of course how you're treated by people who know of your mental illnesses has an effect on your overall wellbeing. Nobody should have to feel ashamed for having an illness but we're often forced to hide ours when we can. It makes recovery more difficult. There are so many things people need to learn about neurodiversity and disability. It would be great if SciShow Psych could release content that would destigmatise and raise awareness of mental illness. Make it so!
A video about the differences and discussion surrounding the DSM-IV and V would be great to understand how the psychiatric community works. Excellent video as an entry point, you took both the good and the bad. Keep the good work.
Just a European comment : We use the WHO's "International Classification of Diseases volume 10" or ICD-10. So USA = DSM-5 where Europe and most of the world = ICD-10. There are actually a volume 11 being written right now so soon we can say ICD-11. It would be interesting to make an episode where you compare the ICD-10 to the DSM-5.
Thofus what country are you referring to? AFAIK European countries mostly use the DSM
I might have been too bold in my statement, but I know that the Nordic countries uses ICD-10 right now. European countries that uses ICD-10 is : Denmark, Germany, The Netherlands, France, Sweden, Norway, The Czech Republic. The rest of the countries might be found here en.wikipedia.org/wiki/ICD-10. sadly the wikipedia page doesn't mention Denmark although I've personally have learned/diagnosed diseases via the ICD-10 system during my studies to become an Occupational Therapist.
Interesting. Although I went the IO route, not clinical, here in the netherlands nearly all my professors mainly referred to the DSM, also in clinical psychology related courses.
The US uses the ICD-10, too. It's how our doctors and hospitals bill insurance companies - all those complicated diagnostic codes.
Most health care professionals switched from ICD-9 to ICD-10 a few years ago, which may have aged a few of my friends by about 5 years. The ICD-10 definitely made diagnosis's more specific and included a boatload more conditions and procedures, so it was necessary. It's just that the switch to a whole new coding system, with tens of thousands of new procedures/diagnosis, drove a lot of health care and insurance folks crazy.
ETA: The DSM-V is only for mental health disorders, and goes into the diagnostic criteria for each disorder. If a person is diagnosed with, say Generalized Anxiety Disorder, this will be translated into its appropriate ICD-10 code, written in the chart this way and the code will be used to bill the insurance company.
Ah very nice. In the treatment of mental illnesses, we (the Danish Healthcare System) use the definitions of the ICD-10 as Occupational Therapists. But I know that some psychologists are using both DSM-V and ICD-10. The WHO's ICD-10 is the standart used in the Danish Healthcare System and the one we are taught at the various schools. We are presented with the DSM-IV to learn that other countries might define mental illness via another system of codes.
My aunt had such a hard time when her husband died. They had been married for over 50 years. She asked her doc for help after a few months, but was denied. Her health started to deteriorate, and several of us went to the doc with her the next time to make sure she got help. It's not uncommon for the other partner to die soon after the other one if they've been married a long time and they have a close bond. He should have listened to her in the first place.
That is problematic, did she change Psychiatrists after that?
In class, we were taught four definitions for abnormality (which can be seen to validate treatment).
-Deviation From Social Norms
-Failure To Function Adequately
-Statistical Infrequency (but this includes things like high IQ - which you probably wouldn't call a disorder)
-Deviation From Ideal Mental Health
Nathaniel and breaking away from social norms isn't always a bad thing either.
Yeah, I'd imagine that more than one of these would need to be demonstrated, because only one of them on their own isn't really a good indicator of anything.
"Failure to function adequately" is way too vague. It could even be identical to the first statement.
I'm not saying I endorse these definitions. In fact, I hate them all. But that's psychology in school for you: crap.
