to think DSM 5 will be shit because psychiatry is a pile of misogynistic wank anyway ?

[Mitchy1nge]

even they seem to think so DSM doesn't matter

plus it looked nicer with Roman numerals

[moisturiser]

TOTALLY ABSOLUTELY AGREE.

Have you read about Somatic Symptom Disorder?

Rage, rage, rage.

[Mitchy1nge]

no, I suppose I can sort of imagine what it is (at least I think I know what somatising is) or you could linkez-vous me? Am feeling v rageful about the convenience that is my own mental disorder for an ex to use to discredit me

[2rebecca]

It's American and little used here where the ICD is more commonly referred to.

[Mitchy1nge]

but according to that article in the states the icd is preferred for billing purposes as most insurers don't accept the DSM codes

[PimpMyHippo]

How is it misogynistic? Not challenging you, I'm genuinely curious.

[Mitchy1nge]

I dunno, a long history of pathologising female sexuality and the menstrual cycle (late luteal phase disorder? Dysphoria?) that sort of thing

I fancied an anti-psychiatry rant but have run out of steam already

[Korovaj]

As a psychiatrist myself I feel the need to point out that I do not practice 'misogynistic wank'.....

[Mitchy1nge]

good for you

what do you think of all the fuss surrounding the new DSM?

[SirBoobAlot]

I hate the changes they have made to the description of the disorder I suffer from. Makes it sounds inconvenient and slightly bothersome, like a bad day, rather than the constant fucking horror I go through every day.

On the misogyny side of things, however... There are links between the menstrual cycle and many mental health conditions. That's not sexist, it's just the way it is.

[EasyToEatTiger]

I've read that DSM 5 is causing all sorts of problems. Some people are saying that it's no more than a quack manual and it is suffering from a serious lack of science and neurological research. Some people are saying it's a step back to the dark ages and defines what is normal as abnormal. What's ICD?

[crashdoll]

I've never been diagnosed/labelled using the DSM, only the ICD. Therefore, I'm not sure why people go up in arms about it. If you're in the UK, you're not going to get a quack diagnosis. I prefer the UK way of looking at things - that MH is a continuum and we are all on it.

[Peachy]

As someone who has, is a parent of children with, and post grad qualified in, autism I rather like the changes to my dx from a functional POV.

As for ICD / DSM- hardly anyone here uses ICD but a few PCTs allow it. Not mine. I've trained in both but never used the ICD with regards to anyone (not a diagnostician, my work comes later)

[Mitchy1nge]

easytoeattiger (what a nice name!) icd is the international classification of diseases

I think it is what my lot use, probably doesn't make much difference to me bipolar is bipolar I think

[chandellina]

Isn't it all driven by the pharmaceuticals industry and coming up with new disorders to match drugs?

[Peachy]

Hardly Chandelina, there's no drugs for my disorder.

Am not denying the influence of Big Pharma, but certainly DSM is developed very differently and I and many non Pharma related professionals got to feed back on the process and be part of it.

Even then though, drugs are NOT always bad.. Without citalopram my children would be motherless. Thank goodness for that drug I say.

[Mitchy1nge]

I don't know about the pharmaceuticals, I think, as the author describes, there is even more disturbing stuff at stake such as pathologising the responses of transpeople to an intolerant society instead of pointing at the cultural locus of their distress, that sort of thing

[Mitchy1nge]

peachy - don't people with autism often end up on anti-psychotics though?

I might have imagined that

[chandellina]

Ok, I don't pretend to know much about it, only that in the US you need a diagnosis to get insurance coverage for any treatment.

[Mitchy1nge]

but not a DSM diagnosis according to that article

I think elsewhere on that blog the author says the option of not diagnosing a condition isn't available, so fraudulent diagnoses are common

it is all a bit disturbing and doesn't help me develop much faith in my own diagnosis or treatment even though it is quite well established

[moisturiser]

symptom disorderwww.huffingtonpost.com/news/somatic-symptom-disorder

I'm afraid I don't have time to write more but basically it means that you can go to your doctor repeatedly for pain, genuine, life-altering pain, which has an organic cause but is undiagnosed (it can take years to get proper diagnoses sometimes, I know lots of people for whom that's the case), and be diagnosed with this mental illness which basically says you are a hypochondriac who is fixated on normal aches and pains.

[Mitchy1nge]

thanks for the link moisturiser

[Mitchy1nge]

here is a mended version of your link somatic symptom disorder all a bit depressing

[Mitchy1nge]

bumping for people who want something interesting to read before they go to sleep

(it is interesting?)

[HairyGrotter]

Most conditions take years to diagnose, and often incorrect, plus you have co-morbidity etc. all a bit blurry. I prefer the ICD for my research, but I think the whole analysis and classification method needs a complete overhaul anyway.

Some disorders do raise an eyebrow given the pharmaceutical powers that be. I'm not into conspiracies but some of these 'new' disorders really make me think 'oh come on'

[cory]

moisturiser Tue 14-May-13 10:02:03
symptom disorderwww.huffingtonpost.com/news/somatic-symptom-disorder

"I'm afraid I don't have time to write more but basically it means that you can go to your doctor repeatedly for pain, genuine, life-altering pain, which has an organic cause but is undiagnosed (it can take years to get proper diagnoses sometimes, I know lots of people for whom that's the case), and be diagnosed with this mental illness which basically says you are a hypochondriac who is fixated on normal aches and pains."

Surely that can already happen? It happened to my dd in 2004.

Having said that, there were other children in her rehabilitation clinic who almost certainly did have psychosomatic causes for their pain and who benefitted greatly from the treatment of those. Years of hunting for a physical reason hadn't helped them and probably never would.

Even dd, who has a physical cause, has benefitted from a mixed approach which also takes in the psychological side of pain. In her case, there is probably some blurring, which is not an unusual effect of chronic pain.

As for pharma companies doling out drugs left right and centre- does that really happen in the UK? Are we the odd ones out for having struggled for years to get dd on medication, though it was obvious that she wasn't functioning? I seem to have come across many people in the same boat.