Not to mention personality disorders are a rather outdated concept. In all likelihood, they are other disorders or neurophychological handicaps.Fortunately, the DSM-5 dragged psychiatry into the 20th century by eliminating the concept of personality disorders as "axis 2 disorders." I believe they're all axis 1 now, which is where mental illness goes.
I'm not in love with it yet. But there is an elegance there that was missing from IV. It will be years until I'm as comfortable with it as I am with IV. And by then we'll be up to VI.
I'm not in love with it yet. But there is an elegance there that was missing from IV. It will be years until I'm as comfortable with it as I am with IV. And by then we'll be up to VI.Not to mention personality disorders are a rather outdated concept. In all likelihood, they are other disorders or neurophychological handicaps.Fortunately, the DSM-5 dragged psychiatry into the 20th century by eliminating the concept of personality disorders as "axis 2 disorders." I believe they're all axis 1 now, which is where mental illness goes.
Yeah, none of the therapists I've seen have so much as touched the DSM-5. They still rely on the DSM-IV for all their stuff, and one actually told me that the APA actually rejected the DSM-5 and wasn't going to use it.
Not suggesting that you'd do that, just I can see professionals being more comfortable with DSM-IV. I prefer the DSM-5 for lots of reasons, but I'm a client not a professional. :)
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I'm not in love with it yet. But there is an elegance there that was missing from IV. It will be years until I'm as comfortable with it as I am with IV. And by then we'll be up to VI.Not to mention personality disorders are a rather outdated concept. In all likelihood, they are other disorders or neurophychological handicaps.Fortunately, the DSM-5 dragged psychiatry into the 20th century by eliminating the concept of personality disorders as "axis 2 disorders." I believe they're all axis 1 now, which is where mental illness goes.
Yeah, none of the therapists I've seen have so much as touched the DSM-5. They still rely on the DSM-IV for all their stuff, and one actually told me that the APA actually rejected the DSM-5 and wasn't going to use it.
Not suggesting that you'd do that, just I can see professionals being more comfortable with DSM-IV. I prefer the DSM-5 for lots of reasons, but I'm a client not a professional. :)
*derisive snort* You gotta be s&&+ting me.
I want to smack at least one of your therapists. Refusing to be current with the latest goings-on in the field is what leads to people trying to make their kids be not-gay and other nonsense.
The APA will cave. Too much work has been put into the V to drop it. There will be more than few professional fights, but they will accept it eventually, or turn it into an addendum to the IV in some way.
Also their exists a DSM-ID for use with persons with ID/DD...
An alternative exists the PDM which very few people know much about...but it is based on psychodynamic psychotherapy.
Some are better reading than others.
PDM huh? I'll ask about it tomorrow. Someone's gotta have it.
*derisive snort* You gotta be s!$$ting me.
I want to smack at least one of your therapists. Refusing to be current with the latest goings-on in the field is what leads to people trying to make their kids be not-gay and other nonsense.
The APA will cave. Too much work has been put into the V to drop it. There will be more than few professional fights, but they will accept it eventually, or turn it into an addendum to the IV in some way.
Yeah, it'd be nice if anyone I've seen in the past year or so was familiar with the DSM-5 (not that I go through that many professionals in a year, seeing them is just a side effect of getting on disability).
The therapist I did intake with last week and with whom I start this week pulled out an old dog-eared DSM-IV to point out some things about one of my diagnoses. I was just kind of disappointed, but it wasn't too big of a deal.
I've got anxiety/depression, ADHD and autism*.
I tend to overempathize to an insane degree, and will feel horribly, horribly guilty at the slightest inconvenience I cause to others.
My anxiety sometimes tends to get bad enough I have to take some tranquilizer type pills the director prescribed.
I've got more personalities and "masks" then I can count, wearing a diffrent behavior for every person I meet. The last "mask" I wore seems to just stick around, lacking any default when people aren't around.
i was lucky enough to have a special Ed teacher in middle school that taught me social issues, like standing about an inch from somone's face isn't acceptable, becuase until I was actually told these things, I didn't pick it up at all.