"The lines aren't clear when diagnosing disorders" yep... it took years to get a proper ASD diagnosis for me. We didn't actually care too much until it was needed for special exam provisions, but my doctor I've known since I was 10 was basically like "you have ASD, you need an official diagnosis? Done" (he knows me really well so it's not just being unprofessional or something)
I had the same issue! I have battled mental health problems my whole life, but was only diagnosed with them two years ago but my doctor (who i also have a close friendship with) said yup you have depression but yet took weeks for psychiatrists to diagnose me with a dissociative disorder
Andrew Armstrong yup it's really hard for girls to be diagnosed with ASD because until recently it was commonly assumed that girls just don't have autism. They are only recently discovering that it manifests in girls much differently than boys
With having autism, do you experience the behavioral parts of the disorder and the sensory parts? I have the disorder as well, and I've been wanting to know how others experience it/how consistent it is.
Armydillo 101 well behavioural 'tantrums' are usually actually sensory meltdowns. In my experience with it it is really frustrating when people refer to my meltdowns as 'tantrums' or 'behavioural issues' because it feels like they're ignoring how difficult it is for me to 'keep my cool' so to speak. And yes I have sensory problems. For me most of it lies in Sound and Touch. I don't get rashes like people with sensitive skin, but I can't wear certain clothes, and as well as getting overwhelmed with loud or too much noise, I have trouble filtering out who I'm supposed to be listening to and comprehend when there's too much noise. I do know some people can't look you in the eyes because of sensory overload, but visual stimulation has never been too much for me (except that I've got to wear sunnies because sunlight hurts, but I'm pretty sure that's because I prefer to read or play video games than go outside)
Armydillo 101 if you have Facebook there are actually some pretty good pages if you want to understand it more (they've really helped me since I can't tell what's 'normal' and what's 'autistic', since the way you learn what's normal is your own experience.)
The pages I follow are The Girl With the Curly Hair and The Autism Discussion Page
Yea... I'm autistic and by the time I ended up searching for an autism diagnosis - from my own research, I had already been diagnosed with 8 different mental illnesses over the course of 5yrs, and psychiatrists regularly disagreed with each other about what I had. Hence me doing my own research. I eventually did get an autism diagnosis a year later. Turns out 5 of those 8 were misdiagnoses. All I have is autism, PTSD, Social Anxiety Disorder, and Major Depressive Disorder (brought on by the PTSD and SAD... like that's actually what's in my diagnostic report. It said to treat the PTSD and SAD, and doing so would make the MDD go away).
And yet I still had psychiatrists who had thought I had OCD, ADHD, Bipolar Disorder, BPD, and GAD. All because they could tell that I was very abnormal, but they knew nothing about autism, so they just tried to make me fit into their boxes as best that they could. Also that's why I kept having different psychiatrists disagree with each other: because I didn't actually properly fit into any of those boxes, because I didn't actually have those disorders.
And guess what.... this sort of experience is common. In fact a common phrase in the autism community is: "If your diagnosis list looks like alphabet soup, you're probably autistic."
Many years later and this is unfortunately still a common occurrence.
I love how she wrapped it up with a summary about the disagreement over the late adjustment to the DSM4. It sounded very objective and not offensive, keeping the thought very welcoming for the viewers to try thinking on their own.
As someone with GAD and MDD, I HATE when people say things like "everybody is a bit depressed sometimes"... nope, nope, nope... theres a difference between regular sadness and real depression.
As a person who is suffering from Anxiety brought on by Hypochondria, Thank you so much SciShow Psych for doing this episode. 👍👍👍
I think that is why is important in psychiatry, that we have multiaxial diagnostics:
1. Clinical problem
2. Personality disorder
3. Medical illnesses
4. Psychosocial problems
5. Level of function
Because in that way we can see and understand the patient in a more integrative way.
Great episode, thanks as always.
I found this episode especially interesting. Thanks for all your hard work!
One of the most balanced and thoroughly researched piece on the topic I've seen thus far :)
Great presentation!
This is also why discussing "autism" and "autism spectrum disorder" can be rather difficult at times. We know that, in the past, there must have been people who had autism, but didn't experience distress, because the culture they lived in facilitated their symptomatic behaviors.
So, these people wouldn't have ASD, even though they might be virtually identical to people who have ASD right now. It's the cultural context that's important.
