Episode 420: GPs should stop making mental health diagnoses

In episode 420, James and Mike welcome back Bruce Arroll to talk about approaches to how we should talk about, discuss, chart and treat mental health issues. We discuss avoiding psychiatric labels, consider giving transdiagnostic labels, and doing functional assessments around work, love, and play.

Show notes

1) Transdiagnostic Symptom Clusters and Associations With Brain, Behavior, and Daily Function in Mood, Anxiety, and Trauma Disorders

JAMA Psychiatry. 2018 Feb 1;75(2):201-9

2) The psychopathology of James Bond and its implications for the revision of the DSM-(00)7

Med J Aust. 2015 Dec 14;203(11):452-6.

3) Saving Normal: An Insider’s revolt against out-of-control psychiatric diagnosis, DSM-5, Big Pharma and the medicalization of ordinary life

Psychotherapy in Australia, Vol. 19, No. 3, May 2013: 14-18

4) brucearroll.com

5) Reforming disease definitions: a new primary care led, people-centred approach

BMJ Evidence Based medicine doi:10.1136/ bmjebm-2018-111148 

FACT- work/love/play

Limit the problem focus

1) work - 1 to 10

2) love (friends) - 1 to 10

3) love (intimates) - 1 to 10 

4) love (family) - 1 to 10 

5) play  - 1-10