I'm rather bad at picking up what I'm supposed to do in any situation. People's emotions are often open and easy for me to read, but what I'm supposed to do about them is really hard to find out.
I've got basically no willpower, only continuing to do something as long as it's immidatly entertaining or rewarding, or soemthing I feel like I have to do, like work- and if the line between work and time at home isn't perfectly clear, not even that.
... Too much metaphor in that post. Wish I could've been clearer.
* used to be classed as asburgurs, and I haven't technically been diagnosed with autism after the classification for asburgurs stopped being a thing.
I tend to find Robert Hare's commentary on ASPD persuasive:
http://www.psychiatrictimes.com/antisocial-personality-disorder/psychopathy -and-antisocial-personality-disorder-case-diagnostic-confusion
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Sort of feel that my SAD (seasonal affective disorder) and mild psychopathic personality traits are pretty light compared to what other folks are living with. My wife is bipolar, and I admit there have been some trying times, but we manage.
Part of why I am such a big proponent of TTRPG's is the good they can do, in regards to our topic here, and the more general sense. (alas, they can also be huge stress-ors or cause issues of their own, but I dare say that is not the majority of experiences for most gamers, but it does happen).
Also, hats off to everyone for sharing, from the OP onward, I know all too well it not easy to talk about those facts of our lives that are often the opposite of perfect or ideal.
Lastly, a big "kudos" to the Paizo Community, and those involved, staff and not, for making this a safe space to chat, even about topics that are difficult or very personal.
Schizo means different, as in severed, split off, alien, not merely split. The Multiple Personality Disorder was a consequence of that thinking, and is a rare diagnosis today, for very good reason. Schizophrenia means different soul.
That does make allot of sense, alas, in Western NY, we are known for, err, winter LOL, not the best climate choice for me it seems ;)
INTJ. I suffer from S.A.D. as well, though not as bad as when I was a teen. (Thank God!)And I live in So Cal, which helps. Also have social anxiety (which is another s.a.d.).
I grew up in a family of eight; had to share a room with 3 brothers, and I longed for a space to be by myself. I'm very much an introvert, almost a recluse now. Except for 2 cats, but there's nothing wrong with that, right? RIGHT??! lol
My extreme need for "down time" fostered my imagination, and I write. I was also the GM 90% of the time, and my rich inner world served me well there, too.
God bless you all!
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It sometimes worries me how many disorders psych majors suffer from...
I graduated high school, only, enlisted in the US navy, was fired from the navy when I was diagnosed with a personality disorder.
Or maybe the truth is that in this high stress manic society that we've created, that finds new ways to eliminate the essence of childhood, that burdens us with debt if we go to college without be scholarship or rich, that most of us are simply suffering from disorders that never get diagnosed?
Which means that as a psych major you're at least aware of your problems to a greater degree than most of us.
Or maybe the truth is that in this high stress manic society that we've created, that finds new ways to eliminate the essence of childhood, that burdens us with debt if we go to college without be scholarship or rich, that most of us are simply suffering from disorders that never get diagnosed?
Or the sad thing is this IS the opperator specifications of the human brain. Its normal and it bites.
Schizo means different, as in severed, split off, alien, not merely split. The Multiple Personality Disorder was a consequence of that thinking, and is a rare diagnosis today, for very good reason. Schizophrenia means different soul.You're obviously very well informed on the subject of mental illness. Have you heard the more recent take that multiple personality disorder doesn't actually exist? There is a lot of proof to that effect, but I think the most damning is that the vast majority of MPD cases are diagnosed by a very small percentage of practitioners.
Psychologists and psychiatrists are subject to the same desire for accolades and recognition as anyone else, and unfortunately, having a patient with MPD is one way to achieve that. I hope that no professional would consciously decide to convince a patient that he or she had such a disorder, but if someone comes in with, let's say, depersonalization disorder, the doc may indeed decide that the patient is now a "different person."
