As I venture into the realm of private practice many things have come to mind. I am feeling grateful to have this forum to share some of these thoughts and I’m looking to provide value.
Introductions most often begin with sharing names and then the next most common North American question is, “What do you do?” In my business my profession leads way to a tongue in cheek remark such as, “Gosh, I know a lot of people that can use your services!” Indeed, at least in my opinion, we all can benefit from an update of mind. It would be irresponsible of me to not have my own therapist to carry out various degrees of shifts, changes, and transformations.
In three quarters of a second a Google search produced nearly 300 million hits regarding post-traumatic stress disorder (PTSD) and close to the same for generalized anxiety disorder (GAD) / major depressive disorder (MDD). To me this seems like a lot of information about diagnoses and with one click the individual searching may begin to embody, label, take on, whatever the Google Machine produces.
Recently I was having a debate with a colleague about diagnosing and by the end of the conversation we agreed to disagree as this subject can be rather slippery. Like this essay, diagnosing is simply a perception so, if it is okay with you, I am thinking we can peer through the same lens for a moment. In no way am I suggesting what I say is true, it is simply a way of perceiving the topic.
As a clinician there are times where I am compelled to diagnose. The most prevalent time that comes to mind is when a client utilizes their insurance. You see, insurance companies require a diagnosis code to pay for services rendered so utilizing your insurance will generate one of these codes. Here’s the rub, these codes, once recorded are part of a permanent record and once assigned these codes can determine eligibility for other services in the future.
Diagnosing, in my opinion, requires the clinician to be mindful of what they are diagnosing and communicate the options to the client. In my practice I proceed with caution as well as education. My intention with every client who I encounter is to bring value to their experience through connection, education, and support. Let’s delve deeper into the world of diagnosis versus destination and explore the significance of this topic
The Power of Diagnosis
As a therapist, the power to diagnose is a tool, and like any tool, it can be used wisely or recklessly. In some cases, diagnosing a mental health condition can be a necessary step, especially when insurance is involved. However, it’s crucial for clinicians to approach this responsibility with mindfulness and ethical considerations.
A Slippery Slope
Diagnosing isn’t as straightforward as it might seem. It’s a slippery slope that can affect how individuals perceive themselves and the trajectory of their treatment. Imagine you’re seeking help for some anxiety and sadness in your life. A well-meaning diagnosis might provide you with some clarity and validation. However, it could also inadvertently label you, and you might start internalizing the diagnosis, believing that you’re simply an anxious or depressed person. The danger here is that labels can shape our self-identities and potentially limit our potential for growth and transformation.
Diagnosis as a Destination
Sometimes, diagnosis can become a destination in itself. People may start to see their mental health struggles as permanent fixtures in their lives. But is that the best way to approach mental health?
A Shift in Perspective
I propose a shift in perspective, one that emphasizes the destination over the diagnosis. Instead of focusing on the label or the condition, let’s concentrate on the journey towards mental well-being and personal growth. This shift empowers individuals to see themselves as dynamic beings capable of change and improvement.
The Destination: Mental Wellness
Rather than asking, “What is my diagnosis?” we can ask, “Where do I want to be mentally and emotionally?” This reframing encourages people to set their sights on mental wellness and personal development. It opens the door to a more holistic and solution focused approach to mental health.
Client-Centered Care
In my practice, I strive to provide client-centered care that aligns with this perspective. I see my role as a guide on your journey, assisting you in navigating the challenges, learning new skills, and thriving as an individual. Together, we can work towards your destination of mental wellness.
A Journey of Connection, Education, and Support
The core of my practice is connection, education, and support. I believe that true healing comes from the connection between the therapist and the client. It’s in this safe and nurturing space that education takes place, equipping you with the tools and insights to progress on your journey. Support is the bedrock of our work together, ensuring that you never feel alone on your path to mental well-being.
In conclusion, while diagnosis may be necessary in certain situations, it does not define your journey. The destination, your mental wellness and personal growth, remains the focal point. As we journey together through the realm of your experiences
remember that your potential for transformation is limitless. I look forward to joining you on this path toward a brighter, more resilient, and fulfilling future.