Yeh thats why diagnosticians are taught to use clinical judgement and not use the diagnostic criteria as a checkbox.
Hence the years of training on interview technique (assuming the symtpom , open ended etc) and thousands of patient encounters.
You dont fill out a dsm form and send it to the dsm police when you diagnose someone , you do an in depth interview and take into account the entire case and the patient as a whole. You get collateral. You examine if subjective and objective line up and if its causing dysfunction or damage to the persons well being.
No ones out their trying to "gotcha" people into a diagnosis if the treatment would be of no utility.
A broken medical system with poor incentives isnt psychiatrys fault , they use the same criteria in countries that sont have for profit healthcare systems, the criteria werent designed to buttress US inpatient hospital numbers , insurance companies and governments dont want to pay for that and have a lot more money and power than all thr psychiatrists combined.
Yeh thats why diagnosticians are taught to use clinical judgement and not use the diagnostic criteria as a checkbox.
Hence the years of training on interview technique (assuming the symtpom , open ended etc) and thousands of patient encounters.
You dont fill out a dsm form and send it to the dsm police when you diagnose someone , you do an in depth interview and take into account the entire case and the patient as a whole. You get collateral. You examine if subjective and objective line up and if its causing dysfunction or damage to the persons well being.
No ones out their trying to "gotcha" people into a diagnosis if the treatment would be of no utility.
A broken medical system with poor incentives isnt psychiatrys fault , they use the same criteria in countries that sont have for profit healthcare systems, the criteria werent designed to buttress US inpatient hospital numbers , insurance companies and governments dont want to pay for that and have a lot more money and power than all thr psychiatrists combined.