Thanks to medical billing, everyone can be diagnosed with a mental illness

By Stephie
STS Peer Advocacy Presenter

Regardless of what side of the gun debate you are on, think very, very carefully before advocating for rounding up and vilifying the “mentally ill,” whatever that term even means. Facts: Statistically, people who are mentally ill are far more likely to be victims of violence, not perpetrators. Statistically, most mass shooters are not mentally ill. A few here and there, yes. But most are not.

As most know, a provider of any kind must cough up a diagnosis code in order for anything to be paid by, or re-imbursed by, insurance. If you ever report to your doc or counselor that you are depressed, you will get a diagnosis in the DSM-V. If you are worrying and feeling a lot of anxiety, you will get a DSM-V diagnosis. If your memory isn’t what it used to be and a provider notices, you will get a DSM-V diagnosis. Pretty much the entire experience of being a human being is contained in the DSM-V. If your significant other leaves you, or you get laid off from your career and you are distraught and see a provider, you will get a diagnosis in the DSM-V (“Adjustment disorder.”) If your child dies, or your spouse or mother, and you are experiencing extreme grief and tell a provider, you will get a diagnosis in the DSM-V. If your kid is autistic, they are in the DSM-V. If your teen has had a rough time and has been suicidal or needed therapy (pretty common these days), they have a DSM-V diagnosis.

So what is mentally ill? What does this even mean? Most people probably have a stereotyped image of a homeless person talking to themselves. And the vast majority of those folks are not dangerous to anyone but themselves.

As a matter of interest, I just heard this past weekend from a person in the mental health field that racism is in the early stages of being discussed as a mental illness, as it constitutes such disordered thinking.
So just what does mentally ill mean? Think long and hard before you start advocating for a “mentally ill registry.” It is not unlikely that you will be on it.