Pre-psychosis In The News

Attenuated psychosis syndrome, alternately called psychosis risk syndrome, pre-psychosis and prodromal disorder is going into section 3 of the DSM-5. This is the section for disorder labels that need more review, and which will not be reimbursable. The bad news is that it is in the DSM at all, and being in the DSM, it’s going to be considered as a disorder. The good news is that it is not an “official” disorder label, insurance companies are under no obligation to pay for it, and so its not likely to explode into an epidemic next year.

Researchers, it seems, much less fastidious than DSM revisers, are intent in studying people afflicted with this fictitious and elusive label. The latest rage in pseudo-scientific discoveries concerns this nebulous early stage in the development of psychosis. An article in the Detroit Free Press, Schizophrenia may give early warning signs, is typical.

Researchers in Chapel Hill looked at brain scans of 42 children, some as young as 9, who had close relatives with schizophrenia. They saw that many of the children already had areas of the brain that were “hyper-activated” in response to emotional stimulation and tasks that required decision-making, said Aysenil Belger, associate professor of psychiatry at the UNC School of Medicine and lead author of the study.

Now whether psychiatrized families actually think differently from non-psychiatrized families is anyone’s guess, and it could always be the topic for additional research should anybody choose to go there.

People who have a parent or sibling with schizophrenia are about 10 times more likely to develop the disease than those who do not. Signs of the illness typically begin in the late teens to mid-20s. These include declines in memory, intelligence and other brain functions that indicate a weakening in the brain’s processing abilities. More advanced symptoms may include paranoid beliefs and hallucinations.

Perhaps this sounds like an astonishing figure until you realize that it actually means 1 in 10 people rather than 1 in 100 people.  This is to say that among the 1 in 100 people that get described as psychotic, 1 in 10 of their closest relatives could also be so described. Unlike in the rest of the world where the rate stays more or less at 1 %. 1 in 10 means that chances are, if you are in a family haunted by the phenomenon of psychosis in one of its members, 9 out of 10 of it’s members most probably wouldn’t be described as psychotic anyway.

“Of all the people who seem to have compromised circuitry in their brain, if we come back and image them in later years, some may be moving toward the cluster of symptoms for schizophrenia while others may have other types of deficits,” such as bipolar disorder or attention deficit disorder, Belger said.

The article goes on to add, “Still others may avoid serious disorders altogether”, but the damage has been done. If you were an agent of the inquisition, let’s say, looking for witches, you are not going to be questioning the existence of witches. If you want to find fault in anyone, or anything, no problem. Just conduct a fault finding mission. If you are out to praise those people, well, hunting for future “mental illnesses” is just not the way to do so.

I think these researchers have better things to be doing with their time. We really have a problem when the DSM starts predicting disorders in people.  Ignoring any fork in the pathway that may lead to dysfunction, from functionality, is a major shortcoming, I would imagine. Ditto, in the case of paths that lead to folly from reason and wisdom. You are postulating that mental and emotional disturbances are a matter of predestination, and I imagine such leaps of faith belong in the realm of superstition rather than in the realm of scientific inquiry and skepticism.

This doesn’t mean that pre-psychosis isn’t going to make it’s way as a reimbursable disorder in a future edition of the DSM. I imagine, if things continue going the way they are going, it will. There is a lot of nonsense in the DSM. I would say maybe 100 % of the DSM is sheer nonsense. All the same, quite literally, even a listing as a category for diagnosis won’t make future psychosis a real disorder in present time.

Civil Rights Under Seige

If you thought former President George W. Bush, who wanted to screen every man, woman, and child of us for “mental illness” was bad, President Barack O’bama has climbed onto the same band wagon. President Obama essentially wants to turn our entire public education system into a mental health police state.

According to a report in the Bangor Daily News on the subject, White House wants $235 million for mental health programs.

President Barack Obama’s budget proposal will include $235 million in funding for new mental health programs focused on initiatives to help schools detect early warning signs and train thousands of new mental health professionals, an administration official said.

Alright that sounds benign enough, but just keep reading.

The new budget plan will propose $130 million for programs that train teachers and other adults to help recognize the early signs of mental illness in students. That includes $55 million for a new program called Project AWARE (Advancing Wellness and Resilience in Education), which will give states and local school districts grants to administer such programs, while also collecting data on how well they work.

