The DSM-V will be dropping the diagnosis of pediatric bipolar disorder. It took YEARS for the shrinks to admit that some children were experiencing psychotic manias from the stimulants given to children with ADHD because they didn’t have ADHD! The seminal book on the topic is The Bipolar Child: The Definitive and Reassuring Guide to Childhood’s Most Misunderstood Disorder, Third Edition
Another thing that is STILL missing is an anosognosia specifier. It is my nightmare to be trying to convince some evil bastard that I am not insane.
Anosognosia means you are unaware that you are exhibiting the symptoms of your illness. Self-awareness, i.e. the ability to be objective about yourself, isn’t a guaranteed just because you’re human, but when a mentally ill person doesn’t have it, they can get in extra trouble.
The DSM-IV has specifiers for “last episode depressive” or “with psychosis” but there isn’t one for “painfully aware that she is batshit insane.”
It’s not enough to stay calm and not talk about space aliens. The powers-that-be ASSUME you’ll be on your best behavior. Once on a psych ward even a sane person would be hard-pressed to get back out. There was an experiment a few years ago in which psych grad students feigned hearing voices to be admitted to a psychiatric hospital. Once in, they behaved normally and tried to be released. In all cases the students had to submit to the will of their captors and admit they were mentally ill before being allowed to leave.
“The uniform failure to recognize sanity cannot be attributed to the quality of the hospitals, for, although there were considerable variations among them, several are considered excellent. Nor can it be alleged that there was simply not enough time to observe the pseudopatients. Length of hospitalization ranged from 7 to 52 days, with an average of 19 days. The pseudopatients were not, in fact, carefully observed, but this failure speaks more to traditions within psychiatric hospitals than to lack of opportunity.”