The Problem of Overdiagnosis in Mental Health

Posted on the 07 July 2017 by Calvinthedog

Zed: Most of psychology is whack bullshit considering the Jewish involvement. As many Jews are in medical field, they coin new terms to swindle money. While I am not calling entire psychology bullshit, it’s being stretched to include even normal behaviors. Lots of people are scared that normal behavior like anger, happiness, crying would be branded as some kind of disorders. I looked up on it. There are many people I could identify as having passive aggression with its definition. It hardly matters, as they appear normal, and to brand them as some kind of mentally ill is a Jewish ploy. What have Jews called their pet groids who’re almost symbolic with destruction? Nothing!! That’s Jew psychopathy for you.

I guess I will have to disagree with you there.

If your personality seems normal to most everyone else, and if it is not ruining your life, we would say it’s not pathological. Only 14% of Americans have a personality disorder. That’s only one in seven. I work in the field though, and I have been studying psychology most via auto-didact for most of my life, and now I actually work as a psychological counselor. The more I work in this field, the more I think that in general, the field is onto something.

There is a lot of misdiagnosis around. I’ve been diagnosed psychotic a number of times by clinicians. That’s all wrong. I’ve never been psychotic a day in my life except when Trash drove me insane.

I received a diagnosis of Depression just the other day, and I think it’s wrong.

This same guy also insisted that I was either psychotic or used to be solely on the basis that I use marijuana. Last time I used it was 3 1/2 years ago, but no matter. Everyone who smokes pot is delusional according to this guy.

I was also recently diagnosed with “narcissism” but he said I did not meet criteria for Narcissistic Personality Disorder, thank God. I despise narcissists, so I contacted my favorite old therapist who I have not seen in 10+ years. He told me that I was not a narcissist. He said that instead I had something called “high self-esteem.” He said high self-esteem is often confused with narcissism, but it’s not the same thing.

In my own practice, I try very hard to avoid Diagnosis Creep. I think we should diagnose people with the absolute minimal number of disorders. A lot of times, someone will meet partial criteria for a couple of disorders, but we can’t give them full diagnosis. I have met partial criteria for GAD and Panic Disorder before, but I doubt if I meet any of those criteria now. If you want to check partial criteria, you will get a lot more people, but those are not full disorders. Diagnosing someone with a mental disorder is pretty serious business. I think we should do so as sparingly as possible.

For instance, of course passive aggression is everywhere. I have been accused of it myself. But in my entire life, I have only met one person who I felt actually met criteria for Passive Aggressive Personality Disorder. His personality is seriously screwed up by this problem, and it makes him a very annoying person to be around. He’s simply not normal. Not only is he passive aggressive, but his PA is so extreme that in my opinion it demands to be called some sort of mental disorder. I would very much object to the idea that this man’s behavior is normal or healthy at all. God forbid that it might become more common.

I would agree with you though that overdiagnosis is a very serious problem in the biz. Sometimes I wonder how much of it is money-driven. There is a tendency of clinicians to look at people, especially clients, as being much more ill than they really are. Their limits on normal behavior are quite ridiculous in my opinion. When you walk in that room, you’re the Sick One, and they are the Healthy One or the Sane One.

As a peer counselor, I try to get away from all that. The first thing I assure my clients is that I’m nuts too! I usually point out that I’m not nearly as nuts as they are (I don’t put it that way usually), but I was at some point, and if I got this much better, they can too! When they go down the list of their symptoms, I often tell them that I have experienced such symptoms myself, but that was a long time ago, or that I used to feel that way a lot, but I worked my way out of it, as I found that that was not a healthy way to walk through life. My basic attitude is, “I’ve been there too.”

In fact I am so sick and tired of playing the Sick Role while the clinician plays the Sane Role or Healthy Role that I have not been in therapy for a few years now. I’m graduated anyway. They told me I’m well enough that they don’t need to see me anymore anyway. I was on the state’s dime, so my care can be rationed which is fine with me.