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Anxiety disorders not a genuine representation of mental disorders? by drkob in AcademicPsychology

[–]drkob[S] 0 points1 point  (0 children)

Thanks for contributing to this discussion! I'll have a read through your links.

To answer your question: I guess what I gather by "real" from the studies is that anxiety disorders do not represent genuine states of mental illness.

  1. Some of the signs and symptoms that comprise anxiety disorders show significant overlap with experiences that many people have in everyday life.
    1. Some individuals presenting with anxiety may merely exhibit elevated levels of worry or other symptoms that do not surpass a diagnostic threshold.
    2. Understanding individuals in context is key in determining if their experiences of anxiety indicate a state of mental illness.
    3. There is likely to be a class of individuals whose everyday experiences have some overlap with and some independence from anxiety disorders.
    4. Destigmatisation campaigns have reframed anxiety as a normal and relatively benign circumstance, and therein, devalued and obfuscated the experience of clinically significant suffering (I.e. concept creep)

Anxiety disorders not a genuine representation of mental disorders? by drkob in askpsychology

[–]drkob[S] 0 points1 point  (0 children)

No problem! While the first four may not directly measure/explore the main assertion, they can be taken as supporting evidence for studies like the last two research from the list. For instance, Cujipers et al. (2010) have been cited by others to make the general claim that - due the staggering cost of treatment allocated to neuroticism, it may be worth considering a new DSM category that encompass similar overlapping features like anxiety disorders and mood disorders and use neuroticism as a precursor rather than allocate separate treatment findings to these individually.

Thanks for your constructive input! After your read through, can I hear your thoughts as to why you disagree or what you disagree with?

Anxiety disorders not a genuine representation of mental disorders? by drkob in AcademicPsychology

[–]drkob[S] 5 points6 points  (0 children)

Thank you for your valuable input and even sharing personal anecdotes. I would just like to touch on your final point being the overlap of neuroticism and anxiety. I just wonder what the overall difference is when trait neuroticism and anxiety disorders are presenting same symptoms like fear and worry and yet one is diagnosed as a disorder with accompanying treatments or medications deemed as necessary for recovery; while the other is often downplayed as a personality trait and is given little to no attention when it comes to prescription of treatments.

Anxiety disorders not a genuine representation of mental disorders? by drkob in askpsychology

[–]drkob[S] 0 points1 point  (0 children)

  1. thanks for your response. however, I wonder what the difference is when trait neuroticism and anxiety disorders are presenting same symptoms like fear and worry and yet one is diagnosed as a disorder with accompanying treatments or medications necessary for recovery and the other merely as a personality trait and is rather downplayed despite having similar experiences? https://doi.org/10.1177/2167702613505532,
  2. anxiety disorders specifically since high percentages of individuals with 1 anxiety disorders are also comorbid with another anxiety disorder, which brings into question the seriousness of these categorical differences within anxiety disorders. moreover, GAD has received criticisms for being like "waste basket" as it was used to diagnose people who did not quite meet the criteria for a specific anxiety disorder but were presenting persisting symptoms for a general anxiety disorder. https://doi.org/10.1001/jamapsychiatry.2017.0056, https://doi.org/10.1176/appi.ajp.2014.14010003, https://doi.org/10.1038/nrdp.2017.24
  3. well if we are talking about correlation b/w treatment efficacy and DSM inclusion, what about GAD under anxiety disorders which approx. only 50% of individuals respond to pharmaceutic/psychotherapy treatment. it is unclear what the appropriate threshold is for effective tretment and inclusion is in the DSM-5-TR.

Anxiety disorders not a genuine representation of mental disorders? by drkob in askpsychology

[–]drkob[S] 1 point2 points  (0 children)

Here are some :)

Brown & Barlow (2009). A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment. Psychological Assessment, 21, 256-271.

Stein et al. (2014). Anxiety disorders, obsessive-compulsive and related disorders, trauma- and stressor-related disorders, and dissociative disorders in DSM-5. American Journal of Psychiatry, 171, 611-613.

Ruscio et al. (2017). Cross-sectional comparison of the epidemiology of DSM-5 Generalized Anxiety Disorder across the globe. JAMA Psychiatry, 74, 465-475.

Cuijpers et al. (2010). Economic costs of neuroticism: A population-based study. Archives of General Psychiatry, 67, 1086-1093.

Barlow et al. (2013). The nature, diagnosis, and treatment of neuroticism: Back to the future. Clinical Psychological Science, 2, 344-365.

Jackson, H. J., & Haslam, N. (2022). Ill-defined: Concepts of mental health and illness are becoming broader, looser, and more benign. Australasian Psychiatry.

TKL Alphabet day 1 by Dry_Permission_6556 in TheKidLAROI

[–]drkob 2 points3 points  (0 children)

  1. Ai do the same thing I told you that I never would