Mental Disorder Guideline Expansion Worries Psychiatrists

ADHD can start as early as age 4, doctors say.

Efforts to expand the definition of a mental disorder have been met with opposition by healthcare professionals in the United States and the United Kingdom, Bloomberg reported Tuesday. Practitioners are concerned that the update to the industry’s official guidelines will increase the number of patients on prescription drugs.

The Diagnostic and Statistical Manual of Mental Disorders is healthcare’s standard for how patients are diagnosed and treated for mental illnesses, and helps determine whether insurers will pay for their care. The American Psychiatric Association’s changes to the guide would give broader criteria for diagnosing existing ailments such as ADHD and give “mental disorder” status to behaviors like frequent temper tantrums and lack of sexual arousal.

These changes, which are scheduled to be published next year, have many psychiatrists worried that people with relatively common behaviors will be given unneeded drugs.

“Everyday disappointments, sufferings and eccentricities are being redefined as psychiatric disorders, and that could lead to medication treatment,” said psychiatrist Allen Frances, an emeritus professor at Duke University who helped write the current guide. “This is expanding the boundaries of psychiatry.”

Darrel Regier, research director for the American Psychiatric Association, defended the group’s changes to the guide and criticized detractors as “unconvinced medical treatment is better than counseling.” “[The concept of] medicalizing normality comes from a perspective that there are no psychiatric disorders, and you need to avoid stigmatizing people by giving them one,” Regier told Bloomberg. A letter of protest was signed by more than 10,800 people—including psychologists, psychiatrists and counselors—and sent to the psychiatric group. A similar letter circulated in the U.K. and was signed by units of the British Psychological Association. The changes to the manual are currently being reviewed by a panel of experts from 90 universities worldwide. The new addition is set to be published in May of next year, Bloomberg said.
1 2 Next
Print Article