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<blockquote data-quote="Marguerite" data-source="post: 172379" data-attributes="member: 1991"><p>Sara, you said, "I stongly believe that the medical profession should start differentiating NOW between neurobiological behavioral disorders and psychological behavioral disorders. I think it does no one any good by lumping them together."</p><p></p><p>I hear your frustration, and from things you've explained I understand why this would have made things so much better for you and your family.</p><p></p><p>The trouble is, sometimes the medical profession and other professions just can't agree because some conditions seem to be a mixture of both. With my own health problems and my involvement in health-related consumer action groups as well as liaison with various medical teams, the message I was getting, in terms of where medicine was headed as a field, was AWAY from separating medical conditions into purely psychological/psychiatric, and purely physiological, and TOWARDS a view that ALL aspects of a patient's care, especially long-term care, should be undertaken or at least supervised with a multidisciplinary approach. A lot of consumer groups were upset by this, especially consumer groups where the specific medical condition was still the subject of a lot of scepticism and debate; few people wanted to let go of any semblance of acceptance by the medical fraternity. A lot of people equate a psychiatric component to a condition as loss of credibility, and fight any doctors who try to insist on a patient getting any psychological/psychiatric support or even assessment. I've seen some very heated debates on this topic.</p><p></p><p>Another problem we have here in Australia is that even the same departments can classify the same condition with different labels.</p><p>For example, when our ADHD or Pervasive Developmental Disorder (PDD) kids are in our school system, the Dept of Ed classifies their medical condition under "psychiatric". "Neurological disability support" helps kids with spinal problems, hydrocephalus, brain injury, that sort of thing. But once our kids graduate out of school and enter university or TAFE (College of Technical and Further Education) the ADHD and Pervasive Developmental Disorder (PDD) kids are allocated support via the neurological disabilities umbrella. There still is a psychiatric disabilities support unit, but they do not deal with Pervasive Developmental Disorder (PDD) or ADHD.</p><p></p><p>So if the education mob in one state of one country swing this way and then that, I think we've got Buckley's Chance of getting ANY consensus worldwide as to whether various conditions belong under this umbrella, or that.</p><p>And we'll have even more trouble, with so many medical teams increasingly insisting that the holistic approach has to be used - the patient's physical, psychological and emotional wellbeing must all be considered equally, regardless of the diagnosis.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 172379, member: 1991"] Sara, you said, "I stongly believe that the medical profession should start differentiating NOW between neurobiological behavioral disorders and psychological behavioral disorders. I think it does no one any good by lumping them together." I hear your frustration, and from things you've explained I understand why this would have made things so much better for you and your family. The trouble is, sometimes the medical profession and other professions just can't agree because some conditions seem to be a mixture of both. With my own health problems and my involvement in health-related consumer action groups as well as liaison with various medical teams, the message I was getting, in terms of where medicine was headed as a field, was AWAY from separating medical conditions into purely psychological/psychiatric, and purely physiological, and TOWARDS a view that ALL aspects of a patient's care, especially long-term care, should be undertaken or at least supervised with a multidisciplinary approach. A lot of consumer groups were upset by this, especially consumer groups where the specific medical condition was still the subject of a lot of scepticism and debate; few people wanted to let go of any semblance of acceptance by the medical fraternity. A lot of people equate a psychiatric component to a condition as loss of credibility, and fight any doctors who try to insist on a patient getting any psychological/psychiatric support or even assessment. I've seen some very heated debates on this topic. Another problem we have here in Australia is that even the same departments can classify the same condition with different labels. For example, when our ADHD or Pervasive Developmental Disorder (PDD) kids are in our school system, the Dept of Ed classifies their medical condition under "psychiatric". "Neurological disability support" helps kids with spinal problems, hydrocephalus, brain injury, that sort of thing. But once our kids graduate out of school and enter university or TAFE (College of Technical and Further Education) the ADHD and Pervasive Developmental Disorder (PDD) kids are allocated support via the neurological disabilities umbrella. There still is a psychiatric disabilities support unit, but they do not deal with Pervasive Developmental Disorder (PDD) or ADHD. So if the education mob in one state of one country swing this way and then that, I think we've got Buckley's Chance of getting ANY consensus worldwide as to whether various conditions belong under this umbrella, or that. And we'll have even more trouble, with so many medical teams increasingly insisting that the holistic approach has to be used - the patient's physical, psychological and emotional wellbeing must all be considered equally, regardless of the diagnosis. Marg [/QUOTE]
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