What is actually observed in so-called 'biplar children'? If you read the research reports carefully, they describe broad and persistent emotional dysregulation. Although these children have mood swings, they do not develop manic or hypomanic episodes. They are moody, irritable, oppositional and likely to misbehave–like all children with disruptive behavior disorders. Their grandiose thinking usually consists of little beyond boastfulness. No evidence from genetics, neurobiology, follow-up studies or treatment response shows that this syndrome has anything in common with classical bipolarity. Joel Paris
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  3. For someone like myself in whom the ability to trust others is so cracked and broken that I am wretchedly timid and am forever trying to read the expression on people's faces. - Osamu Dazai

  4. He was fucking sad. That's it. That's the point. He knows life is never going to get any different for him. That there's no fixing him. It's always going to be the same monotonous depressing bullshit. Boring, sad, boring, sad. He just wants it to... - Jasmine Warga

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More Quotes By Joel Paris
  1. The main reason why clinicians may not diagnose personality disorders is that they think that doing so supports therapeutic pessimism. Recent research has shown this is not true; most patients get better, either with time or with treatment, that the prognosis is actually better than...

  2. What is actually observed in so-called 'biplar children'? If you read the research reports carefully, they describe broad and persistent emotional dysregulation. Although these children have mood swings, they do not develop manic or hypomanic episodes. They are moody, irritable, oppositional and likely to misbehave–like...

  3. DSM-5 is not 'the bible of psychiatry' but a practical manual for everyday work. Psychiatric diagnosis is primarily a way of communicating. That function is essential but pragmatic–categories of illness can be useful without necessarily being 'true.' The DSM system is a rough-and-ready classification that...

  4. The categories used in psychiatric diagnosis are based on observation of signs and symptoms, rather than on pathological processes. One can make use of a few signs, such as facial expressions associated with depression or the flight of ideas associated with mania. But what clinicians...

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