Tag Archives: Gary Greenberg

Fox News: A psychiatrist tells the truth— it’s OK not to be ‘normal’

When Mark Twain’s hero Huckleberry Finn was forced to study spelling for an hour every day, he said, “I couldn’t stand it much longer. It was deadly dull, and I was fidgety.” His teacher, Miss Watson, threatened him with eternal damnation if he didn’t pay attention. Huck admits it didn’t seem like such a bad alternative. “But I didn’t mean no harm. All I wanted was to go somewheres; all I wanted was a change, I warn’t particular.”

If that had happened today, Huck would have been diagnosed as ADHD, put on Adderall, and forced to attend school, while the book about his adventures would never have been written.

The American Psychiatric Association invented the term “ADHD” in 1980 to give kids with hyperactivity, impulsivity, short attention span and easy distractibility a diagnosis.

Who would have thought that 28 years later, the National Center for Health Statistics would report that over 5 million American kids (8 percent) between the ages of 3-17 would receive this diagnosis? That’s 1 out of 12, with about half of those on medication.

The New York Times on Psychiatric Disorders, “Not Diseases, but Categories of Suffering”

YOU’VE got to feel sorry for the American Psychiatric Association, at least for a moment. Its members proposed a change to the definition of autism in the fifth edition of their Diagnostic and Statistical Manual of Mental Disorders, one that would eliminate the separate category of Asperger syndrome in 2013. And the next thing they knew, a prominent psychiatrist was quoted in a front-page article in this paper saying the result would be fewer diagnoses, which would mean fewer troubled children eligible for services like special education and disability payments.

Then, just a few days later, another front-pager featured a pair of equally prominent experts explaining their smackdown of the A.P.A.’s proposal to eliminate the “bereavement exclusion” — the two months granted the grieving before their mourning can be classified as “major” depression. This time, the problem was that the move would raise the numbers of people with the diagnosis, increasing health care costs and the use of already pervasive mind-altering drugs, as well as pathologizing a normal life experience.

Fewer patients, more patients: the A.P.A. just can’t win. Someone is always mad at it for its diagnostic manual.

Profiting from mental ill-health

There’s a reason psychiatrists prescribe drugs rather than talking therapy: the latter makes no money for pharmaceutical firms. The New York Times recently led with a front-page splash about psychiatry’s propensity to prescribe pills, “Talk Doesn’t Pay, So Psychiatry Turns Instead to Drug Therapy”. That news is already widely known in the mental health field, but it has vast ramifications for Americans trying to maintain their sanity in our market-driven and medical system for delivering mental healthcare. What does the turn to drug therapy mean for the mass of Americans?