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Child mental health : Comments
By Anthony Dillon, published 15/6/2012Serious mental illness can happen to young kids, but we'd want to be careful not to misdiagnose.
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We must move from this practically universal conflation of serious, treatable, incurable 'mental illness' and serious, treatable,usually transient, curable 'mental illness'. Dr Carlat says,in "Unhinged",
"...the field of psychiatry has become unhinged, pried away from its original mission - to discover the causes of mental illness and treat those causes, not merely the symptoms." How has this happened? A major problem is that too many psychiatrists have become too accustomed to the "15 minute" prescription visit and its resulting higher income. How end psychiatrists who are psychopharmacologists, not psychotherapists? I can accept a G.P. investigating the emotional well-being of children three years and older,but want strict scrutiny of the case by an expert before referral to a psychiatrist.
In the book "Loss of Sadness", Drs. Horwitz and Wakefield express the belief that psychiatry has turned normal sorrow into"Depressive disorder". My daughter had schizophrenia and died by suicide. I felt I became 'mentally unbalanced'. My psychologist wanted to put me on antidepressants. I refused, somehow sensing that this had to be lived through and was 'mad' and'normal' at the same time. He accepted this, we continued psychotherapy and after two years I was forever changed, as one is after the horror of losing a child, but also 'normal'.He had cared for the context of my life, not just its symptoms.
Dr Spitzer, in the foreword to "The Loss of Sadness", states "...the book's central thesis [is] that contemporary psychiatry confuses normal sadness with depressive mental disorder because it ignores the relationship of symptoms to the context from which they emerge." Symptoms and their context. Psychiatrists now medicate the symptoms and, by dispensing with psychotherapy, ignore the context.