I’ve got nothing against ‘wellness’ nor ‘resilience’, I just have many reservations about whether that’s what we’re going to get out of these programs or not. On the other hand, training people to recognize signs of “mental illness” can be very questionable, especially when one of those early signs is being under the age of 18.

Another $50 million would go toward training master’s-level mental health specialists, such as psychologists, nurses and counselors, who work in schools. The idea is to expand the mental health workforce to prepare for the demands of millions of Americans who will gain health insurance coverage next year under the Affordable Care Act.

The “mental illness” labeling rate has been skyrocketing for years. Imagine the present “mental illness” labeling rate. Imagine that rate going up even further. It’s got to be extremely difficult to sell insurance plans, treatment options, and anti-”stigma” campaigns, without also selling the “diseases” that go along with them.

The consequences of this “mental illness” selling platform doesn’t concern the President very much as, following the Newton Connecticut tragedy, making scapegoats of people in the mental health system rather than achieving any real gun control legislation is one way for him to give the appearance that he’s doing something about the problem of gunmen in schoolyards. I’m afraid it is going to be causative in so far as increased “mental illness” labeling is concerned, and I’m also afraid that it’s not going to be preventative when it comes to massive acts of violence.

Sooner or later, later apparently, it’s going to come around to acknowledging that these citizens who have had their citizenship rights taken away from them are still citizens. Then comes the revelation, now that we’ve got two unequal castes of citizens, how do we refer to them? Dividing people into sick and well no longer works as what we’ve actually got is a legal distinction rather than a medical one. Sick people get well. Lower class citizens get lower wages, if they get wages at all, substandard living conditions, and the distinction of being deprived of their constitutionally guaranteed rights.

Bringing the war in the classroom home to your doorstep

Did somebody say it’s jungle out there? It isn’t a jungle, it’s a war zone, especially in the public school system. Among the new disorders in the DSM-5, such as adult ADHD (attention deficit hyperactivity disorder) , you will also find childhood PTSD (post traumatic stress disorder) listed.

Just read between the lines on the first paragraph of this ABC News report, Psychiatry ‘Bible’ DSM-5 Will Add PTSD for Preschoolers, and imagine millions, perhaps billions, of shell-shocked kiddies returning home from their school day.

 When the new Diagnostic and Statistical Manual of Mental Disorders, DSM-5, is published in May, a small section could alter the lives of millions of children.

Not to be alarmed, despite this potential sharp rise in the number of children labeled ‘off their rocking horses’, mental health professionals tell us they’ve got treatment, and that this treatment can be effective.

Small children develop PTSD at the same rate as adults — one in four — and the number of potential sufferers is vast, said Dr. Judith Cohen, a psychiatry professor at Drexel University’s College of Medicine.

I imagine we could just give children signs on their first day of class, basing children numbers on adult numbers, of course. Numbers, you know, don’t change. 1/4th of the students would receive a sign that read PTSD, and 3/4th of the students would receive signs that read NORMAL. The students with the signs that said PTSD could then automatically be enrolled in a treatment plan.

And yet because existing DSM criteria doesn’t apply to young children, and because of society’s tendency to idealize children as resilient, pre-schoolers aren’t getting the diagnoses they desperately need, [vice chairman of Child and Adolescent Psychiatry at Tulane University, Dr. Charles] Zeanah [Jr.] said.

Children are idealized as resilient. Oh, that explains it! We don’t have the time to offer classes to parents, teachers, and children in ‘how to be more resilience’ then I guess. Notice, they desperately need diagnoses, too. You think so?

If you will excuse me, I think I’ve had enough of this nonsense, and so I think I’m going to return to my bunker for a little blissful shuteye. The prospect of a nation of shell-shocked children is just a little much for me to face head-on alone at the moment. I’ve got my own patch of green pasture that needs tending.

Policing Mental Health In The Schools

If you want to erase the “stigma” of “mental illness”, stop labeling people nutzoid. All the discrimination and harm that comes of “mental health” treatment has to start somewhere, and that somewhere is with the diagnostic tag.

