Magazine article Clinical Psychiatry News

Then and Now: Seeing the Evolution of Psychiatric Diagnosis. (Count on Comorbidities)

Magazine article Clinical Psychiatry News

Then and Now: Seeing the Evolution of Psychiatric Diagnosis. (Count on Comorbidities)

Article excerpt

COLORADO SPRINGS -- Psychiatrists who are middle-aged or older have been on the scene long enough to recall an era of psychiatric diagnosis that their younger colleagues will find utterly foreign.

"When I trained years ago, there was a premium on trying to make an exact diagnosis. At the state hospital where I did my general psychiatry training we were highly focused on tying to find that singular thing that was wrong with the patient. We believed if we could, it would allow us to target therapy and hopefully provide more robust treatment for the patient," Dr. Willis Holloway recalled at a symposium on addictive disorders sponsored by Psychotherapy Associates.

"We used to admit patients, and they would go to what was called the admission unit. They'd stay there for 30 days. And for 30 days we'd do nothing except try to make the diagnosis. We'd give them all sorts of batteries of neuropsychologic tests, exotic lab tests. If you tried to do that today the insurance company would hire a hit man to shoot you," quipped Dr. …

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