Does everybody get diagnosed anymore?

[somerandomguy]

Also worth noting that criteria A in the ICD-10 (which is what is used in the UK) is worded differently than it is in the DSM

Ah great! I knew the UK wouldn't use the DSM but I had no idea what they use. Thanks!

 

[Friday]

ICD10 PTSD – ESTSS
Which, while not quite as tightly worded, Is still not the same as saying it can be

One of the things I love about the ICD definition is below

which is likely to cause pervasive distress in almost anyone

It totally cuts through all of the people react differently, the death of a Goldfish could be hugely distressing to some people!!! Special snowflake BS we see over here, by people attempting to criterion creep.

Sure... some people are going to experience pervasive distress at the loss of their goldfish, or stubbing a toe, (and, yes, one is undoubtedly looking at some kind of mental sickness or brain injury in those cases) ...but... a bomb exploding across the street, their children burning alive in a housefire, being raped, being kidnapped, being tortured, being trapped in rubble post earthquake, watching children be raped, sold, your fiancé -or total stranger- bleeding out through your hands in a car crash, etc.? Is likely to cause pervasive distress in almost anyone.

 

[Gs172003]

I didn't find the article that named the overwhelming circumstances again. I figured these would suffice.
The first one I didnt mean to link. Sorry you all.

I'm sorry it didn't say overwhelming it said anything someone finds traumatic, my mistake.
Post-traumatic stress disorder (PTSD)

 

[EveHarrington]

IIRC you had an abusive relationship, so isn’t that a qualifying trauma?

 

[digger]

I'm sorry it didn't say overwhelming it said anything someone finds traumatic, my mistake.
Post-traumatic stress disorder (PTSD)

So on that link, that section contains a link to find out more about causes where it expands a bit more on what can and can't cause PTSD.

I do personally find the NHS website lacking at times in that it tends to dumb things down somewhat, but it's important to remember that it's not a diagnostic tool, it is there to provide 'in a nutshell' type information to people, either for them to then go see a professional about, or as extra reading material if that's something that a professional may be looking into with you.

Some parts do better than others, but UK mental health services are pretty inadequate across the board. If you're not in an acute crisis, waiting times to see a mental health practitioner can be lengthy, getting seen by an actual psychiatrist often won't happen at all for many people. I think a lot of people here will probably be more likely to receive their diagnosis from a GP or counsellor/therapist. The guidelines are still pretty clear though and I don't think the problem here is particularly one of over-diagnosis. What I do think probably happens a lot here could be self diagnosis through lack of access to appropriate professionals.

 

[Gs172003]

I just found a new one. Lord.

Post-Traumatic Stress Disorder


According to this verbal abuse counts. Does it?

 

[siniang]

I just found a new one. Lord.

Post-Traumatic Stress Disorder


According to this verbal abuse counts. Does it?

Not sure (I totally might be wrong, please correct me if so), but wouldn't that go more in the direction of CPTSD?

That is something that I actually see frequently, that PTSD and C-PTSD are lumped together (probably mostly because, at least in the US, C-PTSD isn't recognized, yet) while the respective traumatic experiences are quite different. See the part on C-PTSD further down in the article.

Personally, I wouldn't see why continuous verbal abuse (in children) wouldn't count, but physical would.

 

[Gs172003]

Not sure (I totally might be wrong, please correct me if so), but wouldn't that go more in the direction of CPTSD?

That is something that I actually see frequently, that PTSD and C-PTSD are lumped together (probably mostly because, at least in the US, C-PTSD isn't recognized, yet) while the respective traumatic experiences are quite different. See the part on C-PTSD further down in the article.

Personally, I wouldn't see why continuous verbal abuse (in children) wouldn't count, but physical would.

My understanding is cptsd means on going trauma, PTSD is usually one time. I could be very wrong though.

 

[siniang]

My understanding is cptsd means on going trauma, PTSD is usually one time. I could be very wrong though.

That is my understanding, too. But I do think (again, might be wrong!) that C-PTSD includes things that are not part of Criterion A for "standard" PTSD.

Since no official "C-PTSD" diagnosis exists at least in the US, you often see the different traumata lumped together. Since the article particularly specifies physical and verbal abuse in children (as a qualifying trauma), it read to me more as "continuous", despite this not explicitly written there. -> C-PTSD.

I agree with you that a one-time verbal abuse should not qualify as Criterion A trauma as I don't think that most people would experience that as traumatic

 

[Gs172003]

It didn't just say for children...

"

• Survivors of violent acts, such as domestic violence, rape, sexual, physical and/or verbal abuse or physical attacks."

 

[TheTwinlessTwin]

If _______ might kill, maim, or sexually assault you, or someone you care about, exposure to it could possibly cause issues such as adjustment disorders, anxiety disorders, PTSD, or normal human responses that don't warrant a clinical diagnosis that dilutes actual pathological disorders.


Verbal abuse is such a vague term that it could be correlated to almost anything. What exactly constitutes "verbal abuse"?


CPTSD is not officially recognized anywhere in professional, peer-reviewed groups. It's more the freudian, psychoanalysis make-stuff-up-as-we-go types. Nothing is falsifiable, no definitions of terms, and all sources are valid. ICD has a chronic PTSD subtype but that has nothing to do with repeated exposure, it's refering to the duration of symptoms.


Children are more likely to percieve something as life threatening when it is not actually life threatening. Yelling and aggression can traumatize them more because of the percieved threat. Neglect also plays a role. As a dependent not being able to rely on your caregivers can be a death sentence.


If the kid isn't neglected or in fear for their safety then repeated "verbal abuse" will not do much. They will adapt to it and move on with their life.

 

[siniang]

It didn't just say for children...

"

• Survivors of violent acts, such as domestic violence, rape, sexual, physical and/or verbal abuse or physical attacks."

Mea culpa, I totally missed that part!!! ?? So much for reading attentively. Oops.

Yes, I agree with you. I still can't shake the feeling that they're hinting at C-PTSD and just mixing up things, but the way it's presented here is not Criterion A, as I understand it