Autism has been trending lately. A similar trend occurred with bipolar disorder; nearly 100% of people in rehabilitation clinics have this diagnosis. The most likely reason for this trend is insurance fraud. An insurance company will pay more to treat a suicidal bipolar autist then they will to treat an addict with a transient anxiety disorder.
Another factor is patient expectations. When a parent or patient pays for a psychiatrist, they expect a diagnosis. They don’t want to be told that they are normal and fine.
No. It’s actually really well documented why there’s been an increase.
Previously women were seen as less likely to be autistic and often considered for other diagnoses without considering autism. This was also the case for POC.
Secondly, until 2014 ADHD and autism were exclusive diagnoses - if you had one you couldn’t have the other. Now they have realized that they actually occur together naturally diagnoses for both have increased.
Asperger’s is no longer diagnosed in a lot of places (only since around 2015, depending on location) therefore these diagnoses are now joining autism diagnosis numbers.
Access to healthcare, more education, more research than ever before and an ever increasing understanding that autism can occur with or without a low IQ.
Naught to do with insurance and everything to do with fantastic people who have done a lot of research to deepen the understanding of autism and include previously excluded people in a diagnosis that has no exclusions (any colour, any gender, any IQ level, any culture, any age).
Or… Orrrrrr… They stopped throwing people that needed help into torture asylums and instead took time to understand and diagnose more than just the most obvious cases.
It’s possible, but the psychiatrist has a strong financial incentive to give a profitable diagnosis. Since there isn’t any consequences, why wouldn’t they? What do they care if their patient ties their identity to a lie or becomes addicted to amphetamine?
In what world is ADHD profitable? Those amphetamines are heavily and artificially limited so that a significant portion of patients that need it can’t get them. That’s not even mentioning the people who are taking them as a diet pill or using or as study aids. Wouldn’t those be far more profitable?
Have you actually been a parent paying for a psychiatrist? Because I have. This would be laughable if it weren’t so infuriating. You have no idea what you’re talking about, and I pity any children you might have.
While I don’t agree with the previous commenter’s views, really at all, Mad in America does great reporting. They also have lots of personal stories that you can read.
I invite you to expand your awareness beyond your personal experience with psychiatry and come back and tell me if you still don’t think there is abuse, negligence, and fraud in psychiatry:
And yes, every field has bad actors. Anecdotes are not evidence of widespread corruption and profiteering. I definitely don’t agree with everything that is posted there, but nonetheless there is still a treasure trove of information there to digest.
Do me a favor though, and let the personal stories, blogs, etc. paint a picture. Read until you can’t read anymore. Read from the various accredited people (e.g. psychiatrists) who write on or contribute to Mad in America. Hear what they have to say. Really dig deep into the documented systemic abuse that is written about in detail throughout that website. See the face of activism in psychiatry and mental health. Understand the horrors of forced medication, polypharmacy, involuntary commitment, misdiagnosis, potentially permanent and relatively common side effects (iatrogenic illness) no doctor is able to help with properly (like tardive dyskinesia or akathisia - look at videos of the two conditions, it’s heart-wrenching), and also the rampant sexual/other types of abuse in mental health institutions.
Psychiatry is in need of reform. But people need to stop targeting autism as the condition that gets over-diagnosed or misdiagnosed. All conditions are getting misdiagnosed and mistreated in certain cases. Focusing on just autism (and ADHD) is ignoring a huge part of the problem - which to your last point is that PSYCHIATRY needs reform - on all levels for all diagnoses and all the things you mention because there are so many issues.
It’s just “easy” to reduce it to autism and ADHD are being over-diagnosed because big pharma. It’s ignorant AF and peddling out the easy targeted rhetoric and misinformation only contributes to the issues that the whole health system has. It’s not a 2D picture, you got to look at every side to get any inkling of the full picture.
A lesson I learned recently is acceptance. Not everybody has the will or ability to see the full picture by themselves, and I certainly don’t believe I have the full picture as an outsider looking into to the system - with no medical training or formal education/experience working in mental health.
I believe that we have to all be compassionate and patient for the best outcome to emerge. Every moment can be a teaching moment for ourselves and others.
Of course, I recognize the harm in misinformation and the amount of effort it can take to challenge it. When we speak about topics we don’t know head from tail about, it does have the real potential to drown out the signal. I believe it has across our discussion forums and discourse as a whole.
