> Nancy Gish wrote:
> I don't know about DSM-IV, but DSM-V is about to come out. I think
> all the categories suspect. And a worse thing is that as far as I can
> see most psychiatrists are now not doing therapy but just acting as
> dispensers of medications.
Agreed on all counts. I rather doubt that _any_ of the current diagnoses
will survive. It is even possible that _all_ mental illnesses are
variations on the 'same' one. It is also possible that all the major
current ones will be split up, recombined, who konws. And yes, most
psycihiatrists do as you say. The best bet is a therapist, but
therapists vary wildly (a) in basic competence and (b) in whether they
'fit' a given patient. The same therapist can be wonderful for one
patient, poison for another. I think if a person is _really_ lucky and
finds a really good psycholotist, the best bet may be to discuss meds
with him/her, then have them prescribed by one's own pysician, saving
thousands of dollars that way. At the end, before I dropped him, my
psychiatrist was charging $100 for a 5 to 10 minute session. How are
you, do you need a renewal.
A med (an old one, amitrityline) really helped me around 1984, then for
years I took SSRIs, which do help many people, and did nothing for my
most commone symptoms, which were not 'plain vanilla' depression but
pathological procrastination & anxiety. So finally I got wise and
dropped him. I still see a therapist every 4 weeks. That doesn't 'do'
anything but it helps me keep tabs on myself.
I rather suspect that "paranoid schizophrenia" has as its sole location
crime fiction. I've known, or known the relatives/friends of a number of
people suffering from schizophrenia. None were paranoid, all knew damn
well they were sick.
> >>> Carrol Cox <[log in to unmask]> 02/10/10 4:16 PM >>>
> Diana Manister wrote:
> > Dear Nancy,
> > My comment on paranoid schizophrenia was off-topic. Prufrock is not
> > psychotic, obviously.
> I haven't checked, but is "paranoid schizophredia" in the current
> diagnostic manual?
> And incidentally, those who suffer from schizophrenia are said to
> suffer from a cognitive disorder. One speaks of "psychotic" _symptoms_
> but not ordinarily of "psychoses" as the name of a syndrome. There are
> other vaarieties of mental illness that can, in some, generate
> symptoms (usually hearing voices." And the patient does not _always_
> believe his/her symptoms are "real," but despite t that knowledge has
> difficuolt time resisting the voices. I had an acquaintance with a
> woman who suffered both from defective hearing _and_ from (I forget
> exact name now) schizoid affective disorder: i.e., she wasn't
> "schizophreic" but she did have psychotic symptoms, namely voices that
> told her how worthless she was. That she was extremely hard of hearing
> greatly complicatted her state. It is true that schizophrenic patients
> have great difficulty in separateing reality from 'unreality,' but it
> not true that ehy always or evn usually do. And of course symptoms
> from patient to patient.
> All psychiatric diagnoeses remain suspect pending further research.