I seem to recall something like 30% of the adult American population being in therapy or having been recently. That’s not a majority, but it’s pretty substantial, and they didn’t get there by magic.
seem to recall something like 30% of the adult American population being in therapy or having been recently.
My impression is that mostly involves people going to their doctor and saying “Doctor, I feel horrible!”. And the good doctor says “Sure, try these antidepressants!” (yes, I know I’m exaggerating).
That’s a different thing from “Doctor, I believe I’m mentally ill”.
Depression is a mental illness. You might not go to the doctor and ask about depression (though I doubt this is anywhere near as uncommon as you’re making it out to be), but going to the doctor and saying “Doc, I can’t sleep, feel sad all the time, everything I do seems pointless, etc.” is as much asking for a consultation on mental illness as “Doc, I’ve got this nasty bullseye-shaped rash on my leg and I’ve got a fever and a bad headache” is asking for a consultation on Lyme disease.
The standards of diagnosis might not be as rigorous, but that’s a separate issue.
“Doctor, I can’t sleep!” “Here, take this Ambien.” “Ambien scares the crap out of me; it makes my friend call me up late at night and ramble incoherently at me, and I’ve heard it makes people have sex and forget it happened.” “Eh. Take it anyway, that doesn’t happen to most people.”
“Doctor, I still can’t sleep, I worry all the time, and it’s wrecking my motivation at work. And the Ambien works, but it makes me trip out more than I probably should most nights.” “You have an anxiety disorder. Here, go to this psychiatrist, Doctor #2. And don’t take so much Ambien.”
“Doctor #2, I can’t sleep, I worry all the time, and it’s wrecking my motivation at work. Oh, and Ambien makes me trip out before I fall asleep.” “You have anxiety and depression. Here, take these antidepressants, and these benzodiazepines if you need them, plus these folates and vitamin D … oh, and replace that Ambien with this Lunesta, and come back every week. And let’s talk about the work situation, something’s messed up there …”
Anecdotal, sure; and pretty recent. But I didn’t start out with the idea “I’m depressed and should seek antidepressants”. I thought I had a sleep disorder, but it turns out our reality doesn’t issue time machines for those.
Yes, if the question were “How many people go to a doctor to complain of symptoms of mental illnesses” then sure, a large chunk of the general American population (still don’t know if a majority) would qualify.
However recall the context. We started with the question “Have you ever self-diagnosed yourself with a mental disorder?” and are talking about the follow-up to it. Here the question about going to the doctor means mostly “Did you take your self-diagnosis seriously enough to talk to a medic about it?” And, still within this context, the question is much more like “I think I’m mentally ill, is that so?” than “I can’t sleep and life is pointless, how do I fix that?”
I was mostly replying to the bit about the general population. In the context of a follow-up question, you might get some quite different results.
Actually, I’m not at all sure if you’d even get a higher percentage of yes respondents than you would in the general population; there’s a lot of things I get the sense that a self-diagnosis could be pointing to, most of them likely anticorrelated with seeking formal diagnosis. Charitably, it might indicate an attempt to find out what’s going on with one’s head in an absence of resources or motivation, or in the presence of social or communication issues or other life circumstances that make one less likely to immediately seek help. Less charitably, it might indicate attention-seeking behavior of some sort, or a trivial approach to the whole issue.
I agree that self-diagnosis could be pointing to multiple, different things. Don’t know if there’ll be much attention-seeking in the current crowd—“I’m so cool I’m depressed and I’ll say I have MDP to make me extra cool” is a kinda early high school thing and most people grow out of it fairly quickly. People who don’t grow out of it are, um, easily recognizable.
I seem to recall something like 30% of the adult American population being in therapy or having been recently. That’s not a majority, but it’s pretty substantial, and they didn’t get there by magic.
My impression is that mostly involves people going to their doctor and saying “Doctor, I feel horrible!”. And the good doctor says “Sure, try these antidepressants!” (yes, I know I’m exaggerating).
That’s a different thing from “Doctor, I believe I’m mentally ill”.
Depression is a mental illness. You might not go to the doctor and ask about depression (though I doubt this is anywhere near as uncommon as you’re making it out to be), but going to the doctor and saying “Doc, I can’t sleep, feel sad all the time, everything I do seems pointless, etc.” is as much asking for a consultation on mental illness as “Doc, I’ve got this nasty bullseye-shaped rash on my leg and I’ve got a fever and a bad headache” is asking for a consultation on Lyme disease.
The standards of diagnosis might not be as rigorous, but that’s a separate issue.
Then there’s me.
“Doctor, I can’t sleep!” “Here, take this Ambien.” “Ambien scares the crap out of me; it makes my friend call me up late at night and ramble incoherently at me, and I’ve heard it makes people have sex and forget it happened.” “Eh. Take it anyway, that doesn’t happen to most people.”
“Doctor, I still can’t sleep, I worry all the time, and it’s wrecking my motivation at work. And the Ambien works, but it makes me trip out more than I probably should most nights.” “You have an anxiety disorder. Here, go to this psychiatrist, Doctor #2. And don’t take so much Ambien.”
“Doctor #2, I can’t sleep, I worry all the time, and it’s wrecking my motivation at work. Oh, and Ambien makes me trip out before I fall asleep.” “You have anxiety and depression. Here, take these antidepressants, and these benzodiazepines if you need them, plus these folates and vitamin D … oh, and replace that Ambien with this Lunesta, and come back every week. And let’s talk about the work situation, something’s messed up there …”
Anecdotal, sure; and pretty recent. But I didn’t start out with the idea “I’m depressed and should seek antidepressants”. I thought I had a sleep disorder, but it turns out our reality doesn’t issue time machines for those.
Yes, if the question were “How many people go to a doctor to complain of symptoms of mental illnesses” then sure, a large chunk of the general American population (still don’t know if a majority) would qualify.
However recall the context. We started with the question “Have you ever self-diagnosed yourself with a mental disorder?” and are talking about the follow-up to it. Here the question about going to the doctor means mostly “Did you take your self-diagnosis seriously enough to talk to a medic about it?” And, still within this context, the question is much more like “I think I’m mentally ill, is that so?” than “I can’t sleep and life is pointless, how do I fix that?”
I was mostly replying to the bit about the general population. In the context of a follow-up question, you might get some quite different results.
Actually, I’m not at all sure if you’d even get a higher percentage of yes respondents than you would in the general population; there’s a lot of things I get the sense that a self-diagnosis could be pointing to, most of them likely anticorrelated with seeking formal diagnosis. Charitably, it might indicate an attempt to find out what’s going on with one’s head in an absence of resources or motivation, or in the presence of social or communication issues or other life circumstances that make one less likely to immediately seek help. Less charitably, it might indicate attention-seeking behavior of some sort, or a trivial approach to the whole issue.
I agree that self-diagnosis could be pointing to multiple, different things. Don’t know if there’ll be much attention-seeking in the current crowd—“I’m so cool I’m depressed and I’ll say I have MDP to make me extra cool” is a kinda early high school thing and most people grow out of it fairly quickly. People who don’t grow out of it are, um, easily recognizable.