The world of mental health diagnostics is fascinating and, at times, problematic. In one hand, the mapping and classification of disorders has done great work in advancing psychopathology, bringing a wealth of knowledge to the treatment of mental health conditions and shining light onto invisible disabilities. On the other hand, therapists agree, diagnostics can be too cookie cutter. For example, many people might struggle with depressive feelings but might not meet the criteria for a diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) due to the context in which they exist. Unfortunately, because of the invisible nature of mental health, it is often the case that a professional diagnosis is needed in order to unlock certain institutional benefits. Many health insurances force therapists to diagnose their clients in order be reimbursed for services, opening a pandora's box of several ethical issues - How accurate can a diagnosis be since they've become prolific tools of financial gain in medical billing? Why should we be forced to diagnose someone if it means further marginalization of the issues they are coming to therapy for.
I believe in diagnostics as a tool for guidance, helping one understand the mechanisms of one's experiences, increasing self-awareness, and exploring future treatment options. I offer full mental health evaluation sessions for those seeking a professional clinical impression, such as trans clients needing a letter of recommendation for hormone-replacement therapy, clients about to start their immigration journey in need of an evaluation to further their chances at a new future, or clients in need of work or school accommodations or an emotional support animal. |