re: Sunday AMA: SECdragonmaster

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How prevelant is misdiagnosis of mental illness that is not mental illness but rather a result of poor lifestyle choices (too much drinking, no exercise, etc.)?

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I would say >75% of the patients I see could be out of therapy and off medication if they really committed to it. I am talking strict diet, daily exercise, spiritual growth, personal responsibility in relationships, and stopping alcohol/drugs.

I am not saying alcohol, etc is inherently bad. They are just terrible for you if you are struggling with mental health issues.

The high misdiagnosis rate is due to two phenomena:
1. Greed by big pharma.
2. Strong desire on the part of people who would rather have a diagnosis than begin to change themselves.

My favorite appointments are my LAST appointments with patients. I love seeing them well and off medication. The look on their face at that moment is what gets me excited about work on Monday.