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Oh my gosh the DSM doesn’t let you diagnose adolescents with personality disorders for GOOD REASONS having to do with basic human emotional development. This is irresponsible and ignorant.https://twitter.com/DetransCanada/status/1337896850150584322 …
And hey I buy that in the adult gender dysphoric population you see a high incidence of personality disorders. But a clinician, who treats adolescent patients, would not make this diagnosis. Because we don’t give personality diagnoses to teens!
PD’s include in their criteria that they are highly resistant to treatment and symptoms are present across the life span. You’d have to be a total hack of a clinician to assert these things about a teen.
You’re cutting yourself and threatening suicide at 28? Ok, yr therapist could reasonably suspect BPD. Although if they actually put it in your paperwork before a year of treatment I’d again, judge them as an overconfident hack.
And honestly, teen girls have to deal with enough sexism in MH treatment, it should not be anyone’s assumption that a self harming, chronically dysregulated teen girl is going to be treatment resistant. She’s growing up! Not the appropriate time for diagnoses w/ permanency.
+ tbh as a clinician who works mainly w/ teens, they’re all on the internet romanticizing cutting/suicide/pro-ana/furrydom- we have to look at both their developmental stage and social context, which at this point in history is WEIRD AS SHIT.
Ooh, now I understand the subtweet. Would've been my guess anyway.
not to mention BPD is a controversial diagnosis since it is mostly women who wear the label, and its symptoms are markedly close to C-PTSD.
I think it was Dr. Louis J. Kaplan,, 'Adolescence a Farewell to Childhood' where she stated, therapist hated working w/ adolescences because the outcomes were unpredictable & therapeutic remedies never had time to take hold vs. such mercurial growth.
Huh. I like teens kind of specifically bc you get to witness so much change. It is true you need realistic expectations for what they can understand/ strange decisions they’ll make. Hm.
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