It’s important to recognize that we live in a society though, and if more people calmly, succinctly (and with the best intentions) identified misinformation and gently corrected it - there would likely be a less chaos and confusion in our discourse. People have the potential to learn from our example and put the lessons we have learned into practice for themselves. This can scale up. Not everybody has to be 100% correct to be speaking to their truth or some truth. The commenter you are responding to is likely reacting to something and I believe it’s helpful to acknowledge their concern and direct it the best we can so they aren’t so confused.
I understand your frustration - I really, truly, do. Your feelings are valid. And to your other points, I am in agreement. Diagnosis is a complicated subject. There is a TON of nuance to explore in that topic. I’m a neurodiversity advocate and I am somebody who strongly believes in the benefits of diagnosis to those who willfully seek help and support.
I believe mental healthcare is a limited approach in the form that it is currently taking. It’s disconnected from society at large, it is disconnected from our communities, it has the potential to disconnect those treated from themselves. It is extremely costly to access in most cases - I don’t believe it’s healthy for society to put people in debt for wanting to heal and improve - to relieve their crisis. We need to approach it differently. We need to call upon those working in the field to acknowledge the collective trauma that very clearly exists in themselves, which most certainly affects the standard of care.
As I mentioned to another commenter who responded; please check out the Soteria House paradigm. They have done incredible work and I believe there are many lessons that we all can learn from that model of mental healthcare.
You’re very welcome! There have been many times that I have wished I was in the field transforming it from the inside, but since that doesn’t seem to be my path, I’m just doing my best to encourage others to see the truth for themselves. I’m raising my voice for those that suffer inside oppressive and tyrannical systems, while many willfully turn a blind eye - dismissing their voices and the voices of those that advocate for them.
I really want us as a society and global community to start looking at the iatrogenic damage that is a result of current and past prescribing practices. To see the mechanisms of damage, and truly help these individuals heal. I have read about the incredible struggles and healing journeys some individuals embark on to heal from this sort of damage - most times completely by themselves… I don’t believe that it’s healthy for society that individuals struggle so much to heal damage that was likely in conflict with the Hippocratic Oath from the very beginning.
If you haven’t already, check out the Soteria House model of mental health care! I feel that many of the answers we seek in regards to reform have already been discovered and proven. It just takes a willingness for us to admit the problem and work together to manifest the solution.
Autism has been trending lately. A similar trend occurred with bipolar disorder; nearly 100% of people in rehabilitation clinics have this diagnosis. The most likely reason for this trend is insurance fraud. An insurance company will pay more to treat a suicidal bipolar autist then they will to treat an addict with a transient anxiety disorder.
Another factor is patient expectations. When a parent or patient pays for a psychiatrist, they expect a diagnosis. They don’t want to be told that they are normal and fine.
No. It’s actually really well documented why there’s been an increase.
Previously women were seen as less likely to be autistic and often considered for other diagnoses without considering autism. This was also the case for POC.
Secondly, until 2014 ADHD and autism were exclusive diagnoses - if you had one you couldn’t have the other. Now they have realized that they actually occur together naturally diagnoses for both have increased.
Asperger’s is no longer diagnosed in a lot of places (only since around 2015, depending on location) therefore these diagnoses are now joining autism diagnosis numbers.
Access to healthcare, more education, more research than ever before and an ever increasing understanding that autism can occur with or without a low IQ.
Naught to do with insurance and everything to do with fantastic people who have done a lot of research to deepen the understanding of autism and include previously excluded people in a diagnosis that has no exclusions (any colour, any gender, any IQ level, any culture, any age).
Or… Orrrrrr… They stopped throwing people that needed help into torture asylums and instead took time to understand and diagnose more than just the most obvious cases.
It’s possible, but the psychiatrist has a strong financial incentive to give a profitable diagnosis. Since there isn’t any consequences, why wouldn’t they? What do they care if their patient ties their identity to a lie or becomes addicted to amphetamine?
You spoke about autism and bipolar. You don’t get amphetamines for either.
In what world is ADHD profitable? Those amphetamines are heavily and artificially limited so that a significant portion of patients that need it can’t get them. That’s not even mentioning the people who are taking them as a diet pill or using or as study aids. Wouldn’t those be far more profitable?
Have you actually been a parent paying for a psychiatrist? Because I have. This would be laughable if it weren’t so infuriating. You have no idea what you’re talking about, and I pity any children you might have.
While I don’t agree with the previous commenter’s views, really at all, Mad in America does great reporting. They also have lots of personal stories that you can read.
