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No Child Left Undiagnosed

Allen Frances | Posted 04.13.2014 | Science
Allen Frances

Egged on by well meaning (and not so well meaning) experts and by greedy drug companies, we are fast approaching this dystopic wonderland of universal childhood mental illness.

When More Medicine Isn't Better

Leana Wen, M.D. | Posted 10.11.2013 | Healthy Living
Leana Wen, M.D.

Not surprisingly, doctors end up not tolerating uncertainty. In our high-tech era, this means more is done. A patient has seemingly vague symptoms, so the doctor orders some laboratory tests "just to get a baseline."

Back to Normal

Allen Frances | Posted 09.06.2013 | Science
Allen Frances

Spend at least as much effort ensuring you have the right diagnosis as you would in buying a house. Become a fully informed consumer, ask lots of questions, and expect clear and convincing answers from any clinician.

Psychiatric Mislabeling Is Bad for Your Mental Health

Allen Frances | Posted 10.31.2012 | Science
Allen Frances

Unfortunately, DSM 5 will make the current problems with mislabeling much worse. Its new proposals (with the possible exception of autism) all cast a wider diagnostic net that will lead to much looser and less accurate diagnosis.

Medical Specialists Will Try to Reduce Excessive Diagnostic Testing

Allen Frances | Posted 10.31.2012 | Healthy Living
Allen Frances

The new initiative by nine medical specialty groups to reduce unneeded diagnostic testing and treatment recognizes that many medical tests and procedures are not only wasteful, but also cause more harm than good.

Predicting Psychosis Risk Is Pretty Risky

Allen Frances | Posted 10.31.2012 | Science
Allen Frances

Originally called 'psychosis risk,' it is now repackaged more modestly as 'attenuated psychotic symptoms.' However named or renamed, this is a dangerous idea with little benefit and extremely risky, unintended consequences.

DSM 5 Freezes Out Its Stakeholders

Allen Frances | Posted 10.31.2012 | Science
Allen Frances

Scary news. The Chair of the DSM 5 Task Force, Dr. David Kupfer, has indicated that 90 percent of the decisions on DSM 5 have already been made. Why so scary? DSM 5 proposes a radical redefinition of the boundary between mental disorder and normality.