Psychiatrists Can't Agree About This New Disorder

Prolonged grief disorder recently debuted in both of the two manuals that clinicians use to diagnose psychological conditions. But the DSM and the ICD don't completely agree on what it is.

Hosted by: Stefan Chin (he/him)

Correction:
2:26 The DSM-5-TR is produced by the American Psychiatric Association, not the American Psychological Association.
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[mranster]

Eight months seems awfully radical. Especially when the loss is of someone very dear, like a child, partner, or close friend. Don't most people grieve such losses for longer than that? Surely we're not all going to just bounce right back after burying our most loved ones? This sounds like something the corporate world demands, rather than how real human beings are.

[guiltytrigger]

Prolonged grief disorder might be the culmination of a much earlier and deeper loss of ourselves through our lifetime's mental health decline,

Many depressive disorders are the result of prolonged pain with "no way outs" of it.

[agent]

I think the only thing i find weird about this as a diagnosis is the idea of putting a "timer" on normal grief. There are so many factors that might prolong someone's grief, why are we gonna other people by breaking it off into a whole new disorder?

It apart feels like it might overlap a bit with C-PTSD or PTSD.

[abdallahmanasrah]

My grandmother lost a child to murder. She lived 35 more years, speaking of him multipe times a day an in her death bed.

[the.masked.one.studio]

So interesting! 💖
I was misdiagnosed MANY times before we figured out I’m Audhd with PTSD. Learning about the process of diagnosis being so subjective was quite eye opening!

[angelitabecerra]

Prolonged Grief Disorder sounds like what my mother went through after the death of her 2nd husband. Took her over a year to start to move on from his death. And I had to force her to eat, shower, go to work, pay bills, etc. Ya know, daily and necessary activities of life.

Being 14 at the time it was a huge burden on me

[Shaden]

I've been dealing with this since my mother passed away in 1982 It's 42 years And they're finally figure out this is a condition Ohh my dear lord how many other conditions are they like missing out on because it's not recognizing what they are? How many more decades is gonna take before someone can Diagnosis let alone gives the help we need.

The DSM definition fits exactly what I've been feeling and dealing with for over 40 years.

[haysosborne]

There is a slight error. The DSM is a publication of the American Psychiatric Association (little apa), not the American Psychologic Association. It is used by both psychiatrists and psychologists though.

[angrybeluga]

I’m glad this is being looked at. The DSM has been moving towards the idea that grieving is a process that the individual must resolve. But what happens when there is no resolution, no closure? This is often the case: your loved ones’ killer is never found or cannot be prosecuted, or your parents or partner abandon you, and you never learn why. Or you think you were drugged and raped, but you have no memory, and so you’re never certain what happened. These are the kinds of situations that could trap someone in unresolved grief (that manifests like major depression). If you have that, it’s good to get therapy, because a skilled therapist can help you process that which you were never permitted to finish processing yourself.

[reilley]

I always saw the ICD as more of a coding resource rather than a diagnostic one because the copies Ive seen dont really explain criteria like the DSM does.

[Benni]

I feel like both manuals need to add more things to grieve other than a person. Bc you can grieve so many other things; the loss of a job, a house or other property, loss of a pet, loss of your own identity, or the falling out of a friend (plus other I can’t remember right off the top of my head) Yes, the death of a loved one is the most common thing we think of grief but grief isn’t just one thing, so I think this could be part of the problem that these researchers could be dealing with.

[CG_Hali]

I think the ICD definition is better. The DSM 'trying to avoid reminders of the loss' isn't in everyone who griefs badly. My mom was near suicidal and depressed for two whole years, my brother and I were not far behind the first year. My mom kept hurting herself more mentally at many points by reminding herself of the death, of my dad, of what she lost, etc. But at others she'd try to avoid reminders as well. They called it depression and it is, but this would just attribute a cause.

[AmberAmber]

I have CPTSD & recently was dxd with Prolonged Grief disorder too. Thanks for this video.

[illyxxolicnaxim]

One thing they don’t touch on - the ICD is what’s used to bill insurance companies. Doctors get reimbursed based on which ICD “code” they assign a patient. This might he why ICD definitions need to be broader, to allow doctors to make the diagnosis they feel best applies without fear of claims of insurance fraud.

[kennethng]

but as of now, Prolonged Grief Disorder is only confined to Bereavement (i.e. death of a family member, friend, or loved one). PGD doesn't extend to divorce, break-ups, etc.

[kirkmorrison]

I suffer from the Prelonged Grief Disorder. I lost my wife years ago. I according to my Therapist, I got stuck in the grief stages, with her help i have made progress, i still have really rough days but things are slowly getting better.

[nariutimes]

And we can be someone who helps their grief, or their autism, or ADHD. We do need diagnosis and physicians, but we can also just be aware, proactive, and kind people .

[Dyejob]

Thank GOD they are trying to figure this out. I lost my twin 11 years ago through an accident. I can say that all of the examples listed from both diagnostic manuals are part of my prolonged grief disorder. That wasn't difficult.

[robbob]

I have all those symptoms from my dogs death in 2018. He was the last best thing in my life. It took over two years before I stopped having panic attacks. I'm too afraid to get into a relationship or have a pet because I can't take anymore loss. I'd rather be alone

[pirobotbeta]

Sounds like PTSD defined using different terms...
I suffer daily from events that happened decades in the past...'prolonged' fits the bill pretty well.