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New Childhood Mental Illness In The Upcoming DSM-V

One of the more disturbing aspects of the new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), scheduled for publication in 2013, is that it will undoubtedly contain yet a further diagnostic category for permitting the abuse of children by the psychiatric system in collusion with inept parents.

This brand spanking new childhood behavioral disorder the psychiatrists drafting the DSM have come up with is called temper dysregulation with dysphoria, or TDD for short. This label, according to an ABC newstory, Big Changes for DSM-V, the Psychiatrist’s “Bible” , will be applied to those children who display “persistent negative mood with bursts of rage”.

“About 40 percent to 60 percent of the cases [seen by child psychiatrists] will be children who are doing things that other people don’t want them to do,” he said. Many of these are children who are “stubborn and resistant and disobedient and moody.”

There is currently a recognized syndrome known as oppositional defiant disorder, but some children also display severe aggression and negative moods that go beyond mere stubbornness, according to [Dr. David] Shaffer.

Such children are often tagged as having juvenile bipolar disorder, but research has shown that the label is often inappropriate, since they usually do not qualify for a bipolar disorder diagnosis when they reach adulthood, though they remain dysfunctional. More often, these children are diagnosed as depressed when they become adults.

If the idea is to reverse some of the damage done by the reassigning of some children labeled ADHD as early onset bipolar disorder sufferers, the extension is still an extension, and it is apt to mean more children labeled mentally ill and maintained on powerful psycho-active drugs.

Certainly anybody who will be diagnosed depressed as an adult, after having been diagnosed bipolar, ADHD, TDD, or any combination of those mental disorder labels, as a child, could be said to have gotten off on the wrong career path.

UPDATE

The New York Times is running an article on this future edition of the DSM today, Revising Book on Disorders of the Mind.

“Anything you put in that book, any little change you make, has huge implications not only for psychiatry but for pharmaceutical marketing, research, for the legal system, for who’s considered to be normal or not, for who’s considered disabled,” said Dr. Michael First, a professor of psychiatry at Columbia University who edited the fourth edition of the manual but is not involved in the fifth.

“And it has huge implications for stigma,” Dr. First continued, “because the more disorders you put in, the more people get labels, and the higher the risk that some get inappropriate treatment.”

One significant change would be adding a childhood disorder called temper dysregulation disorder with dysphoria, a recommendation that grew out of recent findings that many wildly aggressive, irritable children who have been given a diagnosis of bipolar disorder do not have it.

The misdiagnosis led many children to be given powerful antipsychotic drugs, which have serious side effects, including metabolic changes.

Apparently this new mental disorder is an attempt to lessen the destruction wreaked in large measure by Dr. Joseph Biederman, who was almost single handedly responsible, together with his associates, for a recent 40-fold increase in the incidense of bipolar disorder.

It’s not this disease. It must be that disease. Oh, no! It’s something entirely different. Or is it? Once we have TDD, I guess we will have to fabricate a history for it the way people have fabricated a history for ADHD.