Also, people with MPD have been shown through some pretty ingenious methods to actually maintain memories between their "alters."
The MPD craze has been over for more than twenty years. It died under a flurry of court cases where doctors had persuaded patients to pretend to have MPD in the early nineties. Not only that, it was started by the movie Three Faces of Eve and the book (I think) Sybil. After it crashed, suddenly having a MPD patient was no longer a claim to fame but a liability, leading to very few such diagnoses. It is worth noting that it is not only a few practitioners that use it, it's also a very small pool of patients indeed outside the old US.
The problem with going the today mostly ideology-driven route of diagnosing MPD is that, as you say, people who often have OTHER serious diagnoses get no help at all. Most often, they have anxiety issues like depersonalization or derealization, functional symptoms (like "fake" seizures, vertigo, pain, etc), or the like. Today, those are often called Dissociative Identity Disorder, or DID. Science is slowly coming to understand those disorders, which is a good thing.
Oh, and when I tried the Myers-Briggs test some fifteen years ago, I was sharply INFP. I have no idea if that has remained.
Nits are there for picking. =)
Craisin craze...couldn't help myself.
Persons with MPD are like foxes. You could have a fox in your neighborhood and not know it.
1: Only one personality goes to the psychologist.
2: There are a lot of possible reasons why they have memory blackouts.
3: Some of the alien abduction cases might really be MPD.
4: They dress and act so differently, they might never be recognised as the same person.
5: MPD may be diagnosed as a delusional malady, especially if the other personality is a different sex, race, or species.
Woo, a fellow INTJ!
I'm also an INTJ - I'd guess INTJ's are well-represented in the gamer community. If others want to know what INTJ is, here's a good link: INTJ Description
I'm extroverted.
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I am INTP. You would be unlikely to find anything other than 'N' personalities on a fantasy gaming site.
Last time I did Myers-Briggs typing, I was INFP (although just in the border of I).
So counting Sissyl that's another that's got multiple representation.
Persons with MPD are like foxes. You could have a fox in your neighborhood and not know it.
1: Only one personality goes to the psychologist.
2: There are a lot of possible reasons why they have memory blackouts.
3: Some of the alien abduction cases might really be MPD.
4: They dress and act so differently, they might never be recognised as the same person.
5: MPD may be diagnosed as a delusional malady, especially if the other personality is a different sex, race, or species.
MPD patients also do not have more than one personality. This, like strange dynamics of amnesia, is only a Hollywood disorder. As you say, memory blackouts come for various reasons, like substance abuse, PTSD and other anxiety disorders. Repressed memories are not a thing.
MPD is not a disorder. DID is one, which sorts under the anxiety spectrum, not the psychosis spectrum.
MPD craze.
Repressed memory craze
RSA craze....
And lets not forget combining aspergers and autism into the same thing and saying "oo look! Autism just spiked 1,000 percent!"
and the tabula rasa debacle
and insane over-prescription of ADD medication (and medication in general)
Psychiatry just doesn't have any of the usual, objective ways of telling when its gone horribly horribly wrong from reality because you can't see whats going on inside someone elses skull. Without that it is very easy to veer off from reality and hard to find your way back. The fastest rate of advancement it can hope for is one retirement party at a time.
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Overmedication is a problem, in some ways, yes. Perhaps. It is also true that undermedication is a problem.
Overmedication should be defined along the lines of "the number of people taking the drug without being helped by it", and undermedication would be "number of people who would be helped by the drug but don't get it". If you accept these definitions, I would say that overmedication, though it exists, is relatively rare. If someone is not helped by a drug, they keep taking it because a) they are forced to, b) because they win something that isn't a help to them (addiction), or c) they can't be bothered to stop. Addiction is in psychiatric medicine limited to central stimulants and bensodiazepines, none of the other groups have that problem. Ergo, overmedication is not going to be a big issue. It is also a matter of side effects. The most maligned group is antidepressants, in general they have rather mild side effects, well worth trying even if the diagnosis may not be 100% certain.
