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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 mainly use for diagnosis are symptoms, the subject experiences reported by patients. Psychiatrists have little knowledge of the processes that lie behind these phenomena. Thus psychiatric diagnoses, with very few exceptions, are syndromes, not diseases.

Joel Paris
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Do You Have DID?Determining if you have DID isn’t as easy as it sounds. In fact, many clinicians and psychotherapists have such difficulty figuring out whether or not people have DID that it typically takes them several years to provide an accurate diagnosis. Because many of the symptoms of DID overlap with other psychological diagnoses, as well as normal occurrences such as forgetfulness or talking to yourself, there is a great deal of confusion in making the diagnosis of DID. Although this section will provide you with information which may help you determine if you have DID, it is a good idea to consult with a professional in the mental health field so that you can have further confirmation of your findings.

Karen Marshall, Amongst Ourselves: A Self-Help Guide to Living with Dissociative Identity Disorder
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One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient.

Elizabeth Bradley
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It is not unusual for subjects diagnosed with a Dissociative Disorder on the SCID-D to be surprised at having their symptoms validated by a clinician who understands the nature of their disorder.

Marlene Steinberg, Interviewer's Guide to the Structured Clinical Interview for Dsm-IV (R) Dissociative Disorders (Scid-D)
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Clinicians have told me that our emotional is arrested at the age that an eating disorder takes control of our lives. After we recover, we pick up emotionally where we left off at that age.

Jenni Schaefer, Goodbye Ed, Hello Me: Recover from Your Eating Disorder and Fall in Love with Life
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The writings and the recommendations of the earliest medical scientists and the new breed of clinicians between the mid-fifteenth and early seventeenth centuries were based on the supposition that sufficient study and experimentation would elucidate not only the origins of disease, but its treatment as well.

Sherwin B. Nuland
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People who might normally have to travel hours to a distant city to see a cardiologist can now do so virtually, through Cisco technology, at their local hospital or health clinic. Clinicians use technology to share patient reports and diagnostic images and collaborate on cases.

John T. Chambers
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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 in many patients with severe mood and anxiety disorders.

Joel Paris
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The thesis that DID is merely a North American phenomenon has been refuted in the past decade by research reports based on standardized assessment from diverse countries, such as from The Netherlands, Turkey, and Germany (Boon & Draijer, 1993; Gast, Rodewald, Nickel, & Emrich, 2001; S ̧ar et al, 1996). Clinicians and researchers should be careful to avoid categorizing a universal human condition as culture-bound.

Paul F. Dell, Dissociation and the Dissociative Disorders: DSM-V and Beyond
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However, if you do not believe your clients, they may sense your doubt and never fully trust you. As Bruce Goderez (1986), director of a PTSD inpatient unit says, "It is important for the clinician and counselor to be willing to be made a fool." In other words, it is better that you believe a client who is lying or distorting the truth than to disbelieve a hurting trauma survivor who may never seek help again if your attitude is one of disbelief or disdain. Even if that client were to continue in therapy, they would never fully trust you.

Aphrodite Matsakis, Post-Traumatic Stress Disorder
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