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TOPIC TITLE: Normal vs abnormal
Created On 8/21/14 5:31 PM
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Teddybear
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8/21/14 5:31 PM
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I've noticed a tendency for many mental health professionals to mistake normal behavior for abnormal behavior. Have you noticed this as well? why do you think this is?
 
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Dr. Price MD
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8/21/14 7:10 PM
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Yes. The new DSM 5.0 is even more inclusive of diagnosing pathology than the previous version. For example, if someone gets depressed for 2 weeks after the death of a loved one, instead of diagnosing normal grief or bereavement, we now call that Major Depressive Disorder and recommend antidepressant medication. We have more spectrum diagnoses now for cognitive impairment, substance use, schizophrenia spectrum, bipolar spectrum, and autism spectrum even when symptoms are very mild. According to the new diagnostic standards, 80% of people will be diagnosed with a mental disorder at some point during their lifetime. It is now abnormal or not the norm to never get a psychiatric diagnosis. There are several reasons for this trend including reimbursement for services, the pharmaceutical lobby and a cultural movement away from personal responsibility. Our society has gone crazy diagnosing crazy such that we have a new standard for normal that may not really exist. Once we have a pill for something, we then find a diagnosis to market it such as restless legs syndrome and shift work sleep disorder.

Rabbi Price, M.D.
www.RabbiMD.com
 
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Teddybear
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8/21/14 7:38 PM
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Thanks for the post, Dr. Price.

The point about personal responsibility fascinates me , can you tell me a little bit more about it?
 
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Dr. Price MD
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Posts: 1946
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8/21/14 7:46 PM
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There are some situations where a chemical disorder rules our decision making and then there are other situations where we have free will to make a healthy choice. There was a convict who tried to get off his charge because he suffers from Tax Evasion Syndrome.

Rabbi Price, M.D.
Www.RabbiMD.com
 
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I'mTrying
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8/21/14 8:14 PM
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LOL thanks for the comic relief!!
 
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frumsw
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8/22/14 10:07 AM
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To add to this discussion, there was a very interesting article in the The Psychotherapy Networker about how a person's feelings about taking medication can effect how well the medication will work-like the placebo effect but it also works in reverse, that the medication won't work. It also discussed how medication can aid symptoms but not feelings.
In short, there's a lot more that meets the eye when it comes to diagnoses and medication.


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frumsw
 
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