Undermedication is far more severe. Someone who needs medication doesn't get it. They suffer from their condition even if it could actually be helped.
There is a very vocal movement to discredit psychiatry. Before repeating their claims (which are a mixture of baseless, false and actively harmful), think about those who could get help but will not because so many keep harping about overmedication.
Overmedication is a very real problem in the U.S. That's thanks to Big Pharma and their lobbying influence. New "diseases" are created simply so that they can legally sell their product, since "only a drug [or surgery] may treat a disease."
And - yeah - there are people who could benefit from certain meds but don't get access to them.
Both of the above primarily stem from $$$ focus rather than a health focus.
On a different note: whatever happened to the soul (psyche) in psychology?
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While it's not a mental illness, I am autistic, as well having harsh anxiety and depression, (which most certainly are.) I find that fantasy as a whole is a special interest of mine, encompassing not only tabletops, but also fictional worlds as a whole, especially those that are steeped in lore, such as that of the Elder Scrolls series. I pride myself in knowing a great deal of trifling information about the history of Golarion, which occasionally comes up in my local PFS games, much to my pleasure.
I find that the game itself can both alleviate and occasionally increase my stress and depression. I get very heavily involved in the game, and when something horrible happens, I often take the toll. In the only instance where I've ever seen a PC die, it seemed I was the only one to be hurt by it, and it wasn't even my character. When something horrible and traumatic happens to my characters, I tend to go into a deeply depressive state for a few days. However, this being said, it helps me escape from the undeniably awful world we live in, and gives me a chance to find some solace from the day-to-day stressors.
Just read the INTJ description, which describes me to a tea, except I do pretty well with social situations and small talk, but that could be a learned behavior for me I suppose. As a kid and preteen, I was not nearly so outgoing or social, that seemed to kick in around 14 or so, strange.
I'm offended by it for the same reasons frenology or astrology or homeopathy offend me.
They're hogwash. Pseudoscientific bullcrap.
It's based on some folks interpretation of Jung's unsupported ramblings. It has no predictive or diagnostic value, it's not even consistent. Take it again a few days later and you'll generally get a different result!
Well, to each their own. I found my INTJ profile to be very accurate. I've taken the same one on three different occasions (spread out over a few years) and have always come up INTJ.
Besides, I don't think that the descriptors do anything harmful. Some people read them and find them very fitting, others don't think so.
I've used the personality test with co-workers and read the section about interacting with their personality types and have found it very helpful.
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Overmedication is a very real problem in the U.S. That's thanks to Big Pharma and their lobbying influence. New "diseases" are created simply so that they can legally sell their product, since "only a drug [or surgery] may treat a disease."
And - yeah - there are people who could benefit from certain meds but don't get access to them.
Both of the above primarily stem from $$$ focus rather than a health focus.
On a different note: whatever happened to the soul (psyche) in psychology?
Which disease has been created so Big Pharma can sell their drugs?
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We now know that autism is a unique condition, and that people who have it fall along a spectrum. That's progress.
This sums up the entire problem. Change is not necessarily progress.
We do not know or understand that it is a spectrum. Psychologists are viewing it as if it were one. That the two get conflated is the entire problem with psychiatry.. There is nothing to indicate that current psychological theories are in any way more accurate than the previous ones.
We don't know what causes autism, we don't know what causes aspergers, so putting them together on the same "spectrum" because they have some behaviors in common is the equivalent of saying that sharks and dolphins must be closely related. Yes they have a few traits in common, but biology is a complex thing and has far more than one way to get the same result: there are lots of ways to wind up with a hairless cat.
Its one thing when its a party game mbjntncissvu but these decisions have serious consequences. 25% of boys meeting the standards for add is not an epidemic, it means that a good chunk of what people call add is really the brain working normally. You say there's a 10,000% increase in autism because you changed a definition and all of a sudden the anti vaxers don't look so crazy. People give this stuff a lot of legal power and its not nearly good enough to place that much trust in. At best, its providing precision with no way of testing accuracy.