Dear @aufvvachen, @ablondebibliophile, @onceuponapsydstudent, and @kitty-wine,
I haven’t written a letter in some time, but I think this really needs to be said: Your recent behaviour on line is inappropriate and completely unprofessional.
I understand you’re in grad school, congratulations. Grad school teaches you a lot, and you can get to be an expert at all kinds of things. Neurology, psychology, statistical methods, research ethics, and some of the fascinating things we know about human behaviour. I see you’re excited to help a lot of people, and that’s really great.
But I think that before you go into practice, there’s something you really really need to know. That Doctoral degree doesn’t make you God. It does not in any way give you the right to tell people how to live their lives. It doesn’t.
You’re an expert in all kinds of things, but I can guarantee you that one thing you aren’t an expert on is your clients’ lived experience. Only one person is an expert on that, and it’s your client.
That being said, let’s consider self-diagnosis. There are dozens of reasons why a person might choose to self-diagnose before seeing a professional, or instead of seeing a professional at all and, regardless of your thoughts on the validity of self-diagnosis in an academic sense, the bottom line is that it’s that person’s choice, not yours, and harassing someone about it is not okay.
If you’re concerned about the rates of self-diagnosis in North America (and I think you should be), then perhaps instead of attacking individuals with mental health concerns, maybe you could consider that every behaviour has its antecedent. There is a huge level of mistrust in the medical establishment at all levels of practice in North America. Why might that be the case?
Maybe it has to do with professionals who get themselves a degree and think that it gives them the right ignore their clients’ experience, treat them as inferior, and harass individuals with mental health-related conditions online. Maybe it’s because people with mental health conditions are used to the psychologist’s/psychiatrist’s office being an unsafe space where they are belittled and treated as less than human.
There are all kinds of things we can do as professionals to help educate people and point them in the direction of resources that might help them, but the kind of comments and reblogs that I’ve seen coming from this group are exactly the opposite. Therapeutic relationships are built on the basis of unconditional positive regard, respect, and compassion. If you can’t handle individuals online with that kind of behaviour, and instead choose to harass and antagonize them, then I’m very concerned for your future clinical practice.
You’re going in to be professionals. If you’ve got problems with self-diagnosis and why it happens, then I invite you to check out your behaviour and consider your practice. Because it’s looking to me like you’re part of the problem.
Yours very sincerely,
-K









