Hi.
My name is Tammy Fletcher. I'm a licensed marriage and family therapist here in California. Now I want to talk about stigma as related to mental illness.
Recently, on the internet, on a website called time.com (related to Time - the famous magazine) there was an article titled "Re-defining Crazy". That article appeared and people reading it got really upset - they felt insulted*. In this vlog, I want to talk a little about the reason why.
We respect that way-**
My belief is that as therapists, our job sometimes includes helping people understand mental illness. Meaning, you know our society and our culture uses words that can have a negative effect on people who really experience mental problems. Words like "bipolar", "schizo", "crazy" that we use in a negative way. That causes*** people struggling with mental problems to feel stigmatized and negative, like people are looking at them in a negative way.
That article focused on a book that we use - it's for therapists and psychiatrists - called the DSM (That stands for Diagnostic and Statistical Manual of Mental Disorders - she shows a copy of the book). That's my copy of the book. It can be very useful. It lists many different problems, including sexual problems, mental retardation, autism, eating disorders, schizophrenia, depression, anxiety, this list goes on and on. There are hundreds on the list. Some are lighter, mild problems, and others are very serious. They're all included in the DSM.
So the DSM has been in use all this time. Next year (2013) we're going to have a new version of the book. Now psychiatrists and psychologists as a group are discussing what's going to be included in the new version.
That was discussed in the article, but the article missed the point. First, "Redefining Crazy" was a horribly negative title. Also, in the article, the writer was somewhat insulting, using language that looked down on people who struggle with mental illness. For example, there's a problem called dermatillomania which means that you continuously pick at your skin - and it's a serious problem: I've seen several clients really struggle with it. ****The article trivialized it and called it a 'reality show problem'. Many people were upset to read that kind of thing!
This book, the DSM, is important for several reasons. First we use it to research different problems people experience. How do we find out what they have? How do we help them improve? It's all in the same language, that we can all understand.
Second, and also very important, if you want to go to therapy or see a psychiatrist, and use your insurance to pay for the visit, the DMA shows the therapist what number they need to use for the diagnosis. They get the number from the list in the book and give it to your insurance company. They can accept or reject the insurance claim: if they accept it means they'll pay. Then the therapist has to continue to update your insurance company, let them know what's happening with your diagnosis.
So there are several reasons why it's important to have the DSM. It's a good, helpful book. At the same time, as a therapist I feel like there's a weakness to using any book, really. If a person comes to me, that's a person, not just words out of a book. I need to use the book, and you can, but still you have to analyze, get to know the person, interact, understand what's really going on. You can't just sign off and that's it. You have to analyze each person, the individual, their specific personality. That will help them get better.
I think the most important problem in that article is that people who experience mental health problems, they already feel awkward and ashamed and embarrassed. Maybe they don't understand what they're experiencing. Then they go to time.com (face emphasizing its association with the famous magazine) and they respect what's written there, but the information there is really questionable. It's not supportive, it's not right, and it's very negative. It can make you feel worse: more negative, more embarrassed about yourself, and then you struggle with that. Maybe you end up resisting seeking therapy. That's not good. If a person struggles with a mental illness, it's important that they go ahead and look for help, so they can feel better.
That's my main problem with the article. People already feeling embarrassed about their mental health problems, and this is making it worse. It's important to know, when you read an article, wherever it is, remember that it might not always be right. On the internet, in a book, whatever. It's ok to take information from it to use, but remember that each person is different. You have to analyze the whole person, not just words in a book.
If you yourself feel like you need some support for your mental health, go ahead and look for support. I'm including some good websites below. Look them over and check them out. The information is very dependable. Nothing negative or stigmatizing. It's more "Oh! that makes sense!" It's more supportive, positive, and hopeful.
Thank you all for watching. I'll see you next time, in the next video. If you feel like you want to add some comments below, you're welcome to do that.