Yeah, my guess is that this post is implying the typical case - it wasn’t disrupting grades specifically, so it wasn’t diagnosed. You may have gotten those grades by staying up until 3am as a child, lying to get out of forgotten homework, had more injuries, pushed through work by building up a healthy reserve of depression and anxiety, struggled socially because you couldn’t prioritize both school and socials or because you couldn’t connect with most other people because of your way of talking, been horribly forgetful, etc. but because grades number stays high, nothing is wrong. It’s easy for people to see grades as the metric for mental wellness which is wild
Yeah nobody else is mentally well either and we all have our coping mechanisms for this world.
This is basically keeping up with the Jones’s but using “happiness” as a grading curve for your life.
People are not superheroes or magical beings above all the downs we share. Hell most of the upper class are busy abusing drugs just as much from their burnout and depression. But someone might have been more social and smart and thus you are somehow less than them? Meh. And Nah.
You can pretend that clinical significance is the gold standard measure of disability if you like, but you should recognize that you leave a MASSIVE gap in your effectiveness both as a diagnostician and a practitioner if you neglect all the masking your client has been doing to deal with everybody’s demands their whole life. Seeing that bias in someone pretending to treat me would be enough reason for me to walk out of the appointment and schedule with someone more capable and knowledgeable.
Sounds like you just want someone to “fix” the things you don’t like then. Not that they are truly disabilities nor not disappointing issues but it seems you more want someone to “fix” everyone else, or pretend it’s possible to fix you because of a lack of easiness.
You want someone to already agree with you so you can feel better. That’s not professional help that’s just a sweet lie to tell yourself.
I’m neither a diagnostician nor a provider and I don’t pretend to be one. I’m just a nurse. That’s one of many things people seem to ascribe to me. I will say however, something needs to be disabling for it to be a disability.
The equivalence of what you’re saying is that if everything contained lactose and just because Phil, with his lactose-intolerance, is always able to make it to the toilet in time, he shouldn’t need lactase supplements or a special diet.
Lactose intolerance is actually a very good example. The level of lactase production varies significantly among the population. Different people will find different amounts of lactose as interfering with their ADLs. There’s generally a point where too much milk or cheese will cause you to have gas and visit the bathroom within an hour. This is called clinical significance. If they don’t have enough clinical significance, it’s pointless to diagnose them with lactose intolerance.
Although I agree with the facts, binary „diagnosing“ isnt the only way to go about your life. You, your parents and your doctor can make decisions without a piece of paper. The problem here to me seems to be that „you‘re not diagnosed so you dont have it“ has been a valid strategy for too long and needs to go already. Seeing that your child (eg) shows signs of autism doesnt mean you need to put them in special everything but people are rightly pissed that they have suffered irreperable damage to their bodies for self medicating an issue that could have been mitigated if not soved, were our society able to accept imperfection and not reinforce stereotypes at every turn.
That’s literally correct for ADHD, yeah - the diagnostic criteria for it is all stuff like “patient says they have difficulty organizing tasks”, which, naturally, depends a lot on what kind of tasks they’re doing.
That’s why ADHD is very common in concentration-requiring professions like software engineering (naively you’d expect the opposite) - there’s people with “undiagnosed ADHD” (low concentration) everywhere, but if you’re in a profession like that you are much more likely to have it impact your job, and go to a doctor, and get a diagnosis and a prescription of Adderall or some other kind of amphetamine.
To have a disorder it has to interfere with your activities of daily living. If it doesn’t you don’t have one.
Yeah, my guess is that this post is implying the typical case - it wasn’t disrupting grades specifically, so it wasn’t diagnosed. You may have gotten those grades by staying up until 3am as a child, lying to get out of forgotten homework, had more injuries, pushed through work by building up a healthy reserve of depression and anxiety, struggled socially because you couldn’t prioritize both school and socials or because you couldn’t connect with most other people because of your way of talking, been horribly forgetful, etc. but because grades number stays high, nothing is wrong. It’s easy for people to see grades as the metric for mental wellness which is wild
Yeah nobody else is mentally well either and we all have our coping mechanisms for this world.
This is basically keeping up with the Jones’s but using “happiness” as a grading curve for your life.
People are not superheroes or magical beings above all the downs we share. Hell most of the upper class are busy abusing drugs just as much from their burnout and depression. But someone might have been more social and smart and thus you are somehow less than them? Meh. And Nah.
You can pretend that clinical significance is the gold standard measure of disability if you like, but you should recognize that you leave a MASSIVE gap in your effectiveness both as a diagnostician and a practitioner if you neglect all the masking your client has been doing to deal with everybody’s demands their whole life. Seeing that bias in someone pretending to treat me would be enough reason for me to walk out of the appointment and schedule with someone more capable and knowledgeable.
Sounds like you just want someone to “fix” the things you don’t like then. Not that they are truly disabilities nor not disappointing issues but it seems you more want someone to “fix” everyone else, or pretend it’s possible to fix you because of a lack of easiness.
You want someone to already agree with you so you can feel better. That’s not professional help that’s just a sweet lie to tell yourself.
I’m neither a diagnostician nor a provider and I don’t pretend to be one. I’m just a nurse. That’s one of many things people seem to ascribe to me. I will say however, something needs to be disabling for it to be a disability.
The equivalence of what you’re saying is that if everything contained lactose and just because Phil, with his lactose-intolerance, is always able to make it to the toilet in time, he shouldn’t need lactase supplements or a special diet.
Lactose intolerance is actually a very good example. The level of lactase production varies significantly among the population. Different people will find different amounts of lactose as interfering with their ADLs. There’s generally a point where too much milk or cheese will cause you to have gas and visit the bathroom within an hour. This is called clinical significance. If they don’t have enough clinical significance, it’s pointless to diagnose them with lactose intolerance.
Although I agree with the facts, binary „diagnosing“ isnt the only way to go about your life. You, your parents and your doctor can make decisions without a piece of paper. The problem here to me seems to be that „you‘re not diagnosed so you dont have it“ has been a valid strategy for too long and needs to go already. Seeing that your child (eg) shows signs of autism doesnt mean you need to put them in special everything but people are rightly pissed that they have suffered irreperable damage to their bodies for self medicating an issue that could have been mitigated if not soved, were our society able to accept imperfection and not reinforce stereotypes at every turn.
You can and should use nonmedicalized strategies for something that’s subclinical. That was my point. A disorder is a medical diagnosis.
That’s literally correct for ADHD, yeah - the diagnostic criteria for it is all stuff like “patient says they have difficulty organizing tasks”, which, naturally, depends a lot on what kind of tasks they’re doing.
That’s why ADHD is very common in concentration-requiring professions like software engineering (naively you’d expect the opposite) - there’s people with “undiagnosed ADHD” (low concentration) everywhere, but if you’re in a profession like that you are much more likely to have it impact your job, and go to a doctor, and get a diagnosis and a prescription of Adderall or some other kind of amphetamine.