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bigfont | 2 years ago

Why bother? Given the breadth of diagnostic classes these days, there's a good chance you can find a practitioner[0] willing to make a diagnosis. That said, aside from getting funding for treatment or acceptance of accommodations, receiving a label of disordered often does not help, but does add harmful stigmatization. The OP's son seems normal, functioning, and isn't harming anyone. On the other hand, the diagnosing practitioner may need to be tested for Overpathologization Disorder[0].

[0]: http://www.psychologysalon.com/2012/01/overpathologization-d...

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lemming|2 years ago

Our daughter was diagnosed with dyscalculia, and the diagnosis was very helpful, both for us and for her. She was really struggling with maths and felt like she must just be stupid. The diagnosis helped her to understand that it's just a very concrete thing that she has that affects one aspect of her functioning, and doesn't mean that she's dumb, or lazy, or whatever other story she had ended up telling herself. We are homeschooling her, and it also helped us to understand what was going on for her, and to adapt how we teach her appropriately.

> That said, aside from getting funding for treatment or acceptance of accommodations...

Both of those can also be life-changing, but you make them sound like trivial details. They are not.

bigfont|2 years ago

It sounds like the diagnosis marked a point of positive transformation. Before the diagnosis, your daughter attributed her math challenges to global stupidity and laziness. After the diagnosis, she attributed it to a specific difficulty with math. That reframing does sound healthy and helpful. It also sounds like the diagnosis helped you accept the situation and adapt your teaching modality.

Certainly, funding for treatment and acceptance of accommodation can make a life-changing difference. That in part motivates many caring and concerned practitioners to widen diagnostic criteria, so that more people can access benefits. I can see how I came across as trivializing those benefits. Quite the contrary, though, I meant to express that yes, diagnostic labels can bring positive results, and we need to weigh those against the negative results, especially when other options exist.

tinfoil3843|2 years ago

That in itself disproves your point though. That’s talking about a specific characteristic: mislabeling. It is really the symptom of someone talking about something they don’t know enough about to be talking about it.

Some people say ADHD for example is overdiagnosed. Perhaps that is true so college kids can get drugs or kids can be calmed down, but it is like saying people who don’t always wear glasses don’t need them and shouldn’t bother.

samtho|2 years ago

> Why bother?

Because knowing about the presence of a condition is better than not. Depending on the severity, untreated ADHD during the years of life where a child begins to establish good study habits, management of the condition, and other tools that work for them, can lead to issue down the road and into adulthood. We have the ability to address conditions like dyscalcula with little interventions to help the student be successful.

Just because something is imperfect doesn’t mean it should disregarded completely if the benefits (academic, social, and career success) outweigh the drawbacks of being untreated. The stigma argument is just FUD and letting that take over decision making for the well-being of a child is a bad path to go down.

There are often, unknown to the parent, invisible scars that the child with a non-neurotypical condition will carry for the of their life after having found out about a condition they’ve had since birth and was not addressed during the most critical time of their life when early treatment could have greatly reduced the harm caused by this disorder.

bigfont|2 years ago

I agree that knowing about something, and accepting it, is better than the alternative. Does that mean we need to diagnose it as a disorder? For instance, I have an introverted personality, and I accept that, even though I didn't receive a diagnosis of introverted. On a more serious note, I have friends who I know and accept as gay, but I don't consider them disordered. The diagnostic and statistics manual used to include gay as a disorder; removing it as a disorder reduced the stigma, and I don't think it reduced the societal or self-acceptance of gay people. Quite the opposite. So like you I love self-knowledge; I only take issue with "diagnosis" as the way to gain it.

You make a good point about the benefits of receiving treatment. I personally have received training in social skills, goal setting, relaxation exercises, and realistic thinking. I learned those skills to overcome specific challenges. I had some anxiety, like every normal person does, so I learned a skill for that. I had trouble dating, so I learned skills for that. I felt overwhelmed, so I learned goal setting for that. I thought I was stupid, so I learned realistic thinking to avoid overgeneralizing and labeling. Throughout that process, I brought my challenges to a psychologist, and the psychologist taught me skills. That approach offers a way to help people without diagnosis, by suggesting treatments for specific challenges.

Can we keep the early treatment and drop the diagnosis?