This is why the amount of diagnoses is growing; the systemic division of labor in the labor markets demands a standardization of human qualities which people with high-functioning ASD have no affinity for, thus leading to distress and impairment. There are many middle-aged people who have autism, but not ASD, because they come from an era where requirements for employees were different and they've carved out a compensated niche in life, without even thinking about it, that makes them function without impairment.
That is why it is likely that any statistics you will see about autism are actually way off. Any time you see a statistic that seems to favor one demographic or another, be suspicious about whether that demographic might be part of a subculture where the symptoms of autism go unreported, signs of autism are unremarkable and the system does not debilitate people with autism.
The same could be said for alcoholism. Yet, it is usually quite clear, once you just properly define it.
No, it's not the same. Alcoholism isn't a disorder, substance use disorder is. Alcoholism is a learned behavior which may be exacerbated by certain environmental or genetic factors, but it is still a learned behavior.
For example, my environment and my parentage makes it very likely for me to become an alcoholic, I have the kind of personality where I wouldn't know that my behavior is affecting me negatively, so I'm T-Total.
Autism, meanwhile, is a structural wiring problem in the brain. The structure could be defined strictly, but having the structure doesn't translate to having the disorder. To have the disorder, you have to experience or inflict distress or feel debilitated. If you drink a lot of alcohol, but it does not inhibit you or distress those around you, you simply don't have a substance abuse problem, which is why it's so tricky to diagnose substance use disorder.
There definitely is a gray area in both disorders, but these grey areas are not remotely comparable. Regardless of context, open, dysfunctional drunkenness is distressing in almost all social contexts, because by definition, excessive use of alcohol leads to an obscured sight on your inhibitions. Dying from an alcohol-induced coma is debilitating regardless of context.
Having the structure of autism may not impact you at all at present because of compensations and camouflage that you've developed naturally.
Alcohol addiction is not purely a learned behavior. And there are many disorders where maladaptive behaviors play a big role. Specifically in the less neurologically heavy cases.
Either way: I was referring to the cultural context, specifically. And how that can influence diagnosis. ASD would be another interesting example.
Although I don't know if I agree with this comment or with the evidence used to support it being valid, I do like the thought provoking conversation starter.
What if I say I'm not like the others?
What if I say I'm not just another one of your plays?
You're the pretender
What if I say I will never surrender?
What if I say I'm not like the others?
What if I say I'm not just another one of your plays?
You're the pretender
Good topic! I think this needs more discussion.
These are some of the most credible damn UA-cam channels in existence, and equally captivating.
I like that you talk about respecting a right for a person to be who they are, if depression is working for them some would inflect their own values on that person
With someone with clinical depression and anxiety I cannot express how infuriating it is seeing different doctors and them saying it's different things based on different things I tell them, true I don't like being diagnose with this, however if it is needed, then do it, surely diagnosing me with something I have is better than not in case it could be a contributing factor in my next treatment
This was helpful to read.
I personally think the current climate around mental disorders (of which myself am apparently a sufferer) causes people to rely heavily on medical help and forget they themselves with actions and thoughts have a huge if not the largest effect on recovery. Especially due to the unreliability of common drug treatments. Although I may also be completely wrong ahha.
+
SgtRooooster I have anxiety and refuse to go on meds. It gets in the way sometimes but I can function for the most part publicly. For me, I would rather change the way I think and be more reasonable (I blow things out of proportion when something goes wrong) than to take meds that might help me but could also toss me around like a rag doll.
Rachies x3 Glad to hear that man. I honestly think that's the best way. I think the change does come. Especially by not isolating yourself which I feel is literally the worst thing for depression or anxiety. All the best to you in getting better my friend :)
I know this is an old comment, but everyone is different. Maybe some people can turn things around just with their own actions, but some people need medications and/or therapy, and it's dangerous to discourage medical help.
This really clarifies an issue that came up around something I posted on Reddit about how most mass shootings are committed by people who are sociopathic, not mentally ill with illnesses like schizophrenia, as people often think, much to the detriment of people with schizophrenia. No matter what it is that causes someone to commit an act of evil, I believe there is room for empathy. After all, it's our empathy and compassion that makes us different from them.