The sad part is that now children are being labeled “mentally ill” at incredibly young ages, 2 year olds, 3 year olds, 4 year olds, 6 year olds, 8 and 9 year olds. I’ve got news for you people. Psychiatric drugs are no replacement for good parenting practices.

If folks knew this, perhaps they would be less inclined to label their toddler a problem toddler. All 2 year olds, for instance, are a world of trouble, as are all teenagers, and I’d think more than twice about labeling them, too.

I know it’s not bad parents, it’s ‘bad’ children, but all the same. I remember when we used to think of children as innocent, and when we used to put a great deal of emphasis on child rearing. If I remember correctly, there was much less childhood “mental illness” back then as well.

The problem we’ve got now is a big part of the Obama administration solution to violent school massacres.  Primary and secondary school workers, from principals on down to the janitorial staff, are being turned into mental health police. That’s right, the idea is to bust children for “mental illness”.

Well, the only thing we’re likely to get out of making our educationalists mental health cops is an increase in troubled peoples. When troubles are pathologized, hey, that’s a cinch for compounding them. The big tab for Obama care, as a result, is likely to get much much bigger.

Reversing the damage as treatment paradigm

Attention deficit hyperactivity disorder (ADHD), a disease that didn’t officially exist until 1980, has been astoundingly successful at making drug companies happy. Just look at outcomes. Pasted at the bottom of much of the recent ADHD bad news is something like the following from a USA Today article, Childhood ADHD often can linger into adulthood.

Among those age 27 who had been diagnosed with ADHD as children:

– 37.5% had no ADHD and no psychiatric disorders

– 33.2% had no ADHD and one or more psychiatric disorders

– 23.7% had ADHD and one or more psychiatric disorders

– 5.6% had ADHD and no psychiatric disorders

ADHD is said to affect roughly 9 % of the adolescent male population, and somewhat less for the adolescent female population, in the USA.

Conventional wisdom has gone completely bonkers in finding these statistics a motive for increasing mental health spending. Increased mental health focus and funding will mean an increased ADHD rate, and given that increase, an increase in the diagnostic labels that accompany it.

Mental health treatment IS the problem when that treatment is a matter of encouraging children not to seek the self-reliance and financial independence that comes with adulthood. Mental health treatment essentially represents providing much disincentive to the process of growing up. What do we get out of this treatment? An oxymoron, ‘adult children’.

The recovery rates for people with what are typically thought of as much more serious disorders–schizophrenia, bipolar disorder, and major depressive disorder–parallel the recovery rates for ADHD. They might be a little worse, 10 % or so, but not much.

The reasons for these bad outcomes are two-fold. First, the major form of treatment is with ineffective and often harmful psychiatric drugs. Although these drugs may be effective for the short term, in the long term their effects are disastrously debilitating. Second, you’ve got a dependency system that instead of ushering people back into the real world of everyday life cripples them forever.

We will start with the expression “burden to society” and go from there. The question remains, how does society “unburden” itself of this problem it has produced for itself? Well, one thing is certain, it doesn’t “unburden” itself of the “burden” by making the “burden” an industry. This is essentially what we have today. We have a mental health treatment system that is involved primarily in the manufacture of more and more cases of “mental illness”.

I don’t encourage people to go and seek mental health treatment. I don’t encourage them to do so because in so doing they stand a good chance of losing many of their basic rights as citizens. “Stigma” is not in the hearts and minds of their fellow human beings. “Stigma” is in laws and mental health treatment records that make up the hearts and minds of their fellow human beings. Records that will follow them around to the end of their days.

On The Presumption Of Future Guilt

Now is not a good time to be in mental health treatment. Although people talk about reducing the “stigma” associated with “mental illness” labels, give the public a tragic massacre of the dimensions we saw at Sandy Hook, and everybody who has ever received mental health treatment automatically becomes a suspected future mass murderer.

It just ain’t so.

The problem is not medical, the problem is human. You take any individual who is not solely concentrated on making a million dollars by the time he or she turns thirty, and you’ve got a troubled individual. Our view of success is twisted in the extreme. We’ve got all these so called mental health advocates screaming, “Give, give, give”, because  all sorts of behaviors and emotions are being pathologized.

