Thursday, April 11, 2013

Labels and what they really mean...



One of the interesting things about looking at a diagnosis is that the words on the paper don’t really describe the totality of the person.  At least not for me.  So, when I have had issues, I tend to not ask the doctor for my actual diagnosis.  I don’t know if I don’t want to know or if I am more interested in how I am going to get better.  I assume it is depression.  And I focus on what I need to get through in order to move forward.  I think that this is the result of my experience as a case manager.  Or from my experience in dealing with Mom.   We never actually knew what her diagnosis was.  It was enough to know that she was very sick.  And that we needed to solve problems in order to deal with it.  It has always seemed to me that the most important part is the impact of the problem.  Of course, it is also very important to me to figure out how to move forward.

As a professional, I frequently noticed that different doctors would put slightly different diagnoses in the chart.  There seemed to be some relationship between the diagnoses that the doctors would give, but there were also some pretty strong differences.  From that, I took away the idea that the doctors saw different things.  After all, they had different specialties.  And the label became important only as it directed the treatment.  It seemed to be a guide, so to speak.  It was a starting point as you looked at what kind of medication the patient needed or what supportive services might best suit their situation.

However, the other use for ‘labels’ is to describe what is going on.  As in, how do we know what we are dealing with if we don’t know what it is?  So, labels do have a place in medicine.  I assume that a doctor might use different medications or tactics in treating the variety of types of dementia.  Sounds reasonable, huh?  But what has disturbed me about these labels are the emotional reactions and judgments that they evoke in the patient.  And also in the world around the patient.  So, I only use labels when I absolutely have to.  That is why I have never said “I am mentally ill” out loud.  At least not until I did in this blog.  It seemed harsh.  And I pictured my Mom and my clients when I used the words.  But as I explored in this blog, I realized that we really do assign labels a ‘meaning’.  As I learned in Landmark, what we make significant IS significant. And very difficult to carry because of how heavy it is.  But when we can approach a word from the space of ‘nothing’ ---without assigning meaning--- we have made progress.  

This entire discussion is actually preliminary to sharing an article with you.  I looked up the symptoms of major depression today.  Not surprisingly, I can identify with the majority of them.  Surprise, surprise.  Here is the article I obtained them from:  http://mayocl.in/xf2Nv  it’s put out by the Mayo Clinic.  That indicates reliability to me.  But from this list of symptoms, what did I see about Judy?  I saw what she has been dealing with.  The symptoms of a disease.  But I didn’t see Judy.  The personality and the quirks.  The good and the bad.  The fact that she is loving and gregarious.  That her favorite thing to do on earth is to laugh.  I didn’t see that.  So, I am clear.  I probably have major depression.  I am not major depression.  And whatever Maxine’s diagnosis was, that was not the totality of Maxine.  

I originally thought that I would educate you about the symptoms of major depression.  But as I started writing, I found that is not what I wanted to say.  I really wanted to point out that YOU are not a disease.  You are you.  You can read the article to find out what the symptoms of major depression are.  I would like to suggest that if you recognize the symptoms in yourself, it might be time to seek treatment.  But I also wanted to say that you need to recognize that who you are is more complex than a diagnosis.  You are a unique and special person.  Your diagnosis influences you.  But it isn’t who you are.  Remember that as you deal with having a diagnosis today.

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