It’s just as easy to slip into a habit of looking at a client and only seeing their trauma, as it is their diagnosis. If anything, it adds a crucial element to further assisting people who come to us for help. Understanding trauma’s impacts doesn’t make the DSM obsolete or mean, or wrong, or stigmatizing.
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In my sometimes humble and sometimes outspoken opinion this is an unnecessary ideological argument based in achieving superiority. ::inserts Tony Stark meme right about here:: Some people say we need to use only trauma in mental health. Which means, we become rather intimate with the DSM. Those of us that take insurance must play the game. Many practitioners do not take insurance due to the hoops we must jump through to receive payment. I find it barbaric to be required to label someone after meeting with them for fifty minutes. If we have an enemy here, it is the Healthcare system itself. Though we each will view it differently as it pertains to perceived "faults", it is meant to serve as a guideline. I know trauma, both personally, professionally, and academically. Until, like flicking on a light switch, triggered by a perceived traumatic event. This is happening at the hpa axis altering the neuro pathway and laying dormant. While our core personality is developing during this time, our neuro pathways are giving birth to anxiety. Ages 0-7 are hands down the most influential formative years and our interaction with our environment can most certainly impact or neuro pathway development. It has greater flexibility in that arena than ever before. The revised DSM 5 does allow for a trauma focused perspective. Gabor Mate likes to 'trauma all the things', but back to Brier, there'd still be a need for the pamphlet.Ĭurious. So, while Trauma and ACEs do seem to be increasingly important, we've got to be careful not to fall for the allure of silver bullets. Delia McCabe said, psych's a relatively new science. Still new and jargonistic, but at least it honours people's story. Non-pathologizing: Power Threat Meaning Framework. Psych on the other hand is a bit circular esp. (Phys med does a good job at providing symptom and cause eg.
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Still doesn't escape the missing aetiology in psych diagnosis.
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#psychology #mentalhealth #psychotherapy #traumainformedĬouldn't help myself Beth, had to throw in that Brier quip.įWIW, while institutional lock-in is an issue with DSM, alts are in the worksġ. To learn more about trauma-informed care, subscribe to my free newsletter at. I believe many DSM diagnoses are based on loose criteria made by a group of humans instead of hard facts.ĪT THE VERY LEAST, the DSM needs a complete overhaul and should be a trauma-informed manual. They are coping with trauma.įor many of these people, pathologizing their symptoms brings a deep sense of shame and stigma, further exacerbating their mental health struggles.ĭiagnosis often adds more trauma to trauma. The person is not sick, ill, or disordered. These symptoms are natural, albeit disturbing, trauma responses, NOT something inherently wrong with our brains. The problem is that many people require the care of a specialist, psychologist, or psychiatrist due to symptoms caused by trauma, not "mental illness." In the U.S., to receive mental health treatment using your health insurance, you must be diagnosed with one of the mental health disorders in the DSM. The Diagnostic and Statistical Manual (DSM) is the book mental health practitioners must use to diagnose clients to receive payment from a client's insurance.