An abstract in HealthDay News announces, Most Teens With Psychiatric Disorders Don’t Receive Care. By care the article means psychiatric treatment. Consider, did we replace the words psychiatric disorders with the words personal problems, and if we replace the word care with the word solutions, we would be saying something entirely different. The question is whether, given a kid with overwhelming troubles, would the mental health system help the kid resolve those difficulties any better than the kid going at it alone. I think there is a great deal of question as to the effectiveness and benefits in the mental health system for doing so. In so many instances, people who enter that system only get worse. This is particularly true when there was little to nothing intrinsically wrong with the kid in the first place.
Let’s look at these disorders and their rates. We’ve got two types of disorders we are dealing with here. We’ve got specifically childhood and adolescent disorders, and we’ve got disorders that have a potential to persist into adulthood. I submit that both types of disorder are, in the main, entirely bogus. Let’s look at the stats given.
45 % of adolescents labeled with a psychiatric disorder received some sort of treatment during the course of a single year. If “having a psychiatric disorder” is synonymous with “receiving treatment”, maybe it is not such a bad thing that 55 % of the adolescents given diagnoses no longer receive treatment. The person, for example, who is unable to back out of “receiving services” is a lifelong or “chronic” mental patient.
Most likely to receive mental health services
ADHD 73.8 %
Conduct Disorder 73.4 %
Oppositional Defiant Disorder 71 %
Least likely to receive mental health services
Specific Phobias 40.7 %
Anxiety Disorders 41.4 %
School setting 23.6 %
Specialty mental health setting 22.8 %
General medical setting 10.1 %
Where are the statistics saying that 55 % of the kids given psychiatric labels are going to hell in a handbag because they aren’t receiving mental health treatment? Where are the statistics saying that 45 % of the kids are headed for the pearly gates because they are receiving services? Mental health workers and drug companies do better when they have more students doing business with them, but this doesn’t mean that the students are doing any better in treatment than they would do outside of treatment.
Attention deficit hyperactivity disorder only officially reached the age of consent with the recently published DSM-5. Previously ADHD was primarily a juvenile chaos. Mine may be a minority opinion but I don’t think of this milestone as particularly conducive to good mental health. Quite the reverse. Now that adult ADHD is an official disorder label we are likely to see much more of it than we have seen in the past.
Conduct used to be a grade on a report card. Conduct was then previously not a disorder. Certainly making it a disorder might make things easier for teachers. I definitely don’t think making conduct a disorder makes things any easier for school children. Should conduct disorder progress into out and out criminality, the child would probably have to put some distance between him or herself and the school system. Or get expelled. I imagine conduct disorder helps flustered parents get disobedient children back into school following suspension or expulsion.
Oppositional defiant disorder is sheer nonsense. It means a child is being rebellious. Children do become rebellious. In fact, they go through phases that include rebelliousness. The terrible twos and the teenage years are two such phases, but they are by no means the only periods in childhood and adolescence potentially beset with disobedience and rebellion. If the child doesn’t grow out of it, the good news is that there is no adult ODD. Not yet anyway.
Anxiety is human, not medical. Nonetheless, psychiatrists and drug company exes make money treating it as medical. Ditto, phobias. This is a particularly sticky subject because children are particularly prone to anxiety and phobias. Adults, given much more life experience than children dealing with such, tend to be less seriously affected. Anxiety and fear are symptoms of inexperience. Inexperience is a disease that can be cured fairly easily. I suggest that parents and teachers experiment with ways to cure their school children’s inexperience as that is part of the job description.
The good news is that 55 % of the teens in this study once receiving mental health treatment are no longer receiving services. The bad news is that psychiatric researchers want even more teens to receive services. Swallow hard and go figure.
Filed under: ADHD, Biological Psychiatry, Children and Adolescents, DSM, Mental Health Care, Mental Health Screening, Misdiagnosis, Pharmaceutical Company, Psychiatric Drugs, Research | Tagged: mental health services, mental health system, Psychiatric Disorders | 1 Comment »