I invite you to expand your awareness beyond your personal experience with psychiatry and come back and tell me if you still don’t think there is abuse, negligence, and fraud in psychiatry:
https://www.madinamerica.com/
And yes, every field has bad actors. Anecdotes are not evidence of widespread corruption and profiteering. I definitely don’t agree with everything that is posted there, but nonetheless there is still a treasure trove of information there to digest.
Do me a favor though, and let the personal stories, blogs, etc. paint a picture. Read until you can’t read anymore. Read from the various accredited people (e.g. psychiatrists) who write on or contribute to Mad in America. Hear what they have to say. Really dig deep into the documented systemic abuse that is written about in detail throughout that website. See the face of activism in psychiatry and mental health. Understand the horrors of forced medication, polypharmacy, involuntary commitment, misdiagnosis, potentially permanent and relatively common side effects (iatrogenic illness) no doctor is able to help with properly (like tardive dyskinesia or akathisia - look at videos of the two conditions, it’s heart-wrenching), and also the rampant sexual/other types of abuse in mental health institutions.
Psychiatry is in dire need of complete reform.
Psychiatry is in need of reform. But people need to stop targeting autism as the condition that gets over-diagnosed or misdiagnosed. All conditions are getting misdiagnosed and mistreated in certain cases. Focusing on just autism (and ADHD) is ignoring a huge part of the problem - which to your last point is that PSYCHIATRY needs reform - on all levels for all diagnoses and all the things you mention because there are so many issues.
It’s just “easy” to reduce it to autism and ADHD are being over-diagnosed because big pharma. It’s ignorant AF and peddling out the easy targeted rhetoric and misinformation only contributes to the issues that the whole health system has. It’s not a 2D picture, you got to look at every side to get any inkling of the full picture.
A lesson I learned recently is acceptance. Not everybody has the will or ability to see the full picture by themselves, and I certainly don’t believe I have the full picture as an outsider looking into to the system - with no medical training or formal education/experience working in mental health.
I believe that we have to all be compassionate and patient for the best outcome to emerge. Every moment can be a teaching moment for ourselves and others.
Of course, I recognize the harm in misinformation and the amount of effort it can take to challenge it. When we speak about topics we don’t know head from tail about, it does have the real potential to drown out the signal. I believe it has across our discussion forums and discourse as a whole.
It’s important to recognize that we live in a society though, and if more people calmly, succinctly (and with the best intentions) identified misinformation and gently corrected it - there would likely be a less chaos and confusion in our discourse. People have the potential to learn from our example and put the lessons we have learned into practice for themselves. This can scale up. Not everybody has to be 100% correct to be speaking to their truth or some truth. The commenter you are responding to is likely reacting to something and I believe it’s helpful to acknowledge their concern and direct it the best we can so they aren’t so confused.
I understand your frustration - I really, truly, do. Your feelings are valid. And to your other points, I am in agreement. Diagnosis is a complicated subject. There is a TON of nuance to explore in that topic. I’m a neurodiversity advocate and I am somebody who strongly believes in the benefits of diagnosis to those who willfully seek help and support.
I believe mental healthcare is a limited approach in the form that it is currently taking. It’s disconnected from society at large, it is disconnected from our communities, it has the potential to disconnect those treated from themselves. It is extremely costly to access in most cases - I don’t believe it’s healthy for society to put people in debt for wanting to heal and improve - to relieve their crisis. We need to approach it differently. We need to call upon those working in the field to acknowledge the collective trauma that very clearly exists in themselves, which most certainly affects the standard of care.
As I mentioned to another commenter who responded; please check out the Soteria House paradigm. They have done incredible work and I believe there are many lessons that we all can learn from that model of mental healthcare.
Thanks for engaging! I hope I was of service.
Couldn’t have said it better myself. Thank you.
You’re very welcome! There have been many times that I have wished I was in the field transforming it from the inside, but since that doesn’t seem to be my path, I’m just doing my best to encourage others to see the truth for themselves. I’m raising my voice for those that suffer inside oppressive and tyrannical systems, while many willfully turn a blind eye - dismissing their voices and the voices of those that advocate for them.
I really want us as a society and global community to start looking at the iatrogenic damage that is a result of current and past prescribing practices. To see the mechanisms of damage, and truly help these individuals heal. I have read about the incredible struggles and healing journeys some individuals embark on to heal from this sort of damage - most times completely by themselves… I don’t believe that it’s healthy for society that individuals struggle so much to heal damage that was likely in conflict with the Hippocratic Oath from the very beginning.
If you haven’t already, check out the Soteria House model of mental health care! I feel that many of the answers we seek in regards to reform have already been discovered and proven. It just takes a willingness for us to admit the problem and work together to manifest the solution.