This is one of the few mainstream critical analyses I've seen of the DSM! Nice job! Would love to see a video about biases of psychiatry as it relates to pharmaceutical companies! And another video about the social/recovery model.
Love psychology Chanel Thanks!
a good deal of mental problems are just the brain doing what it should do to address the situation. We get depressed to shut down and make it through a hard time. The problem is that in nature the hard time gets on with itself. In life the hard time needs to be addressed.
Thank you so much for this video. for years I've been going through something... I don't know what exactly and I'm to afraid to get help because I don't think the label will make things better. sometimes I question my self if what I'm going through is valid and real.
The Massachusetts high school mock trial case this year was on a murder by a war veteran who was pleading insane under a PTSD-induced hallucination. There were expert witnesses on both sides using the DSM 4. It's pretty interesting to see how these things for into the real world as well. :)
As someone with mdd (major depressive disorder) I think there should be a text of basics to reference. So the doctors know what questions to ask and what to look for. As we all know. We can't remember everything!! If a doc has 100 patients that have stomach problems but 4 or 6 with a mental Illness they might not notice the sign posts along the way of mental illness... but will recognize the basics to get started and refer to the book for further info!!
2:09 That's the first time I've ever seen a human being deliberately express this idea
I'm mildly impressed XD
Could you make a video about what the NIMH is doing with RDoC?
i loveyour hair!!
Please do an episode on Misophonia! This is a disorder not many people know about.
Idk why but I wish I knew the woman in the thumbnail
tragoedia veritas She has a very caring expression. I can understand why you'd feel that way.
I recently met with a psychiatrist and a new therapist and something that really bothered me was how both of them hadn't even known me for an hour and they were so quick to prescribe me for medications for this, that, and the other thing. I was diagnosed with clinical depression and anxiety disorder but is medication always the best way to go?? I've known plenty of people who were prescribed a medicine and it became the perfect cure but I also know people who DEVELOPED more symptoms after being given meds. I would really like to see a video that talks about the affect medications can have on the body and mind. Are medications the be all and end all to most disabilities or is it more dependent on the person? Can certain medications really affect you in such a way that your symptoms worsen or is it a "its all in your head" thing?
the big problem with diagnosis' is that you could have something wrong mentally but not fit enough of the boxes for any existing disorders, and if you don't fit the boxes for a disorder, you can't get help. In other cases, some people are diagnosed with disorders, but only experience some of the symptoms so therefore the standard method of treating that disorder won't be effective (I have a handful of anxiety disorders, but since i don't experience the anxious thoughts, only the anxious feelings, i'm stuck without any options for treatment because CBT focuses on combating anxious thoughts). Treating for symptoms instead of treating for disorders would make a lot more sense.
How we define disorders is why I struggle to identify the stress that comes from trauma, because I don't have flashbacks. Plus after a while disorders tend to mix together. I no longer know where my anxiety ends and my trauma begins.
interesting, you consider creating or remembering images as well as creating or remembering sounds/sentences or self talk all in the group of 'thoughts' and feelings (how we move or sensations projected into the body) as feelings, is this a normal distinction in mainstream psych?
You should do a Part II about all the problems that have been caused by using abnormality as a criteria for disorder. I know you already talked about female hysteria, but what about homosexuality, transgenderism, or the recent debate about autism? I say this as someone who thinks ADD should be taken off the next addition of the DSM. Not because I deny that I have a condition. But because I believe the lack of access I was given to alternative schooling constitutes denial of effective treatment. Instead, I was medicated, which messed with my mind and body for the majority of my adolescence, and I am still recovering from the trauma. I think the DSM needs a word for my condition, but given the strong connection between the condition and intelligence and the insufficient evidence that any distress experienced is inherent rather than a reaction to attempting to function within an outdated public school system, "Attention Deficit Disorder" is kind of offensive. And I don't mean personally offensive, although it certainly is that too; I mean offensive just on the level of the kind of arrogance it displays from neurotypical people. How arrogant is it to look at someone who is having trouble concentrating on what you're saying, and conclude that this person's brain must not be functioning properly? What if you're just boring?
