Comments by "SmallSpoonBrigade" (@SmallSpoonBrigade) on "Can You Diagnose Yourself With A Mental Illness" video.

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  3. I generally agree here, but, I do think that often times the diagnostic criteria are just defective in one way or another and there's clearly a significant thing going on, but it doesn't have any sort of a diagnosis available, and that can happen even with disorders that are known and have been treated for decades. A really good example would involve the autism spectrum, where there used to be a bunch of different diagnoses and most of them were merged into autism spectrum disorder and social pragmatic communication disorder. There's a reason why I said most, as neither pdd-nos nor Asperger's Syndrome were completely covered under either of those diagnoses, and the previous practice of diagnosing schizoid personality disorder also doesn't really cover those cases either. So, you get this sort of weird hole where there are people who are clearly autistic, can pass as autistic merely by being themselves, but do not have any possible diagnosis and as such do not have any sort of access to treatment or legal protections as a result of that. It's definitely not ideal, but the alternative is going to a sympathetic doctor and essentially getting a deliberate misdiagnosis to whatever the closest diagnosis is and hoping that it covers the parts of the disorder in that patient that need treatment while not risking your license to get the person help or sued for malpractice. This particular problem is set to get worse when future diagnostic criteria remove the ScPD diagnosis and attempt to cram those patients into either schizotypal or avoidant personality disorders with no provision for the autistic patients for whom the entire diagnosis was originally created.
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