Understanding Mental Health Diagnoses
Episode Description
Diagnosing children with a mental health-related condition can be controversial. Many worry this gives children a label that is set in stone and will follow them around their entire lives. In this episode of Mind Your Mind, Dr. Wayne Martinsen talks about the role of diagnosis in getting children the help they need. Martinsen encourages us to think about mental health diagnoses the same as we do any health diagnosis. If you go the doctor and they diagnose you with strep throat, that doesn’t mean you’ll have strep throat forever, or that you are a strep throat victim. It just means that you have a collection of symptoms that point to strep throat, and the doctor will use that diagnose to provide the appropriate treatment.What to Expect
- Learn why diagnosis is important to effective treatment.
- Discover how therapy, medication, and lifestyle can help you adapt to, or overcome, a mental health diagnosis.
- Understand that a diagnosis does not define you.
Resources: Learn More
"Help Yourself. Help Others." Online Mental Health Assessment, MindWise Innovations
What is Mental Illness? American Psychiatric Association
This is Depression: A Comprehensive, Compassionate Guide for Anyone Who Wants to Understand Depression, by Dr. Diane McIntosh
Things to Think About
- Is mental health stigma keeping you from getting the help you need?
- How might your lifestyle be affecting your mental health?
- Did you know that a psychiatric diagnosis can change or resolve over time?
About the Hosts
Dr. Wayne Martinsen, Medical Director and Psychiatrist at Dakota Family Services diagnoses psychiatric and behavioral health conditions, makes treatment recommendations, and provides medication management for clients of all ages. He is also the Clinical Clerkship Director for the University of North Dakota Department of Psychiatry and Behavioral Science. Dr. Martinsen received his doctorate degree from the University of North Dakota.
Dr. Martinsen provides telehealth and in-person services in our Minot and Fargo locations.
Transcript
Understanding Mental Health Diagnoses
Featuring Dr. Wayne Martinsen, Psychiatrist, Dakota Family Services
Tim Unsinn: Welcome to Mind Your Mind, a podcast presented by Dakota Family Services, an outpatient behavioral health clinic located in Minot and Fargo North Dakota. In this podcast, I will talk with our experts about understanding and nurturing our mental health and wellness. I'm your host, Tim Unsinn. Join me each episode as we explore the intricacies of our minds, decrease the stigma of mental illness, learn practical tips for managing our mental health and well-being, and recognize when it's time to ask for help. Join me now to mind your mind. In this episode of mind your mind I'll be talking with Dr. Wayne Martinsen.
Tim Unsinn: Dr. Martinsen is the medical director and psychiatrist in Fargo and Minot. Dr. Martinsen diagnoses psychiatric and behavioral health conditions makes treatment recommendations and provides medication management for clients of all ages. Again, this is really a great opportunity to talk with you, Dr. Martinsen. Today our topic is psychiatric diagnosis, but before we get to today's topic, you know, the question is coming, why do you do what you do?
Dr. Martinsen: As we've talked before Tim my intention was not to go into mental health. I ended up with a job at group home in Minnesota so that I could pay the bills to pursue a career in architectural drafting. And I just became fascinated with people. I was working with angry adolescents, and I was one of the people who just like that population. And I like trying to help them and trying to find ways to connect and solve problems.
Dr. Martinsen: So I switched my major to get a degree in social work, went on to get a master's in social work so that I could do therapy, went on from there to medical school to go into psychiatry. And in the last few years have been teaching. I'm the clinical provider for psychiatric training for our third year medical students on the Minot campus of the UND School of Medicine. So, I got pulled into it by this lure of both people and a fascination by their problems and sort of an enjoyment of helping.
Tim Unsinn: And you've made it more than a career. You've made it a lifelong ambition to help people. And that is really, it comes through in everything you do. Today's topic I'm really, really intrigued by the topic—psychiatric diagnosis. So what is the purpose of a psychiatric diagnosis?
Dr. Martinsen: The purpose of the diagnosis is to take the symptoms and help us understand how to help. So for example, probably two thirds to three fourths of all my work psychiatrically is with children and adolescents. Especially with a ten-year-old child, the most common symptom that brings them in is anger. But anger is like a fever. It doesn't tell you if you have cancer, or if you have a hormonal problem, or if you have a bacterial infection, or if you have a viral infection. It just says something is wrong. And that's the way a lot of our psychiatric symptoms are. So you can be suicidal because you're being abused. You can be angry because you're being abused. And the treatment for that would be very different than if you're angry because you have bipolar disorder; if you're angry and hurt because you're being humiliated or bullied in school; or if you're being angry because you have a personality disorder and can't cope.
