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e5b5e3f Depression, somehow, is much more in line with society's notions of what women are all about: passive, sensitive, hopeless, helpless, stricken, dependent, confused, rather tiresome, and with limited aspirations. Manic states, on the other hand, seem to be more the provenance of men: restless, fiery, aggressive, volatile, energetic, risk taking, grandiose and visionary, and impatient with the status quo. Anger or irritability in men, under such circumstances, is more tolerated and understandable; leaders or takers of voyages are permitted a wider latitude for being temperamental. Journalists and other writers, quite understandably, have tended to focus on women and depression, rather than women and mania. This is not surprising: depression is twice as common in women as men. But manic-depressive illness occurs equally often in women and men, and, being a relatively common condition, mania ends up affecting a large number of women. They, in turn, often are misdiagnosed, receive poor, if any, psychiatric treatment, and are at high risk for suicide, alcoholism, drug abuse, and violence. But they, like men who have manic-depressive illness, also often contribute a great deal of energy, fire, enthusiasm, and imagination to the people and world around them. depression manic-depressive-illness gender-roles mania misdiagnosis Kay Redfield Jamison
f756475 When a client enters therapy with a prior diagnosis, it might be difficult for the therapist to think outside of the box presented. One reason a dissociative individual might have several different diagnoses, however, is that as different parts present, they may also be presenting with diagnostic issues that are different from the host. Such differences especially make sense given the nature of DID. dissociative dissociative-identity-disorder multiple-personality-disorder misdiagnosis mental-health Deborah Bray Haddock
84fe67c "Basic misunderstandings about DID encountered in the therapeutic community include the following: deg The expectation that all clients with DID will present in a Sybil-like manner, with obvious switching and extreme changes in personality. deg That therapists create DID in their clients. deg That DID clients have very little control over their internal systems and can be expected to stay in the mental health system indefinitely. dissociative-symptoms hidden-disorder hidden-selves mental-health-system multipler-personality-disorder regression stereptype sybil mental-health-stigma therapy dissociative-identity-disorder misdiagnosis Deborah Bray Haddock
a7cf1cd Undiagnosed DID patients received incorrect diagnoses of schizophrenia in 25% to 40% of cases in two large series (Putnam, 1989; Ross, 1989), while in one stores 12% and in the other 16% had received electroconvulsive therapy. misdiagnosis schizophrenia Colin A. Ross