Children’s mental health and diagnosis: Time for alternatives?

Lawrence Howells
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Abstract

Children and Young People are being labelled with psychiatric diagnoses at higher rates than ever before (e.g. NHS Digital, 2022). This is despite significant concerns with the diagnostic model in mental health, including that it locates problems within individuals, can lead to stigmatisation and can seem insufficiently curious about their voices and experience. There are good examples of non-diagnostic approaches that are non-blaming, trauma-informed and put the voices of children, young people and families at their heart. This article describes three: Adverse Childhood Experiences, Power Threat Meaning Framework and Emotion-Based Cognitive Behaviour Therapy, showing how they can apply to clinical practice.
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儿童心理健康与诊断:是时候寻找替代方案了?
儿童和年轻人被贴上精神病诊断标签的比例比以往任何时候都高(例如,NHS数字,2022年)。尽管人们对心理健康诊断模式存在重大关切,包括它将问题定位在个人身上,可能导致污名化,并且似乎对他们的声音和经历不够好奇。有一些很好的非诊断方法的例子,这些方法不指责、了解创伤,并把儿童、年轻人和家庭的声音放在心上。本文介绍了童年不良经历、权力威胁意义框架和基于情绪的认知行为疗法,并展示了它们如何应用于临床实践。
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Development of the medical admission pack project: Utilising the expert-by-experience voice to improve experiences of medical admissions in young people with eating disorders Children’s mental health and diagnosis: Time for alternatives? Embedding psychological thinking within a local authority children and young people’s service; supporting, developing, and nurturing the workforce to work in a trauma informed way from the inside out Working together towards overcoming transgenerational trauma – Using cognitive analytic therapy with child-caregiver dyads Working in partnership to support trauma informed care for children, young people and their families in North Yorkshire
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