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Therapy in a Nutshell

Diagnosis Creep

Therapy in a Nutshell

Therapy in a Nutshell -Emma McAdam

Mental Health, Education, Health & Fitness:mental Health, Self-improvement, Health & Fitness

4.8658 Ratings

🗓️ 12 September 2024

⏱️ 8 minutes

🧾️ Download transcript

Summary

You may have noticed that there’s an upswing in people identifying with mental health diagnoses lately. Here’s my take on this, I think there are 4 reasons. The first is what I’m going to call Diagnosis Creep. People are using clinical terms much more broadly than was intended in the past. You’ll see this when people say “I’m so OCD” or “I’m so ADD”. Or when you watch a video that talks about “High Functioning Depression” or “High Functioning Anxiety”. But, for a clinical diagnosis, with PTSD, Depression or Anxiety, the diagnostic requirements say “The symptoms cause clinically significant distress or impairment in… functioning.” Many people can experience traits of these diagnostic labels, but often not meet formal criteria for them when professionally evaluated. In the past terms like Depression, Anxiety, ADHD, and Trauma were used to describe a small percent of the population- maybe less than 5%, and it included the most severe forms that impaired functioning. But now people are casually using them to describe a much broader segment, maybe 30+% of people. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.com Support my mission on Patreon: https://www.patreon.com/therapyinanutshell Sign up for my newsletter: https://www.therapyinanutshell.com Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/best-self-help-books  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger Institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome back to another episode of the Therapy in a Nutshell podcast. I'm Emma McAdam and I'm a licensed marriage and family therapist.

0:09.1

And this podcast is all about taking the life-changing, but usually kind of complicated topics of therapy and boiling them down into simple, easy-to-understand concepts that you can use in your daily life.

0:20.8

If you find today's episode is helpful to you, please pass it on to you can use in your daily life. If you find today's

0:21.7

episode is helpful to you, please pass it on to someone else who could benefit from it as well.

0:25.9

Each podcast episode comes from a corresponding video you can find on the Therapy in a Nutshell

0:30.3

YouTube channel. Also, these podcasts are educational and don't replace the advice or direction

0:35.1

you may be receiving from a therapist or other health professionals.

0:38.5

Now please, enjoy the episode.

0:40.9

I think there's four reasons why more people than ever are getting diagnosed with mental illness.

0:44.6

The first one is what I'm going to call diagnosis creep.

0:47.6

So people are using clinical terms much more broadly than was intended in the past or in the diagnostic manuals.

0:53.8

So you'll see this when people say, I'm so OCD or I'm so ADD,

0:58.0

or when you watch a video that talks about high functioning depression or high functioning anxiety.

1:03.0

But for a clinical diagnosis with PTSD depression anxiety, the requirements say

1:08.0

these symptoms cause clinically significant distress or impairment in functioning.

1:13.3

So many people can experience traits of these diagnostic labels, but often not meet formal

1:19.6

criteria for them when professionally evaluated. So in the past, terms like depression,

1:25.2

anxiety, ADHD, and trauma were used to describe a very small percent of the population, maybe less than 5 percent,

1:32.3

and it only included the most severe forms that impaired functioning.

1:36.3

But now people are casually using them to describe a much broader segment, maybe 30 percent or more, of people. It's really easy to see diagnosis creep

1:46.0

with the label of narcissism, for example. So my colleague Nevin runs a marriage therapy clinic

1:51.0

and says that 45% of couples who come in have been told by friends or YouTube videos

...

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