When I say "taken off the DSM" I mean that more colloquially than literally. Obviously it should still be diagnoseable; I just want it to stop being classified as a disorder.
Good video, but I think a discussion of the NIMH's RDoC should also have been included.
The medical model: pathogenesis, symptomatology, and treatment -> Something is wrong with the person and it needs to/should/can be fixed. As has been said here before, this can lead to stigma. I personally find the concept of 'salutogenesis' (cause of *health* ) to be really interesting.
1) Help them with the tick boxs /not the arbitrary label given to the groupings of ticks!
-skills development
-where and when could this 'problem' be helpful (dont take the life saving skill of anxiety away from someone contextualize it)
-integrate positive intentions and give a sense of understanding (you dont actually need to understand anthers beliefs as long as they do)
2) decide if its better to tell them what boxs you put them in, or to use the appropriate therapies or skills building without inflicting a label many will incorporate into there identity when it could simply be a set or values/intentions being ignored or displaying those intentions with unhelpful behaviors for example
3) work with their beliefs, if they believe brains are all science teach them how to change the chemicals by changing the thoughts, if they believe in magic and voodoo show them how to communicate with the gods or past lives which can change the way they feel ect.
4) if someone isnt getting better before you blame the person you are to incompetent to assist go talk to groups of people that used to have that issue and find out how come about not having it
I remember asking my therapist about the grief exception. She said it might be because some insurance companies won't cover therapy unless there's a diagnosis.
Hey cool! I like how you used one of Louis Wain's (schizophrenic artist) cat paintings in the background, when mentioning schizophrenia. ^_^
Every student doing exams is now clinically depressed...
Wow thumbs up for writer of episode
How do you quantify perspective being that it is entirely subjective? Telling another person they are this or that seems to be reason to put them on medication which is inconsiderate.
God I love this channel.
Where would you go to get help if you have anxiety?
narumango22 therapist/counselor to get coping mechanisms/figure out how to appropriately approach your problems
and a general practitioner/psychiatrist/psychiatric nurse practitioner for medical help if it interferes with your life enough.
Could you guys do a video on borderline personality disorder?
No mention of the belief amongst many medical professions that a disorder is something that can't actually be fixed, only at best ameliorated ? i.e. it's not something that has developed (but perhaps may have been brought to the forefront, perhaps made worse, by circumstances), but was always there in the person.
My own Avoidant Personality Disorder has been with me as far back as I can remember (around age 2-3 onwards).
On a side note, to start with I thought Brit's shirt was saying "UFO", but reading the other text (I paused) seems to point to some institute with initials 'UF' ?
Is there something like clinical Feeling Really Happy All of The Time?
hey psych lady, i know most people get mad when they get asked what their tattoo is or what it means,but i just want to know what it is. So someone, help me itch my curiosity, what does her tattoo say!!?
I think it says N 24 33.758 on the first line and W 81 49.140 on the second line. I think they are coordinates in Degrees and decimal minutes. It's located just between Havana and Miami. The location could have some special meaning to her, I guess. I hope this could somewhat relieve your itch. I'll leave you to ponder :D.
Thank You soooo much!
how did you manage to see those exact numbers, I am asking just out of curiosity
+Rico Calle, I'm glad you liked it. Your first comment made me curious as well :).
+Azzy Xec, I had the video in the highest quality and paused when the tattoo was in focus, then I zoomed in. At 0:13 - 0:14, you can see the numbers somewhat. At 0:30, you can see the bottom line quite clearly. And at 0:36, you can see the top line. At 1:14 you can see most of it quite well. Slowing down the video is also helpful ;).
+Scelestus thanks you really had to do some work there to find that out
I've always wondered if a volunteer charity suggested by a doctor during regular checkups or something would help subsidize costs for other people. that way you're not forcing people through taxes, and you're directly providing the money to others. then again it's all up to the company that takes the donation...
Hey! A UF shirt!
By it being disabling and hindering in lively activities ay?
