We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
Probably for confidentiality reasons, Dr X took a fictional character as a sample rather than trying to camouflage a real patient. This is my idea of a real diagnostic impression of a patient without a major illness (eg dementia, schizophrenia, narcotic addiction, melancholia and major depression, bipolar disorder, etc.).
He briefly covers the defensive structure, the character structure, the basic conflicts as they relate to the person's life. Outside the major ailments, the DSM is useless in depicting a patient - a person with his flaws and weaknesses. In these times of the the low-rent superficial, check-list, cook-book Psychiatry, I find internists often more interested in the whole person than some Psychiatrists who just want to give you the right pill without delving into your psyche beyond the surface complaint. In my view, that is not serious medical practice. I do not approve of it, nor do I think it is cost-effective in the end. Some people are attempting to hyper-medicalize and simplify my field of work, but the human soul is too complex for that to work most of the time.
My field is deeply divided these days. It makes things interesting, controversial, and sort-of fun.
Unlike Dr. X, I never write these things down anymore. It takes too much time, can be subpoenaed and distorted in divorce court (some bad experiences with that before I quit writing things down), and otherwise nobody will ever read it before it is shredded. However, I store them in my brain. My brain has plenty of storage capacity.
I will re-post, for those who might be interested, my series on serious diagnosis over the next few days.
Character is destiny. Mostly, except for bad luck.
My experience with shrinks has not been good. Took my son because he was suicidal and the Dr. didn't see it when he talked to him until after I talked to him and told him what I saw. He then talked to my son again and made excuses for why he didn't see it. Another doctor with my daughter couldn't see it either. I made sure they got the treatment they needed. I got into therapy for depression for my children not myself. That was 25 years ago. I had to beg for antidepressants. I believe there are good doctors out there I just haven't found them. My children are fine and they are educated about depression.