Posted by KaylaBear on January 15, 2010, at 22:03:46
In reply to Re: Blueaberry Please come back » janejane, posted by Phillipa on January 14, 2010, at 20:09:48
The DSM was created for the military years ago and is basically just a classification of symptoms. It does not help identify the underlying causes of depression, anxiety, or TRD. Most psychiatrists seem to be trained to treat symptoms. Hopefully understanding potential underlying causes of depression and anxiety can bring new awareness to some who are suffering from TRD.
I posted the wrong article-this is the article I meant to post:
What may I have been misdiagnosed with?
Renowned traumatologist, John Briere, is said to have quipped that if Complex PTSD were ever given its due that is, if the role of dysfunctional parenting in adult psychological disorders was ever fully recognized, the DSM [The Diagnostic and Statistical Manual of Mental Disorders used by all mental health professionals] would shrink to the size of a thin pamphlet. It currently resembles a large dictionary. In my experience, many clients with Complex PTSD have been misdiagnosed with various anxiety and depressive disorders, as well as bipolar, narcissistic, codependent and borderline disorders. Further confusion arises in the case of ADHD [Attention Deficit Hyperactive Disorder], as well as obsessive/compulsive disorder, which is sometimes more accurately described as an excessive, fixated flight response to trauma. This is also true of ADD [Attention Deficit Disorder] and some dissociative disorders which are similarly excessive, fixated freeze responses to trauma. [See my article A Trauma Typology.]
This is not to say that those so diagnosed do not have issues that are similar and correlative with said disorders, but that these labels are incomplete and unnecessarily shaming descriptions of what the client is afflicted with. Calling complex PTSD panic disorder is like calling food allergies chronically itchy eyes; over-focusing treatment on the symptoms of panic in the former case and eye health in the latter does little to get at root causes. Feelings of panic or itchiness in the eyes can be masked with medication, but all the other associated problems that cause these symptoms will remain untreated. Moreover most of the diagnoses mentioned above imply deep innate characterological defects rather than the learned maladaptations to stress that children of trauma are forced to make adaptations, once again that were learned and can therefore usually be extinguished and replaced with more functional adaptations to stress.
In this vein, I believe that many substance and process addictions also begin as misguided, maladaptations to parental abuse and abandonment early adaptations that are attempts to soothe and distract from the mental and emotional pain of complex PTSD.
poster:KaylaBear
thread:933246
URL: http://www.dr-bob.org/babble/20100113/msgs/933859.html