It was the "cute agression" fake nibbling on hands and feet and motor boat on tummy that revealed his skin was super salty. Not normal, then his poop got weird, found out he has cystic fibrosis. So it could be a subconcupys way to check healh if a baby. And ive seen all babies enjoying it. Since mother cats and dogs all lick over their new borns for about a month, so maybe its natural.
During April mind making a video on autism? Since April is autism awareness month and all
I don't see the problem with using the DSM as a GENERAL outline. Also, being sad for a longer time when a loved one has died is ofc normal, but it can still be useful to get mental support even if it is normal. To properly process get and support when a loved one has died if you want it can be a really useful thing. I don't get why just because it's not something going wrong you can't get support...
I have Tourette's Syndrome Plus and thought I had ASD for years
I would love to see a video describing how we view other cultures around the world. Where we compare these other cultures to ours and if it doesn't fit the exact same thing, they're vilified.
Such as; The Japanese do not view sex as such a horrific thing as [US]Americans. Yet, if you were to describe the normal sexual behavior of japan to a US citizen, they're likely to say that Japan is barbaric or evil. Even though we use sex in advertisement we still have stigma about people being 'perverts.' When in reality it's just a difference of culture.
How do you know what if you have any disorders???
I'm Cheezy is something interfering with your ability to function well? If so get it checked out. That's how you will know.
Tom Mass I have hard to remembering things and i also have hard time reading and comprehending things. I don't know where to go.
I'm Cheezy do you have a general practitioner? that would usually be the best place to go.
Can you please do a video about suicidal thoughts and how to get rid of them?
im not okay If a few simple words which can fit in a youtube video were able to cure suicidal thoughts we wouldn't be having this problem.
excelent presenter
I'm betting we see the emergence of computational psychology in the next decade, and computers start doing all the diagnosis work without you even having to seek help.
We already have computers watching our every move, and we have other computers that are getting really good at diagnosing psychiatric disorders, it isn't a big step to link the two systems. Then you get an email with some instructions on how to manage something you didn't even know you had before it gets bad enough that it significantly affects your life. And also the NSA knows exactly what's knocking around in your head...
On second thought, let's not.
What's the psychological reason for dental??!?
You know what else is a risk factor for PTSD? TRAUMA, ABUSE, and UNIMAGINABLE HORROR.
My room is a disorder. Meaning, a chaos. The, you have the second acceptance. Dis means the opposite of. Disorder is the opposite of order, or the opposite of command
May I ask why do you move your hands when talking and it just something is there a reason some people do and some don't
Can you do something about emotional intelligence?
Summer Breezé emotional intelligence is quite controversial. There is no hard proof for it and is not accepted as a valid construct by psychology at large.
Tom Mass oh. I see. Although I still would like to see what thoughts they have about the topic
"What is a disorder?"
Maining Soldier in Team Fortress 2
*"What is a disorder?"
Playing Team Fortress 2
my major problem with that view is that it views mental illness as something that can be treated and then its gone and the patient is healthy again. often thats not how it works. many people have to learn to live with their mental health problems and get treatment for some of the symptoms but will never be completly free from it.
by not being order-ed?
What if your disorder is disordered, and doesn't follow standard definitions? Hm? Hmmmmmm?
Ok, ok.. I just want to be able to say I have 'Disordered disorder disorder".
I do feel you should have mentioned some of the darker sides of the DSM- categorizing certain behaviors as unhealthy, regardless of patient input, and pathologizing things like homosexuality, the occasionally damaging nature of diagnosis to personal and private lives, etc... but maybe those things would do better in their own video.
Something out of the ordinary that affects your life
I'm pretty sure EVERYONE has at least one diagnosable disorder. Most of us simply treat it as part of our identity and never see a psychologist.
Kurtownia not true, it's closer to 50% of people. Most people however will have problems that resemble a disorder but far less severe.
Kurtownia i disagree. I think a lot of people have issues which are close to being a diagnosable disorder, but aren't quite serious enough to make you seek help. For example, I'm VERY antisocial. I hate hanging out with anyone after school and haven't ordered food for myself in a restaurants for a long time, but this doesn't impair my ability to function normally that much. I get good grades etc. so it's just an odd aspect of my personality and not a disorder. If I refused to ever talk to people or avoided work/school because of it, then it would be a disorder 100%.