Bad conduct is not a disease. Shyness is not a disease. Boredom and inattention are not diseases. Anxiety and sadness are not diseases. Elation and excitement are not diseases. Silliness is not a disease. They aren’t real diseases anyway, but you can begin to get some idea of how these mental health treatment sales people put out these crazy (and I don’t mean “mentally ill”) 1 in 4 needy people statistics.

With 1 in 4 people characterized as “mentally ill”, it’s easy to see how any individual from out of this large population of people could cause devastating damage with a gun. With 3 in 4 people characterized as not needing “mental health” treatment, it’s easy to see how any individual out of this large population could cause devastating damage as well. Problem is, once that damage is done, the 3 in 4 becomes a 1 in 4. The armchairs come out, and the diagnosing begins.

Multiple murder is not a symptom of “mental illness”. Multiple murder involves the commission of multiple felonies.  The law imagines every man, woman, and child of us to be capable of committing murder. The only people the law picks up as potential suspects in future murders are people who have been diagnosed “mentally ill”.  If they had the rights of people in the criminal justice system they would not be presumed,  individually or collectively, guilty of these future crimes.

Sage advice is something young people aren’t born possessing. Inexperience always was one of the shortcomings of youth, and walking arm in arm with inexperience goes folly. If you’re going to learn by trial and error, you’re training is going to be fraught with many errors. Wisdom, it has been said, comes with age. Inexperience is not a disease either, but the problem with treating it as such is that then wisdom becomes more elusive than ever. There is no wisdom drug on the market, and there is not likely to be one any time soon.

A pill bottle is not a good substitute for parents, nor is a pill bottle a good substitute for sage advice. When the parenting role has been demoted due to conflicting responsibilities and priorities, the social mentoring role assumes all that much more importance. Folly is a right. Making mistakes comes with making decisions. Making decisions comes with freedom of choice. You are going to make a wrong decision. To err is human, to correct an error is also human. When correcting error ceases to be a human endeavor, you will have nothing but errors.

Forcing mental health treatment on people out of a fear of future violence is one of the biggest threats to freedom this country has ever faced. Force involves the deprivation of liberty.  Liberty is one of the fundamental values behind the foundation of this nation. When 1 in 4 people are categorized as “sick”, 1 in 4 people in this nation become suspected future killers. This 1 in 4 is much more than it once was, before mental health treatment, and with mental health treatment, drug company profits, became such a hot item.

The tragedies at Columbine, V-Tech, and Sandy Hook are byproducts of this mental health system pharmaceutical industry honeymoon, romance, and marriage. Perfect children don’t shoot perfect children. Perfect children don’t exist. Imperfect children have been deemed fodder for the pharmaceutical industry. Imperfect children are all children. Inexperienced children are innocent children. Wise children are adults. What did I say? You’re not going to find wisdom in a pill bottle.

Just Wait Until “Adult ADHD” Rates Catch Up

Attention deficit hyperactivity disorder (ADHD) rates are going up. Hardly a shocking finding. If you invent a disease, disease rates are likely to go up rather than down without an effective way to expose you, and with you, it. As reported in Psychiatric Annals, Rate of ADHD diagnosis increased in past decade, researchers looking at trends among 842,830 schoolchildren aged 5 to 11 found the following.

According to the researchers, rates of ADHD diagnosis were 2.5% in 2001 vs. 3.1% in 2010, a relative increase of 24%. During the same period, the rate of ADHD diagnosis increased among whites (4.7% to 5.6%; RR=1.3; 95% CI, 1.2-1.4), blacks (2.6% to 4.1%; RR=1.7; 95% CI, 1.5-1.9) and Hispanics (1.7% to 2.5%; RR=1.6; 95% CI, 1.5-1.7). Rates of diagnosis among Asian/Pacific Islander and other racial groups remained unchanged.

We’re more hyperactive then in 2010 than we were in 2001, that is to say, that boys will be boys, and not only will boys be boys, but girls will be girls. Confused? You’re not alone. Or to be more on target, children will be children.

