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Joined 3 years ago
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Cake day: August 7th, 2023

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  • sometimes it can be really disruptive and long-lasting. Why are we pretending that’s disordered?

    Because if it’s “really disruptive” then a person might need support to be able to function well enough to, e.g., keep a roof over their head. Insurance companies require a label in order to pay out for that support, so there it is. If you’re grieving for 2 weeks plus 1 day, but still able to function, no one is going to arbitrarily slap a diagnosis on you.

    Fwiw, “disordered” doesn’t necessarily mean abnormal in the context of mental health, it really just means causing problems (or, “really disruptive”). Indeed, it’s normal to grieve for more than 2 weeks, but our broader society is geared toward extracting profit from you, not toward making sure you can work through your emotions, so mental health professionals are often stuck with just trying to facilitate the least-bad outcomes. Also, as you said, sometimes the changes are just to appease insurers; the system is dumb, so sometimes you have to do nonsensical things in order to make it help people like it should.

    As for narcolepsy/etc., yeah … As a mental health professional, I am also befuddled. I suppose a psychiatrist with appropriate training could diagnose and treat that, but normally it would be a sleep specialist.

    Tl;Dr: the healthcare system itself doesn’t make sense, so we do things that don’t make sense in order to make it work for patients.








  • Also consider a healthcare career. As a teenager, I wanted to do computer science/engineering, and sometimes I do wish I had stayed on that track. But now, as a nurse, I could get a job in any state in the US by tomorrow. I dare you to try to find a hospital that doesn’t have open nursing positions. Even when the economy goes down, people still get sick. Even if society collapses, the knowledge/skills will be useful.

    And if you don’t want to change diapers or deal with blood, there are still options; I’m in psychiatry and rarely have to deal with either.