If you ask the internet:
A) Find a medical sounding word on the internet.
B) Find a thing you do that annoys people.
C) Blame thing B on thing A.
I have crippling depression.
How to seek help , if u cant even gwt out of the house, have no money , been ripped off or very confused because many doctors tell u different things
what is _normal_?
I know you were probably trying to be clever, but it's the statistical average.
Is there one standard to hold up as normal? Of course not, but there is most certainly a middle ground in every spectrum.
Tessa Bain how do one knows that those making the statistics are normal?
"Normal" is functioning well when external stressors are not present, functioning less well or even poorly when external stressors are present and cause distress, and returning to functioning well when the external stressors no longer cause distress, as either a result of healthy coping strategies (i.e. Not ones that would be maladaptive and potentially cause a disorder) or because the external stressors themselves are no longer present. Basically, "normal" people experience emotions as a result of, or as reactions to, the outside world, though the emotions may not be perfectly rational or logical all of the time, and might still be distressing to some degree when they are experienced. "Abnormal" and mentally ill people may function poorly or not at all regardless of the presence or absence of external stressors, or may function well by means of unhealthy coping mechanisms (i.e. suppression, dissociation of some variety, etc.), or may function in a way that seems normal to them but either causes others distress or actually harms themselves in some way, or may be unable to function in a way that is compatible with social norms and expectations and that may or may not distress them or others around them. Basically, "abnormal" is when emotions, thoughts, behaviours, etc, are resultant from internal stressors or factors, as opposed to external ones. The internal may be spurred by something external (i.e. trauma, abuse, or unhealthy coping mechanisms), but when the internal stressors persist even when the external do not, sometimes even months or years afterwards, that is "abnormal". Sometimes it is genetic, another internal factor-sometimes the genetic is triggered by the external, and the internal factors are once again what causes distress or disfunction. "Normal" is resultant from that external to oneself, where as "abnormal" is resultant from some dysfunctional thing that is internal. That's how my psychology professor explained it, anyways-hope I didn't word it too poorly, and sorry for the super long post ^_^;;
How come MDD (maladaptive daydreaming disorder) isn't considered an official mental illness?
LABELING is a MAJOR problem. One day it is, the next it isn't. So say the "Experts."
Why are cuss words a thing? Why is it that in most languages there are words today are considered "dirty" or are generally not socially acceptable
Keith Wells most of them have historical connections and/or meanings
Go Gators! :D
Does the DSM have a cure in it for my horrible loud farts!? 👌😞💨
There's a shitty guild in WoW named DSM5 after that very book.
They proclaim to be rather supportive of those with said issues. Don't believe it.
why did they make aspergers syndrome autism spectrum disorder
Justin Mielke because asperges is a subset of autism
they combined a couple different diagnoses, mostly just autism and aspergers, because they realized that there was no practical reason to separate the two, as the symptoms were the same and they were caused by the same thing: a pattern of developmental differences in the brain that lead to a set of behaviors and symptoms. before someone starts coming at me with functioning level bullshit, the difference between aspergers and autism was whether an individual spoke by a certain age, which tells you nothing about someone's current or future abilities and needs.
They say the next DSM will fill a closet ;)
I'm gonna call this enough reason to classify being a furry as a mental disorder.
The "impairment" part of the definition needs to be thrown out. Sure, it could be helpful for patients describing a recent onset in symptoms, but if you've been experiencing them for months or years, you deal with it. You don't say that your life is impaired by your symptoms, because you structure your life to accommodate them. (For example, a person with untreated social anxiety wouldn't say that their anxiety caused them to bail on a social event, because they would have long since stopped trying to go to social events in general.)
Physical conditions have the same problem; I hate filling out doctors' forms that ask how my everyday life is affected. Like, no, it doesn't really have much bearing on how I function day to day, but my life would be a hell of a lot different if I hadn't been in pain for the last fourteen or so years.
