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539 points drankl | 1 comments | | HN request time: 0.218s | source
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parpfish ◴[] No.44485690[source]
Decades ago in my first abnormal psych course, the prof warned us that there was an almost iron-clad law that students will immediately start self diagnosing themselves with “weak” versions of every disorder we learn about. In my years since then, it has absolutely held true and now is supercharged by a whole industry of TikTok self-diagnoses.

But there are a few things we can learn from this:

- if you give people the chance to place a label on themselves that makes them feel unique, they’ll take it.

- if you give people the chance to place a label on themselves to give a name/form to a problem, they’ll take it.

- most mental disorders are an issue of degree and not something qualitatively different from a typical experience. People should use this to gain greater empathy for those who struggle.

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Aurornis ◴[] No.44485973[source]
> - if you give people the chance to place a label on themselves to give a name/form to a problem, they’ll take it.

This one is widespread among the young people I’ve worked with recently. It’s remarkable how I can identify the current TikTok self diagnosis trends without ever watching TikTok.

There’s a widespread belief that once you put a label on a problem, other people are not allowed to criticize you for it. Many young people lean into this and label everything as a defensive tactic.

A while ago, one of the trends was “time blindness”. People who were chronically late, missed meetings, or failed to manage their time would see TikToks about “time blindness” as if it was a medical condition, and self-diagnose as having that.

It was bizarre to suddenly have people missing scheduled events and then casually informing me that they had time blindness, as if that made it okay. Once they had a label for a condition, they felt like they had a license to escape accountability.

The most frustrating part was that the people who self-diagnosed as having “time blindness” universally got worse at being on time. Once they had transformed the personal problem into a labeled condition, they didn’t feel as obligated to do anything about it.

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Walf ◴[] No.44486445[source]
I'm sure there are those who self-diagnose without really suffering from a condition, but you do realise time blindness is a real issue, right?

https://www.simplypsychology.org/adhd-time-blindness.html

I don't watch TikTok videos, I don't use Instagram, but I have been plagued by these symptoms my entire life, and don't really care about others opinions on it. You probably don't have it if those symptoms don't resonate with you, but there are plenty of people who genuinely struggle, and there's likely some overlap with those who have undiagnosed ADHD.

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marsten ◴[] No.44486940[source]
The problem isn't that time blindness is a fake issue.

The problem is that many people incorrectly self-diagnose as suffering from conditions like time blindness. Which they do for a variety of reasons: To externalize accountability for why they're late, to feel special, and so on.

A comparison is the large number of people who claim "gluten sensitivity" and maintain special diets. Now there are serious medical conditions like celiac disease that require one to avoid gluten. But the vast majority of self-diagnosed "gluten sensitives" do not have such conditions. Researchers conclude that for many of them there is no physical basis for their self-diagnosis.

Among other things this phenomenon makes it harder for people with actual conditions to be taken seriously, because there are so many impostors.

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seethedeaduu ◴[] No.44488920[source]
I assume that your solution is having a professional diagnosis.

Sadly this doesn't really work due to the current state of psychiatry where many people with legitimate issues are being denied a diagnosis and treatment (see for example: trans healthcare and gatekeeping, adhd healthcare, etc). It is even more weird because often when you go to two different doctors you will get different results.

Not to mention that usually to even explore the idea of getting an official diagnosis you start with a self diagnosis.

> But the vast majority of self-diagnosed "gluten sensitives" do not have such conditions.

If you believe that you have celiac but for whatever reason you haven't been able to test it yet, then there is no harm to try going glutten free. The real issue is how many people deny the very existence of glutten sensitivity and put these people in danger. If you look at communities of people with the disease you will see what I am talking about.

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1. csa ◴[] No.44494804[source]
> If you believe that you have celiac but for whatever reason you haven't been able to test it yet, then there is no harm to try going glutten free. The real issue is how many people deny the very existence of glutten sensitivity and put these people in danger. If you look at communities of people with the disease you will see what I am talking about.

You just made one hell of a strawman argument about what GP said.

He merely stated that “the vast majority of self-diagnosed ‘gluten sensitives’ do not have such conditions”, as you quoted. This comment jibes with my experience.

The two folks I know who have full-blown celiac end up projectile vomiting for hours if they consume even small amounts of gluten (e.g., gross contamination in a fryer or on a cutting board).

The two folks I know who have milder versions were able to figure out that they needed to be tested in fairly short order due to “digestion issues” when they ate gluten.

On the other hand, the dozens of other folks I know who claim to be “sensitive to gluten” have no real basis when saying so. When I mentioned to them that I have friends with celiac, and I empathize with them, and I suggest they get tested if they haven’t yet (undiagnosed celiac is real), the answer I get are nothing short of glib - “oh, I’m just on a keto diet, and this is an easy way to do it”, “oh, I just found that I feel bad after eating things like cake” (sugar crash? diabetic?), or “oh, I’m fine, I just want them to make a fresh one (of whatever) for me”.

Your defense of folks who claim a problem that they can (often) fairly easily determine that they don’t have is enabling those folks’ dysfunction — that is, lying to themselves and (per this thread) using labeling as a defensive tactic.

People who actually have celiac need very specific accommodations. But the multiples of people who claim “gluten sensitivity” when they don’t actually have it causes large swathes of the general population to disbelieve the folks who really do have it.

It’s ok to call out the poseurs for what they are while still looking out for folks who have celiac or might have celiac and don’t know it yet.