The rate increase among blacks was largely due to a growing number of girls with an ADHD diagnosis (RR=1.9; 95% CI, 1.5-2.3). Boys were more likely than girls to be diagnosed with ADHD, but study results indicated that the sex gap may be closing among blacks. The researchers also observed a much higher rate of ADHD diagnosis among children living in high-income ($70,000 per year or more) households (P<.001).

Just imagine, sex equality in pathology. Things must be improving for folks of color out there, wouldn’t you say? Or, maybe not. The good news is the arrival of the spoiled brat syndrome so you folks out there in the ghetto don’t have to feel like you’re alone in your misery. Or, maybe not. Mommy and daddy uptown can buy success for junior, can’t they? …Oh, well…Them’s the breaks.

“Although the reasons for increasing ADHD rates are not well understood, contributing factors may include heightened ADHD awareness among parents and physicians, increased use of screening and other preventive services, and variability in surveillance methods among institutions,” the researchers wrote.

Okay dokey. If awareness induces contagion, no wonder they say ‘ignorance is bliss’. Screening for figurative disease is going to increase the incidence of figurative disease. Undoubtedly. Calling screening and miseducation preventive is the real kicker though. Rates go up, and you’re preventing. Oh, yeah? Uh huh. Alluding to surveillance is more to the point. This isn’t about letting children be children, this is about training the next generation of corporate bureaucrats, and maybe, just maybe, we’ve got better things to be doing in the first place.

One factor  not listed, although the authors did mention not having any published ties to pharmaceutical companies, is the influence of drug markets on this increase. I can’t imagine it doesn’t have anything to do with stimulant, and the miscalled ‘performance enhancing’, drug sales, does it? Check out stock exchange figures sometime. I reckon, if anything, ADHD treatment drug makers aren’t suffering. The wall street party goes on and on, even if from here on out at a tightly guarded secret location.

The DSM-5 is only a dead sea scroll and not the fully approved Allen Frances version

I hear a constant buzzing. No, wait. It’s only Allen Frances.

The chief editor of the DSM-IV is posing as the chief critic of the DSM-5, if that makes any sense. The problem is that the criticisms this retired psychiatry professor applies to the DSM-5 apply to the DSM-IV as much as they do to anything, and I’m still waiting for a major display of remorse over that document.

If we look at his latest in a catalogue of complaints against the upcoming DSM revision, DSM-5 Is A Guide, Not A Bible—Simply Ignore Its 10 Worst Changes, some of his criticisms are right on target.

His numero uno is a real humdinger, Disruptive Mood Dysregulation Disorder (DMDD) or temper tantrum disorder. This is the DSM revision teams way to try to deal with an artificially created epidemic that isn’t even in the DSM. A Harvard psychiatrist developed this notion that a number of these kids diagnosed ADHD were actually bipolar, and thus began the pediatric bipolar disorder boom. The DSM revision team has simply created a third diagnosis with which to compound the prior two diagnoses. When ADHD and bipolar disorder are at epidemic proportions, this is certainly paving the way for a third wave. Just wait, perhaps in 10 or 20 years they will come up with an adult DMDD diagnosis.

His second and ninth complaints we can skip over. Sadness, grief, and anxiety aren’t illnesses, or diseases, or disorders, or whatever you want to call them. They are emotions known to all of us. The distinction between clinical and “normal” is a distinction between the everyday and the psychiatrized. If you want one, go about your business, it will come. If you want the other, see a shrink. He or she has their “help” to contribute.

Number 3 is Neurocognitive Disorder or old folks disease. Oh, yeah. Age happens to everybody. I kind of think it redundant as when the brain breaks you have dementia or Alzheimer’s. If we had a ready trash can we could scrap number 3, too, but, of course, psychiatrists must to make a…I dunno…Is it a living, or is it a killing? Anyway, it’s bread, bacon, and a big house in an upscale neighborhood.

Number 4 is adult ADHD. I think I covered the subject sufficiently with number 1. There was a time when there was absolutely no ADHD. A few unruly children popped up, and the editors of the DSM-III put it in the DSM. ADHD babies grow up. 30 years on and, it’s epidemic among children, while the revisers of the upcoming edition are making it an adult “disease”. Pill popping babies grow up to be pill popping adults. Although the drug companies know this, they aren’t letting on. Why nip a good thing in the bud.

