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bug
Mar 20th 2009, 09:02 PM
A article that I stumbled upon that's a few years old, but not, I feel, outdated in message--

http://www.psychiatrictimes.com/display/article/10168/55011?pageNumber=1

Bipolar diagnosis on the rise...

As use of words or phrases become more common, they tend to lose their original impact, or even their meaning. Words like "awesome," "ignorant" (I hate the misuse of that one), "ironic," and, aptly, "crazy," are thrown about everywhere with disregard of weight, context, or relevancy. For the last 5-10 years, it seems like "bipolar" has made its way into being the fun adjective of the day. What strikes me is that it is not just losing its meaning through the tossing around of the word or even flippant self-diagnoses. Doctors are handing out the diagnoses like there's a quota to fill. Everyone gets diagnosed with it. Everyone. I'm thinking of people I know personally in my peer group, and I would say 80% of them have this diagnosis from a psychiatrist. Do I actually think most of these people have this disorder, having done a lot of research on the subject? (Because I, OF COURSE, have been diagnosed bipolar as well) Hell no. So what's going on?
I believe it starts with the suburban rite of passage. There comes a time in every parent's life when they realize their child is getting older, and they're about due for the inevitable visit to the mental ward. Their child has been awfully quiet lately, and Jimmy's parents nextdoor just sent him for his first time. Inpatient psychological treatment is just a part of life. Every teenager goes at one time or another....
Once in, you've got to have a diagnosis. And no matter what's wrong with you--you cry a lot, you're moody, you really like attention, you do lots of drugs, you feel impulsive--BAM you're bipolar, and bipolar for life. You are unable to control yourself, so don't blame yourself for your actions. You're sick. You need medicine. Medicine forever, I might add, because bipolar disorder is lifelong, and when you most feel you don't need meds anymore is actually when you need them most. Depakote has a monopoly on your existence. Lilly has a permanent customer. You're not getting better, but you can control it a bit now.
Picture this scenario with someone who is actually struggling with being bipolar. They know now that this insanity has a name, and they can shave the highs and lows off. Thye know other people have dealt with this before them. They know that when they feel like they can conquer the world, they don't need anyone or anything, and that if they jump off a 30 story building, it's alright because they can fly, they're being manic and should keep taking their meds.
Now picture the scenario with some teenager who really wants attention.
I'm thinking of a "friend" I have (that I try very hard to avoid). This marvel of a woman wishes aloud that she had a vodka i.v. drip, and expresses her willingness to marry the first person who askes her. She is needy, clingy, obsessive, and self-destructive. She expresses extreme emotions, i.e. "I will kill myself if you break up with me" (I'm not paraphrasing), but does it so often that no one really cares or belives her. She calls people 10 times in a row if they don't answer. She told me once, in the midst of her commonplace hysterics "I know you don't want to deal with me when I'm like this, but I know where you work, so I'm just going to come over and make you comfort me." She tells everyone she meets that she went to the mental ward and they diagnosed her as bipolar so she can't help any of this, even though she acknowledges that it's not good for her to continue this sort of behavior. This person isn't bipolar!!!! She's lazy!! Bipolar disorder is psychotic, not pathetic!! It's hard work for her to change herself, and throw off destructive habits. It's hard to let go of those petty but delicious joys she gets when her antics give her the short term results she wants --attention.

Noone wants to give these people an excuse not to fix themselves!!

Synopsis-
1. Bipolar disorder is overdiagnosed, and it cheapens things for people who really are bipolar. It makes a joke out of what they struggle with.

2. Parents should stop sending thier kids to psych wards and shrinks. Seriously. Most teenagers get depressed, sometimes horribly so. And an inpatient stay at a psychiatric facility is not going to even begin to fix it. It's a demon they must tackle on their own.

3. My friend sucks and I hate her.

4. Giving people who have self-inspired traumas an excuse as to why they cannot change is a bad idea.

5. I'm not bipolar. Screw you, doctor.

Korimyr the Rat
Mar 22nd 2009, 01:48 PM
That's funny. I am for all intents and purposes being treated for bipolar disorder, but none of my doctors have actually diagnosed me with it.

Americano
Mar 22nd 2009, 02:34 PM
That's funny. I am for all intents and purposes being treated for bipolar disorder, but none of my doctors have actually diagnosed me with it.

When my father-in-law was extremely ill (prior to passing) I had to corner his doctor with an MD friend to get an admission of cancer throughout his body. That was after six-months of telling the family he was failing due to old age (87). US MDs no longer like to be pinned down on diagnosis due to the army of lawyers looking for an edge.

Donkey
Mar 22nd 2009, 02:47 PM
One of my friends was living with her girlfriend in Boston, who sent her to a shrink and got her diagnosed as Bipolar. She basically had her tanked up on meds for three months.

One day my friend stopped taking her meds, packed up her animals (two snakes, a rat and a ferret at the time, I think), got in the car and drove home to Ohio. She's been happy ever since.

