July 2015

REWRITING PSYCHIATRIC DIAGNOSIS: In Narrative Form

In previous posts, I have expressed my reservations about using a checkbox approach to diagnosing.  In this post, I will present my answer to the checkbox.  Briefly reviewing, it is my point of view that most physicians go to the Diagnostic Manual (DSM) to make a diagnosis with their glasses on the end of their collective noses, peering at you.  “So, you can’t sleep?  Your mind races?  You can’t turn off your thoughts?  You have mood swings, too?  You have Bipolar.  I’ll write you a prescription.  Come back in three months and we’ll see if the symptoms have gone away.”

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