Number 5 over eating isn’t a disorder any more than over drinking is a disorder. Alcohol poisoning, with attendant headaches, on the other hand, bellyaches, diarrhea, and vomit, are major concerns. If you’re going to over indulge, learn to under indulge, er, or moderate your appetites. If you need a shrink to do so, well, you’re probably pretty gullible when it comes to a number of these other disorders. Excess in anything could be “co-occurring”, lay talk for “co-morbid”, with any human trait, negatively labeled a disorder, under the sun, moon, and stars. Psychiatrists tend to think “mental disorders” lead to “substance abuse” and vice versa. What a racket!

His complaint number 6 is a little weird coming from a psychiatrist. This has to do with the switch from Autism and autism related disorders to a general Autism Spectrum Disorder.

School services should be tied more to educational need, less to a controversial psychiatric diagnosis created for clinical (not educational) purposes and whose rate is so sensitive to small changes in definition and assessment.

Alright. Should you be talking to the nation’s shrinks or the nation’s educators on this score, and then how does this effect other controversial juvenile diagnoses (say, ADHD, conduct disorder, etc.)? If your talking about the collusion between this nation’s educators, law enforcement officers, government officials, mental health workers and psychiatrists that is an even bigger issue than we’ve got time to cover right here and now.

Number 7 is certainly a valid complaint, and number 8 follows close behind. If recreational illicit substance use is abuse, habit and indulgence equals abuse, too. Although hypersexuality was not included in the upcoming revision, internet addiction is going to be there, and internet addiction is a behavioral addiction. Behavioral addiction opens up the flood gates for any fad or trend to be classified an addiction. If internet addiction makes this edition, you can bet other behavioral addictions are coming, and sexual addiction, however you spell it, is way up there at the top among the candidates for inclusions in future editions.

What he ignores is that these “worst changes”, as he puts it, are the result of a process and an idea that is thoroughly unscientific from beginning to end. You don’t find real diseases by inventing them, and voting them into common parlance. You only find fanciful diseases that way.

DSM-5 violates the most sacred (and most frequently ignored) tenet in medicine—First Do No Harm! That’s why this is such a sad moment.

We, in the psychiatric survivors movement, have been something similar for decades. What follows from this sacred tenet is my next question directed at Professor Frances. Why, given this basic tenet, do you need a guide book for doing harm to people at all?

This harm starts with the psychiatric label. The label is a category in the DSM. All further harm follows from this labeling of human beings as flawed or pathologically affected or unworthy. This labeling represents the beginning of a downward slide in perception from discourse between equals to that of discourse between designated authorities and sub-human second class citizens. Even if you’re using a bamboo pole and string rather than a rod and reel, a few of us still aren’t taking the bait.

A Little Bit of Discretion, Please

Bad advice remains bad advice. Bad parents are gullible parents. Skepticism, given the amount of nonsense floating about in the world today, is a virtue.

Are you dealing with Turbulent teens or mental illness? this article in the The Gleaner from Jamaica would deceptively appear to ask. The article is actually selling “mental illness”. It suggests that any reader’s child could be “sick”. First thought. Read on, and damn your kid to a diminished life as a social and human failure in the mental sickness system if you want to do so, or think better of the matter, and go, “Wait a minute, maybe pegging my kid with a psychiatric label isn’t the best way to proceed at all”.

The article answers the question, “What should parents do?” with the following 7 alarmist answers that were probably dreamed up by a pharmaceutical company advertising team.

1. Be vigilant. 2. Seek professional help. 3. Do not be afraid to seek psychiatric care. 4. Do not shove it under the carpet. 5. There is danger in delay.

My response to this orange alert approach to problems in living is to reply, “Bullshit!” He or she who seeks to find “sickness” in a child will find it, and he or she who seeks to find “wellness” in a child will find that. This approach would hunt for “illness” rather than for “health”. To paraphrase gospel, “Let he or she who is without error attach the first label”.

The article supplies its own “mental illness” screening test of sorts. It gives 8 warning signs of “mental illness”. Now you’ve got a “mental illness” checklist if you are really desperate to have a child labeled, disposed of in the loony bin, locked away and abandoned. The message is clear. You, too, given this checklist, can bear a brood of loony birds.

