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Comment by paimapi

actually interpreting the DSM-V and running diagnostics is exclusive to clinically trained psychologists and psychiatrists. even LCSWs are remiss to offer a 'diagnosis' after years of talk therapy with a client. most official diagnoses happen within a matrix describing a cluster of symptoms paired with an eval of severity and impact on life, and a battery of tests that have been empirically and rigorously validated

as my wife (who does have an MD and specializes in psychistry) is fond of saying when people ask her to diagnose someone she doesn't know, "Sometimes people are just weird"

it could be that the guy here is just very burnt out and stressed and his healthier coping mechanisms aren't working so he's resorting to worse ones

you can be empathetic to that without calling someone 'mentally ill'

parent paimapi 1 month ago

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