#psychiatric-nosology

#psychiatric-nosology

The Missing Social Unit From middle school onward, American children don't belong to a "class" in any stable sense. They move continuously - subject to subject, room to room, teacher to teacher. There's extensive discourse around respect, equity, and inclusion. But there's remarkably little structured attention to the actual social life of any group. Because there isn't really a group.

The movie opens with a brief prologue. A family is driving at night. They hit something on the road, which turns out to be a dog, and the dog dies. The daughter in the back seat is visibly upset. The mother consoles her by saying, "It was just an accident-Dad didn't do it on purpose." Then the title appears, and the main story begins.

Postpartum psychosis often strikes women with no history of mental illness, who in the weeks after giving birth are seized by paranoia or delusions. Emily Sliwinski got home from the hospital after giving birth to her first child three years ago, and almost immediately began spiraling. Her thoughts raced; she was unable to sleep; she began hallucinating that her dog was speaking to her. She became obsessed with solving the national shortage of infant formula, covering a corkboard with notes and ideas.

Yes, there has been a shocking lack of progress in developing transformative psychiatric medicine (We need new drugs for mental ill-health, 5 February), but this may be because in mental health, drugs are not always the answer (see, for example, Richard P Bentall's Doctoring the Mind). Huge progress has been made in the effectiveness of talking therapies for example, free effective treatment for post-traumatic stress disorder (PTSD) is available to all UK army veterans through the charity PTSD Resolution.

Every day, many thousands of parents across the U.S. face the difficult question of whether to place their child or teenager on a psychotropic medication. Receiving a diagnosis of a mental disorder can be scary and confusing, for the youth as well as their parents/caretakers. What is ADHD? Depression? Anxiety? OCD? Bipolar? What are the available treatments? Do we have to use medications to treat the symptoms?

They arrive on time, think clearly, and care about their clients. Outwardly, everything seems fine. In private, though, things can feel very different. A clinician's depression may not show up as clear despair. More often, it feels like emotional numbness, quietly withdrawing, or slowly losing interest in things that once mattered. Pleasure fades, curiosity lessens, and the work goes on, but it feels heavier and less alive.