1. Change in behavior. 2. Decline in school performance. 3. Drug use. 4. Poor self-care. 5. [Change in pattern of] Social interaction. 6. Communication is reduced. 7. Family breakdown. 8. Strange behavior.

I’ve got news for you. Each of the items on this checklist is a “symptom” of being a teenager. Adolescent rebellion is not a disease. Mom, Dad, get over it! Junior has to grow up. Mental health treatment or no mental health treatment, you shouldn’t try to hang onto your kid forever. Your child is merely testing his or her wings. Some parents will suffocate their kid rather than accept the simple truth that the kid needs more independence.

I could draw up a checklist for kids to use in diagnosing parents, too, but this is all about power, and we don’t give kids that kind of power until they are deemed old enough to use it. Unfortunately, some grown up kids never get old enough to use it wisely.

Undemonizing The Little Monsters

My view is that we simply shouldn’t saddle children with psychiatric labels. Why? The reasons are multiple. Labeled children grow up to be labeled adults, label A often comes with label B and label C or label D, and minor labels develop into major labels. With these labels come powerful and physical health destroying pharmaceuticals. Just look at the outcomes if you want to know why we shouldn’t label. Labeling a child isn’t putting that child on a success track. Labeling a child is actually harming that child.

When I was a kid attention deficit hyperactivity disorder didn’t exist, and conduct was a mark on a report card. Things have changed in this regard since then, but those changes have all been for the worse. Today misbehavior, healthy behavior from another perspective, is being medicalized, and mildly misbehaving children are growing into permanently “disturbed” and “disabled” adults.

I’m using the 6th part of the 7 part series Matters In Mind, Psychiatric labels and kids: benefits, side-effects and confused published recently in the journal In Conversation to draw The Behavior Key that follows.

The Behavior Key

Attention deficit hyperactivity disorder – ADHD – ‘hyperactive or inattentive’
Obedient defiant disorder – ODD – ‘particularly naughty’
Conduct disorder – CD – ‘seriously nasty’
Major depressive disorder – MDD – ‘down in the dumps’
General anxiety disorder – GAD/ Obsessive compulsive disorder – OCD/ Social anxiety disorder (or social phobias) – SAD/ Panic disorder – PD/ etc. – ‘nervous’

Forget the label, and you’ve merely got an adjective with which to describe a child, accent on child.

On the coattails of transforming ADHD into childhood bipolar disorder, and manufacturing an epidemic, we know what’s coming, and it is more of the same.

The DSM-5, due out next year, is likely to unleash a new epidemic – DMDD (disruptive mood dysregulation disorder), which has been strongly criticised by the former DSM-IV task force head Professor Allen Frances.

Disruptive mood dysregulation disorder – DMDD (could more aptly be described as) – temper tantrums.

In psychiatric training, we learn that what really counts is a biopsychosocial (biological, psychological and social) formulation. This is a few paragraphs which accompanies the diagnosis, summarising the main relationships, genetic inheritance, stressful events, temperament and psychological coping style of the person. The biopsychosocial formulation seeks to uncover and put in perspective all the causes of their symptoms and point to what help is needed, even if not readily available.

This is bio-babble. I’ve seen articles that estimate biology to be 70 % – 80 % the source of any one “mental disorder”. Biological medical model psychiatry is the predominate school of psychiatry today, and thus, “disorders” have to be primarily biological in origin. This leaves 30 % – 20 % of any “disorder” attributable to psychology and social environment. If biology wasn’t the primary basis for “mental disorders”, the theory is wrong. Well, chances are the theory is wrong. This 70 % – 80 % figure is based entirely on speculation. It represents a type of negative wishful thinking with very little, if any, real science behind it.

This draws us to the final question, who’s minding baby? Let’s not leave child-rearing practices up to the pill bottle. Psychiatric drugs, if anything, make wholly inadequate parents. Labeled children, as the statistic’s show us, are doomed children. Now what kind of parent would consciously sentence his or her child to hell on earth? Not a good parent, surely. Let’s get back to the practice of producing good children through producing good parents, and vice versa. Care about your child, and don’t send that child to the boogie-psychiatrist for labeling, drugging, and the eternal curse of diagnostic sorcery.