mental illness

[Bobthemotorcycle]

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[redblue22]

I think it is odd to talk about mental illness and use personality disorders as examples.

 

[blackribbon]

I think it is odd to talk about mental illness and use personality disorders as examples.

Why? although they are not AXIS 1 diagnoses, personality disorders fall under psychiatric/behavior health conditions and often co-exist or complicate AXIS 1 problems.

example (read the first sentence):
NIMH · Borderline Personality Disorder

 

[blackribbon]

pittsflyer...what other names have you or do you use on CF?

 

[pittsflyer]

I had one other one but I forget what it was, I got off for a long time and thought I would get back on.

pittsflyer...what other names have you or do you use on CF?

 

[bhsmte]

I think it is odd to talk about mental illness and use personality disorders as examples.

Personality disorders are a form of mental illness.

 

[Bobthemotorcycle]

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[Messy]

I have decided that a person would have to be mentally ill not to like the lips song.

https://www.youtube.com/watch?v=j1FGaCNN1aw

I won´t say the same about this lips song.

https://www.youtube.com/watch?v=_sFbjP2il4U

 

[Bobthemotorcycle]

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[blackribbon]

https://www.youtube.com/watch?v=1Q6DdTcqGy8

 

[Bobthemotorcycle]

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[redblue22]

There is no axis system in DSM V.

Using personality disorders as examples is like using wild tigers as an example of why it is dangerous to own a pet cat.

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[Messy]

There is no axis system in DSM V.

Using personality disorders as examples is like using wild tigers as an example of why it is dangerous to own a pet cat.

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Hey you guys I saw a Tiger. Don't ever get a pet cat. They are dangerous.

 

[blackribbon]

There is no axis system in DSM V.

Using personality disorders as examples is like using wild tigers as an example of why it is dangerous to own a pet cat.

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Thanks for the information. I was trained under the DSM IV and didn't realize that the axis system was gone. I work on a floor where the patients are almost all court ordered admissions so as nurses, we are most concerned with the situation/diagnosis that gets them admitted (most often psychotic behavior like walking down the middle of the street naked in the snow or suicidal behaviors) and we are often caring for them several days before they get a diagnosis from the doctors. I will take a moment to look at the doctor's official psychiatric assessment on one of our more long term patient's the next time I work on that floor. Nursing is more focused on the signs and symptoms (both physical and psychological) that are being exhibited at the moment so we only get the main diagnosis on our handoff sheet...though other related diagnoses are also reported.

Personality disorders are still diagnoses and we have had patients who are held on our unit while waiting for long-term placement at the state hospital for 'anti-social personality disorder' because they are dangerous and need constant supervision, so obviously it is still being used as a diagnosis.

My opinion differs with you on the personality disorder as being a "non-issue". Often it is primary in understanding a way a patient thinks and processes information. Sometimes it is the most important diagnosis to actually helping a patient improve and become functional outside of the hospital system. Not having it as part of the complete picture and diagnosis would be like trying to treat a patient for an infection like pneumonia without understanding that they were diabetic...the treatment would not be as effective and may actually make the patient sicker. I personally believe that a person's psychiatric diagnoses (including personality disorders) are some of the most important medical history to treat their medical conditions. The nurses that don't understand this often handoff these patients as being pain-in-the-ass patients because they require more attention than they would expect an adult patient to need. I just take the time to address their expected issues early on and plan for the additional time that this extra diagnosis requires.

 

[redblue22]

I think you have my view a bit backwards.

 

[blackribbon]

I think you have my view a bit backwards.

Then I don't get what you are saying. Do you think personality disorders are "mental illness" or not?

 

[Messy]

Then I don't get what you are saying. Do you think personality disorders are "mental illness" or not?

I think what he's saying is like we had a man in Holland who killed a guy who was going for president and he had Absberger's. One woman got so mad because she had a sweet small kid who also had that and people were implying that all the Absbergers were murderers.
There are some abusive people with a personality disorder so all the mentally ill are demon possessed dangerous people.

 

[blackribbon]

If that is what he is saying, that is kind of what I am trying to say too. Mental illness is a medical condition and not a "heart condition".....personality disorders does not mean a person is evil or bad...some of their hard to understand behaviors are symptoms and not intentional "evilness".

A truly evil person can be sane or mentally ill just the same way they could be diabetic or non-diabetic.... If a mentally ill person acts out of a rational place in them and makes conscious choices then they need to be punished the same way as anyone else. However, if they harm someone while in a psychotic state and have an altered sense of consciousness maybe related to mentally ill paranoia, then it makes as much sense to punish them as it does to treat a person who drives while in a diabetic altered state under the same laws as a drunken driver (even if they fail things like the road side drunk test but test for zero alcohol in their blood). Now if the person is drunk and diabetic...and is driving, yes, they need to be punished for driving drunk.

 

[bhsmte]

Then I don't get what you are saying. Do you think personality disorders are "mental illness" or not?

Personality disorders are indeed a mental illness, with specific diagnosis criteria to establish the same.

 

[redblue22]

Personality disorders are worse than the average mental illness. NAMI only lists one personality disorder. Personality disorders come with a sense that they are permanent and start in a much earlier age. Personality disorders are not the kind of thing to bring up in court. Imagine a person in court for something serious and then adding that the person has been this way his or her whole life as a psychopath and won't change.

The usual mental disorders do not make the person dangerous. The usual mental illness makes them vulnerable to other people harming them. Why then must people argue here using personality disorders as examples? Because the normal range of mental illness does not make them dangerous.