A psychiatric diagnosis is a cluster of psychological and behavioral conditions as defined by the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. Over the years, there has been numerous revisions of this manual. With each revision, there tends to be significant changes to the different menus of diagnoses and how each diagnosis is defined. For example, in the most current manual the diagnosis of "Asperger's disorder" has been removed and is now considered as a part of the class of "Autistic Spectrum disorders." In one of the earliest manuals there was diagnoses termed "Neurotic disorder." The term " neurosis" is no longer considered a proper diagnostic disorder and it has been eliminated from the manual.
So what happens to an individual who has a diagnosis that the American Psychiatric Association decides no longer should exist? What happens to the child I work with who has been labelled "Aspergers" for the past several years and now has a new diagnosis? What about poor Woody Allen? If he can no longer be considered a "Neurotic" can he still make movies?
As several of the great existential thinkers have pointed out, psychiatric diagnoses are not objective disorders, but rather are social constructs that change over time (i.e., Szasz, Lang, Foucault).
When I worked in a psychiatric hospital 25 years ago, the most popular diagnosis was "Schizoaffective Disorder." What did that diagnosis mean? Basically the person was having problems with his or her thought process (schizo) and well as his or her mood (affective). I remember doing an inpatient group with 10 individuals, all diagnosed with "Schizoffective Disorder". All of the people in group did have something in common -- they were not thinking clearly and had mood issues. However, the similarities stopped there. Each person was unique. Each had a different reason for being in the hospital as well as different backgrounds and issues. In fact, at the time, I remember thinking to myself, I would not be thinking clearly or be in a very good mood if I was hospitalized in a psychiatric hospital against my will either.
Today the new popular diagnosis is "Bipolar." Almost everyone coming out of a psychiatric hospital comes out with a diagnosis of "Bipolar." If you are not thinking clearly or having mood issue you are now identified with this now popular disorder. The other widely popular modern day diagnosis is "Attention Deficit Disorder (ADHD)". So many kids these days are being put on speed to improve their attention. Does speed improve one's attention, most definitely. Should all children who have focusing issue be diagnosed with "ADHD" and put on speed? I personally feel it is a significant social problem.
Psychiatric diagnoses are clusters of symptoms. They change over time dependent upon what is popular in the current culture; and more specifically the psychiatric community. Diagnoses are tools people in the field of mental health use to describe a cluster of symptoms and behaviors. There are many theories as to what causes a person to be and act a certain way, but these theories also change over time and are historically dependent on the culture and trends in the psychiatric field.
So what is my point? You should not define yourself by your psychiatric diagnosis. Diagnoses are helpful in understanding psychological symptoms and patterns of behavior. They can be a great tool for the clinician or the psychiatrist in determining the best treatment or medication. A person diagnosed as "Bipolar" is an individual who is possibly struggling with his or thought process or mood. Therapy and medication can help. However, having these cluster of symptoms, thought or behavioral patterns, do not define who you are as an individual with unique personal issues and struggles.
Dr. Klein is a clinical psychologist who practices in Westport CT. He specializes in psychiatric assessment and psychological treatment from a humanistic existential orientation.
Copyright April 2016, Martin Klein, Ph.D.
Dr. Martin Klein is a clinical psychologist who practices in Westport, Stamford and Fairfield CT. He works with children, adults and couples.