Overdiagnosis debate should not ignore social causes of mental illness | Mental health

Mental health services were immersed by high demand, due to the deterioration of social and economic conditions. There is a little that doctors can do about the political context, but some of the personal injustice that suffered from patients have a direct impact on their condition.
I was a 50 -year -old psychiatrist in NHS and saw the dominance of the growing classification of my colleagues. Once we know what the patient got, “the less interest in how they reach this point. As is the case, even with greater numbers of specialists, our care model will not be suitable for the purpose. (Does the United Kingdom suffer from a problem with excessive mental health diagnosis?, April 5). We have a problem with excessive dependence on diagnosis.
The state of schizophrenia-the original model of psychiatry in the twentieth century-is useful. One of the most important clinical scientists, Professor Sir Robin Murray, He said: “In the last two decades, it has become clear that the abuse of children, urbanization, immigration, and negative life events contribute to other schizophrenia and psychological causes,” adding that “my prejudices made me blind from the impact of the social environment.” This brave recognition reveals the side of the mountain of ice from indifference to the developmental principles of mental disorder, which led to curiosity and the imagination of the besieged workforce that many await.
Dr. Sebastian Karmer
Tavistock and Portman NHS Confident
It was the honor to work with the late Professor David Goldberg In his project on the common mental illness of the World Health Organization. In general, through places and languages, the same common cases appeared (an exception was depression, as the diagnostic questions used at the time were abusive, in Chinese). The spread of problematic anxiety, depression and alcohol use a lot, even in one country. The population in “depression” (depressed) societies was often depression and anxiety, and they would be up to “disabled”. The interrogation of customers at the work center not only found that many suffer from mental disorders, but also struggled since adolescence.
How much the UK spends on the benefits a policy issue. But it is clear that the government fails to ask about the reason The common mental disorder rates increased “sharply”. Keir Starmer is honored the conditions that make more and more people sick. Young people are most at risk. After the war, AtTlee government had little money, but participated in a vision of reconstruction. When do we all start, sir Kiir?
Woody was
Former editor, General Mental Health Journal
Your article on mental health benefits and obstruction is continuous, but it asks the wrong questions. WES Streeting confirms that society cannot withstand the bill of disability subsidy for 48 billion pounds annually, and therefore the correct questions revolve around the support required to achieve full work, including those in prison and those who suffer from the interaction of physical and mental health problems. Not working is bad for a person’s health.
Medical sociologists quoted in your article closer to a solution than health professionals, who seem to be unable to determine what mental disorder is, not to mention the agreement on excessive diagnosis against diagnosis. The answer lies in a full exercise, whether it is walking, yoga or a negative exercise in the gym. Social description benefits all mental and physical conditions, including depression. If you can exercise, you can work.
The correct questions revolve around: How can work places be caused in global capitalism to employ and support a wide range of employees profitable, including people who suffer from mental illness? Denmark’s employment practices, the “well man” in Europe, indicate that this is possible through political change.
Jeremy Simore
Retired psychiatrist, Sheffield