Crazy or Not? Real or Not? When it is all said and done, the simple distinction is PERCEPTION of REALITY, that which exits in space and time.
The individual mind or mental capacity adapts to reality that is shaped by “ID”; “SUPEREGO”; and “EGO,” which are in constant conflict. “ID” implies a subconscious, basic instinct or will to survive. The “SUPEREGO” implies a subconscious manifestation of established or acceptable morality (Right Versus Wrong) as the component of the individual’s development and social surrounding. The “EGO” is the conscientious adaption of the individual to make or act on a choice between “ID” (will to survive) versus “SUPEREGO” (Morality). This constant conflict that is manifested in the “EGO” creates an environment for the mental health profession to assess and define levels of dysfunction based on a set of societal rules as defined by civilized principles which set humans apart from lower animals.
The dysfunctional qualities of the human mind are tiered by: 1) NEUROSIS, a form of defense mechanism in dealing with mental conflicts as either being mature or immature (which is highlighted by behavior or developmental disorder and mood/affect disorder, such as depression, obsession, anxiety, addiction, gender identity, eating disorder, etc); AND, 2) PSYCHOSIS, a form of defective defense mechanism with complete DISTORTION of REALITY (which is highlighted by anti-social disorder, schizophrenia, Major Depression with Suicidal Ideation, etc.).
The CLASSIFICATION of mental health disorders can be further defined through the Diagnostic and Statistical Manual of Mental Disorders (DSM), and it is suggested for further reference.
The challenge for the healthcare professional is to appropriately assign the proper mental health diagnosis that is unbiased and representative of the INDIVIDUAL PATIENT’s NEED. It is suggested that a team approach (to include family members, primary care physicians, psychologists/psychiatrists, sociologists, and theologists) is the best option for proper assignment of a LIFE LONG MENTAL HEALTH DIAGNOSIS that will follow a patient for the rest of the individual’s life, and should never be haphazardly ASSESSED in isolation.
Medical Diagnostic Choices remains COMMITTED to informing patients for better quality, safe, and affordable health care.