Blog Short #255: Stop Self-Diagnosing: How Psychology Fads Are Messing With Your Mind

Photo by Szepy
Have you ever looked up mental health symptoms on the internet to find out what might be wrong with you? Or, if not you, with someone you know?
Or maybe you’ve heard of a particular mental health diagnosis and you wonder if it applies to you. Like ADHD, for example.
It’s a common thing to do, and the internet makes it easy to find information on your own without seeing a psychologist.
The problems are that:
- A cursory review of online information is not sufficient to make a valid diagnosis.
- “Popular psychology culture” can lead you astray.
In other words, psychology is subject to cultural fads, and those fads can influence how you see yourself and how you interpret both your own and others’ behavior and mental health status.
Today, I’m briefly describing recent and current psychology fads and giving you some strategies for what to do if you think you have psychological issues that need treatment.
Let’s start with the fads.
Psychology Diagnostic Fads
A diagnosis is a description of specific emotional and mental symptoms or conditions accompanied by a range of behavior patterns that cause distress and impairment in particular areas of a person’s life.
Generally, diagnoses describe specific mental and emotional disorders based on extensive observation and empirical research over time.
In other words, you have a list of possible symptoms that occur regularly, accompanied by specific, repetitive behaviors.
In social culture, some diagnoses become popularized and find their way into everyday descriptive language. You have a mood swing one day at work, and a co-worker says, “She’s just bipolar.”
You have to be careful of these fads, because they influence your perceptions and feed your confirmation bias to confirm your assumptions.
Here are four diagnostic fads that have occurred over the past 45+ years. You’ll recognize them.
Fad #1: Borderline Personality
In the late 80s, there was an emphasis in psychology circles on how to diagnose and treat Borderline Personality Disorder.
Interest in this disorder spread to the general public. It began to be used to describe anyone who seemed to be impulsive, highly emotional, difficult to deal with, or attention-seeking.
Then the movie Fatal Attraction was released in 1987, which added fuel to the fire. The label increased in popularity. If you haven’t seen the movie, Glenn Close plays a psychopathic woman with underlying Borderline Personality Disorder.
Fad #2: Bipolar
The Bipolar rage came later in the 1990s, and to some degree hasn’t subsided.
Someone who has mood swings or occasionally seems manic can be labeled Bipolar in a heartbeat.
This diagnosis remains a fad in popular culture today, so much so that people don’t think twice about referring to someone or to themselves as Bipolar at the hint of mood issues.
However, most people who think they are Bipolar are not.
The diagnosis is precise, and the criteria are definitive. It’s very well-researched and clearly describes symptoms, behavior, biological aspects, and treatment needs.
Having moods swing or occasionally acting out is not the basis for making such a serious diagnosis, yet we do it all the time. Even today, it’s a popular go-to when talking about moody people.
Fad #3: ADHD
You’d have to live off the grid not to know about this one.
This diagnosis was established in 1987, gained popularity in the early 1990s, and remains popular today.
Popular culture has latched on to “ADHD” to describe everything from a wandering mind to difficulty focusing to poor decision-making.
Those things are part of the descriptive symptomology for making the diagnosis, yet the diagnosis is much more complex and comprehensive than a handful of symptoms.
To complicate matters, other issues can create ADHD symptoms such as anxiety, depression, panic states, illness, drug use, and early attachment disorders.
Making a diagnosis requires investigating and sorting through all the possible causes of the symptoms before making a valid conclusion and prescribing the best treatment.
However, people commonly refer to themselves and their kids as ADHD when there’s a problem with focus or impulsivity.
Sometimes it’s used humorously, as in “I’m having an ADHD moment!”
There’s nothing wrong with that, but it does make the case for how easily some psychiatric diagnoses become fashionable.
Fad #4: On The Spectrum!
That brings us to the current psychology fad, which is Autism.
Autism is a real thing and has been misunderstood for years because no one really knew what it was or why someone behaved the way they did.
Fortunately, medical and psychological communities have devoted much more attention, along with additional research, to understanding, diagnosing, and treating this disorder.
Is it on the rise? Maybe, or maybe we just see it better than we did before. Either way, it’s in the public eye.
You often hear someone saying they’re “on the spectrum” or that someone else they know is “on the spectrum.” It covers everything from being shy to social awkwardness.
For people who have been struggling for years with Autism, or who have kids with the disorder, the growing professional interest is a relief. It signals help on the way and hope to treat the symptoms and improve lives.
The faddish aspect is not so welcome because we can use it to dismiss behavior patterns that aren’t related to Autism at all, but that need addressing.
The Upshot?
The upshot is that self-diagnosing based on psychological fads, confirmation bias, and faulty information on the internet can be damaging, even when done with good intentions.
Here’s what can happen when you self-diagnose mental health issues.
Identity Distortion
When you label yourself in any way, you’re crunching your identity.
Diagnosing has a limiting impact. It pigeon-holes you into a neat little box that confines you and keeps your attention focused on specific aspects of yourself.
You can get so caught up in the label that you begin to restrict some of the positive aspects of your personality while focusing on what you perceive as symptoms and problems.
The label itself has a shrinking effect that’s detrimental, especially when self-imposed.
Victimization
Diagnoses can also make you feel victimized. That’s more common with trauma, but applies to experiencing psychological symptoms as well.
Even the term “disorder” conveys the idea that something is happening to you from outside you.
In effect, it does happen to you, but you still have to work to resolve the problems that are there. You can’t just offload them. You have to take an active role in processing them, which is why people seek treatment.
Reducing or Demeaning Others
Labeling someone with a diagnosis is reductionistic in itself. Instead of seeing that person in their wholeness, they become the symptoms associated with the diagnosis and not much more.
This phenomenon doesn’t just happen in popular culture; it also happens in professional circles – all too often, I might add.
Therapists can easily get in the habit of thinking of their clients as the diagnosis they have rather than the person they are.
A good therapist knows that the minute you assign a diagnosis to someone, you have to make sure you’re always seeing the whole person – their individual and unique circumstances, their strengths and assets, and always their value and worth despite symptoms.
Instead of Self-Diagnosing . . .
When you’re struggling with something – a mood pattern, behavior issue, relationship problem, or anything that impairs your well-being – focus on the specific behaviors involved instead of jumping to a diagnosis.
Assess the behavior and think about how you can change it. Look for information, techniques, and strategies to help you.
If you’re worried about a specific diagnosis, seek out a therapist who can help with the issues that are leading you toward your assumptions.
A diagnosis itself isn’t a bad thing. It can help point you in the right direction toward the best solutions and strategies to address it, but don’t diagnose yourself without professional confirmation.
Taking a simple test or inventory is a start, but most mental health diagnoses can’t be made without extensive interviewing and a review of your history.
By all means, be very careful about diagnosing others. Even if you’re right, diagnosing can be demeaning.
That’s all for today.
Have a great week!
All my best,
Barbara








