Kaplan And Sadock's Comprehensive Textbook Of Psychiatry by unkn

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Example text

He was doing badly at school, being disruptive, and then he got into a fight. The school psychologist wanted Dominic to get a doctor’s assessment, and I felt under real pressure to go. So after seeing Dominic for 25 minutes the doctor said he was suffering from ADHD [attention deficit hyperactivity disorder] because he had all the classic symptoms: hyperactivity, impulsivity and inattention. The doctor said medication would help. So Dominic is now on pills – and yes, he seems less distracted sometimes, but he also doesn’t seem himself either.

Yet, from another standpoint, this claim to modesty is somewhat wobbly – it ignores that Frances included an additional 30 disorders for ‘further study’ in the * Much higher standards were applied when it came to adding new diagnoses. Eight were added, out of the more than 100 proposed. Four others were reformulated. An additional 30 were included in an appendix for further study. 48 Cracked: Why psychiatry is doing more harm than good appendix, and that he subdivided many existing disorders. So if we include these appendix disorders and subdivisions (all of which patients can be diagnosed with), Frances actually expanded the DSM from 292 to 374 disorders.

So every decision you make has a trade-off, and you can’t assume the way you The medicalisation of misery 49 write the DSM will be the way it’ll be used. ’ At this point in our interview I could not help but recall young Dominic and the Canadian schoolchildren, all of whom had been diagnosed with ADHD. Was the creator of the modern ADHD category now admitting that potentially millions of children just like them (not to mention the adults) were being wrongly diagnosed with this and other mental health conditions?

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