I cannot at all deny your personal experience of these things, but mine is very different. Avoidant Personality Disorder along with General *AND* Social Anxiety, and resultant frequent, long-term, depression has ruled my entire life. It has very much prevented me from doing, or continuing to do, many things. Work, love life, all manner of interactions with others (at times I'll feel well enough to play multi-player online games, other times I can't even face playing a single-player game to pass the time).
With much of mental health a major issue is how well the individual can cope, rather than the symptoms of the moment per se. I definitely have a lack of resilience.
Having to put extra time and energy into managing your symptoms can be considered impairment, I think. What your describing sounds more like a lack of awareness of having developed coping mechanisms and realising that "something is wrong, I shouldn't have to struggle this way." Maybe they've just never questioned it, maybe it's terrifying even thinking about living life any other way.
"The first step in solving a problem is first recognizing there is a problem." A person has to realize something's wrong first in order to go to a mental health professional for help with it.
I don't mean to say that it's not something that should be taken into account, just that it shouldn't be a requirement. It sounds like you had a very hard time, and it's useful for you to be able to point to these things to let a doctor know what you're going through so that they can make a diagnosis and a plan for recovery. However, I know that a lot of people try to get help (for both physical and mental issues), and are told, "Well, you look like you're getting along just fine, and you checked this box saying that this hasn't impacted your life in the past week, so you don't have a disorder." Basically, the "Distress" part isn't taken at face value because the doctor doesn't see anything qualifying as "Impairment."
They account for that. If someone with social anxiety disorder goes to see a psychologist, they'll be asked not just if it has affected recent social events, but also if they avoid them (as in your example). One of the primary questionnaires for social anxiety is a list of hypothetical situations, everything from giving a speech to eating in public, with a scale of none to severe for how much fear it causes and and never to usually for how often you'd avoid that type of situation.
If you've reached the point where you aren't doing anything in your life that can be directly affected by your disorder, that will show up in how you answer the questions (in this case, you'd score extremely high in avoidance), and would be considered impairment.
Rithene Pretty sure impairment is a big part of what makes mental illness, illnesses. Wouldn't you say it impairs someone's social life via their anxiety if they stop interacting with people purely because of the anxiety? Like, say, dodging you doctor's phone calls and visits because of a debilitating fear of social interaction? Not being able to hold a job, etc? Maybe they can still eat regularly, bathe, and pay their bills...and on that front, someone might say, they're not impaired. But if there's a lot of other things they can't do because of their illness, then yes...they are impaired.
Mental illnesses are a physical condition. Your brain is a physical organ, and its afflictions can be detected with biological tests and managed/improved with chemical changes.
If you have to explain why your life is different than it could've been because of the presence of pain, then yes..that pain impaired you. That's what impairment is. It's not all about what you're currently capable of doing, it's also about what you would be capable of doing *without* the problem.
Its not easy
I was at a restaurant and the waiter brought the wrong food. I became so angry, "This isn't what I ordered!" That's how I got my _disorder_ :(
Dis-order = Wrong order (of food). Yeah, it sucks. Sorry.
Is there a mental disorder name for severely repressed emotions?
People who don't like memes have a disorder 😂
I HAVE ALL OF THE DISORDERS AND YOU DO NOT!
You define it by searching up 'define disorder' on Google.
Does the host have any connection to the University of Florida?
What about someone who thinks that:
he is Jesus?
he sees Jesus?
he hears Jesus?
Jesus answers his prayers? Sometimes, maybe?
Jesus had white skin?
Jesus didn't really kill the fig tree? (Anger issues?)
Jesus didn't really scold his mother for worrying where he was? (Anger issues?)
Jesus was born from a virgin and rose from the dead?
Jesus wasn't the reincarnation of Mithra?
Jesus died for the sins that Jesus (god) created?
Jesus is god but he really isn't, but he is?
What do you guys think about homosexuality in the concept of this video? Is it a disorder?
hate the new DSM, leveling people with Autism with numbers instead of using a proper name coupled with symptoms.. WHY!
The ICD is better imho
are there psychological disorders in the ICD too? i had never heard of it before, just googled it