I don't think she was bipolar, I think she had an acute case of psychotic girlfriend.

Sucre
Mar 22nd 2009, 05:54 PM
Once in, you've got to have a diagnosis. And no matter what's wrong with you--you cry a lot, you're moody, you really like attention, you do lots of drugs, you feel impulsive--BAM you're bipolar, and bipolar for life. You are unable to control yourself, so don't blame yourself for your actions

If this is the definition of "bipolar disorder" I don't see that there is anything wrong with it ... Moodyness ? Impulsivity, you like attention ? Well, OK ... And if you do a lot of drugs, I see that drug is a problem but says nothing about any underlying possible illness ...

Dominick
Mar 22nd 2009, 08:56 PM
Medecine is an industry. Pills need to be pushed. Hence diagnoses need to be made. Preferably diagnoses that make patients dependent on pills for as long as possible; for life gives the best financial results.
This industry has got nothing to do with health whatsoever.

The theory of psychiatry on the other hand is very interesting and very nuanced.

Americano
Mar 22nd 2009, 10:34 PM
Medecine is an industry. Pills need to be pushed. Hence diagnoses need to be made. Preferably diagnoses that make patients dependent on pills for as long as possible; for life gives the best financial results.[quote]

This industry has got nothing to do with health whatsoever.

Agreed. Big pharma is dependent on the MD (and now television) prescribing their products and vice-versa for office visits and advertising revenue.


The theory of psychiatry on the other hand is very interesting and very nuanced.

Greendruid
Mar 24th 2009, 12:14 AM
Mental illness is probably one of the most culturally-coloured illness categories in the Western biomedical system. What medical anthropologists have known for decades young doctors are just now being trained with this knowledge. For instance, do any of you have Chinese friends (from China, not second generation) who suffer from depression or bi-polar disorder? How about female Indian friends (again, from India, not second generation) who complain about PMS? These are cetegories that are not in the realm of disease. In other words, there is very little that can be measured or objectively observed by the Western biomedical system and they are interpretted or even ignored in other cultures. Bipolar disorder is unheard of in many parts of the world and I think Sucre's message is a clear reflection of this fact.

Donkey
Mar 24th 2009, 12:25 AM
Mental illness is probably one of the most culturally-coloured illness categories in the Western biomedical system. What medical anthropologists have known for decades young doctors are just now being trained with this knowledge. For instance, do any of you have Chinese friends (from China, not second generation) who suffer from depression or bi-polar disorder? How about female Indian friends (again, from India, not second generation) who complain about PMS? These are cetegories that are not in the realm of disease. In other words, there is very little that can be measured or objectively observed by the Western biomedical system and they are interpretted or even ignored in other cultures. Bipolar disorder is unheard of in many parts of the world and I think Sucre's message is a clear reflection of this fact.
While I agree that we have a cultural amplification of a lot of mental disorders, I don't think the fact that a culture ignores them as evidence that they are a cultural fabrication...

Greendruid
Mar 24th 2009, 12:33 AM
Oh no, quite the contrary. My point is that because they are cultural in description, it is the boundaries of what the culture is willing to embrace as "illness" that determines what qualifies as such. The hardest thing about mental illnesses is that there is usually no "critter" we can point to under a microscope and say, "AHA! There is the little bugger that causes X symptoms!" Instead, we have a rather complex description of disparate and sometimes even opposite symptoms pulled together to describe many of the sufferers with a slew of exceptions to that description. All of this is highly subjective (i.e., Do you feel sad? Do you have violent thoughts? Do you have irregular sleep patterns?) These are not objective questions and are highly dependent on the question giver and answerer for the outcome/diagnosis if any. Go to another culture and you may not even be able to ask that question, let alone another language in which such questions can't reasonably be translated.

bug
Mar 24th 2009, 06:06 PM
Mental illness is probably one of the most culturally-coloured illness categories in the Western biomedical system. What medical anthropologists have known for decades young doctors are just now being trained with this knowledge. For instance, do any of you have Chinese friends (from China, not second generation) who suffer from depression or bi-polar disorder? How about female Indian friends (again, from India, not second generation) who complain about PMS? These are cetegories that are not in the realm of disease. In other words, there is very little that can be measured or objectively observed by the Western biomedical system and they are interpretted or even ignored in other cultures. Bipolar disorder is unheard of in many parts of the world and I think Sucre's message is a clear reflection of this fact.

That's actually one of the reasons I posted this--there's such a wide range of different cultures here. I was curious as to who would be like, "what are you talking about?" It's kind of a curiosity of chicken and egg. Is everyone else underdiagnosing for lack of medical progress, or are we submersed in a society that it is actually kind of cool to be described as mentally ill, combined with what Dominick was saying about the pharmecutical companies. I hate to go conspiracy theory on everyone, but sometimes I feel like they're probably running the show.

Apologies for spelling. I quit smoking today. Nothing makes sense and I'm feeling moody, having difficulty concentrating-- well, that's probably not the quitting smoking. I bet I just need a shrink.