Our expert says:
If I understand you, you're asking how the diagnosis is supposed to be properly made ? There are two broadly similar codes of international psych diagnosis, the main one being American in origin, the DSM4 ( a 5th version is in preparation ). These include an internationally accepted set of agreed criteria for making any psychiatric diagnosis.
Such criteria tend to say for Xxx disorder, the person should show 4 of the following 6 symptoms, and neither of the following 2, for the diagnosis to be made.
IN SA, due to naive decisions by the Medical Aids and others, such that Bipolar Disorder is included on a list of conditions for which chronic ongoing medication will be covered, and the more common Depression ( Major Depressive Disorder ) is NOT so covered, Bipolar Disorder is widely over-diagnosed, possibly for the benefit of the patient who may receive coverage of chronic medications, but not when multiple unnecessary meds are prescribed to support the over-diagnosed condition
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