I understand that not everything in medicine can be black & white (that would make me guilty of splitting). Recently, though, during a group exercise, I asked a third year Psychiatry resident why none of our case diagnoses were consistent with DSM-IV TR criteria (= the Psychiatrist’s bible). She replied:
“There’s an ebb & flow to diagnosis in psychiatry.”
Excuse me for taking a page from the double rainbow guy, but what does that even MEAN?! That sometimes we follow the criteria set forth by our own diagnostic manual, and sometimes we just slap a diagnosis on someone when it’s convenient? More evidence that Psychiatrists consistently make shit up.
Q: How many Psychiatrists does it take to change a light bulb?
A: Just one, but the light bulb has to want to change.