Dr. Martinsen: So what the diagnosis does is it helps us sort of collect symptoms, and see how they fit together, so that we can understand what's giving rise to the symptom on the surface, for which somebody says, I need help. Now, a lot of people are really concerned about a diagnosis or about feeling pigeon holed. And you really want to sort of back that off and compare us to other parts of medicine. So if you go in to your primary care doc, and he says, "Oh, you have strep throat. I've done the test. I've diagnosed you with strep throat." It doesn't mean that you are a strep throat victim. You know, you still have an identity bigger than "the person with strep throat." What it does is it says that's what the doctor is going to treat you for.
Tim Unsinn: How does that then drive the treatment you're talking about is you, you find you know, you, you hone in on what you feel is the diagnosis. And then how do you, how does that drive the treatment approach?
Dr. Martinsen: And then you can share that with the patient. You can talk about what it means. You can look at where it came from, and then you can thoughtfully decide with the client what it is that they want to do to manage that. So my role largely is medication management. And that's one option. If somebody comes in with depression or with anxiety or with ADHD. The other thing that could be done is a lot of times, lifestyle changes can be made, or there might be times when somebody just needs to be reassured that they're safe, that there has to be an intervention because there's violence in the home or somebody who has violated a child. There are times when really the treatment of choice and the one that's most acceptable is psychotherapy. And so you talk through new ways to think about your life, or you talk through a trauma, or you look at what you say to yourself in a frustrating, stressful situation. But once you have the diagnosis, once you understand why the presenting symptom—whether that's anger or anxiety or depression—once you understand why that is going on, you have the diagnosis. Then you can talk with somebody about what approach makes the most sense to treat this.
Tim Unsinn: As I talk with and hear other people talk about psychiatric diagnosis. You know, they often think or often hear, well, if I get set in and diagnosed with something, well, that's set in stone. So is a psychiatric diagnosis set in stone for life or can it change?
Dr. Martinsen: It can change. It changes the most with kids who are, who are sort of delightfully. They're going to mature out of a lot of problems they have no matter what we do which is kinda nice. But if you have anxiety and you can take a look at it in a couple of ways, you can either say, this anxiety gets in the way of my life. I like who I am. I like my relationships. I like my work, but this anxiety gets in the way. And I want to go to see Dr. Martinsen and get a pill. And you can also say, no, I'm not. I'm not satisfied. I think that having the anxiety is something I want to change about myself. I want to be different than I am. And you might go to Dr. Spencer or Dr. Weberthe psychologist or one of the therapists and look at how do I change my automatic response to anxiety.
Dr. Martinsen: So even if the anxiety or the depression is genetically predisposed, because it runs in your family, you can find ways to change it. So when you have a diagnosis, it is not set in stone. The things that tend to be sort of set in stone are IQ. Our ability to learn, tends to be pretty much preset. For some people, ADHD will be preset and they won't outgrow it. Say half to two thirds, don't outgrow it. But even there, you can decide "I'm going to change my lifestyle. I'm going to live in a way that's really interesting so that if I have a short attention span and I have to read reports all day long, maybe that's really not where I should be. You know, maybe I should do something that I find innately interesting." Whether that's working with people or working with numbers or teaching or working with your hands, it's like, you can change your lifestyle to be a better fit for who you are. So at the end of life, the dementias are, you know, there's a lot of research on how we avoid getting a dementia, but once that's happened, that's something that once diagnosed is probably not changeable, but the vast majority of our mental health diagnoses either can be changed, or lifestyle and therapy can adapt so that they are not significant.
Tim Unsinn: You are listening to Mind Your Mind. And on this episode, Dr. Wayne Martinsen's with us, and we're talking about psychiatric diagnosis and who decides what the criteria are for a particular diagnosis?
Dr. Martinsen: Well, there, there are a couple of ways that it's done. The basic symptoms that cluster together to make a diagnosis are sort of organized and researched by the American Psychiatric Association. And they put out a manual called the Diagnostic Statistical Manual that will list every accepted diagnoses and all of the symptoms that go into that diagnosis. Now, depending on what questions I ask or what I'm aware of, how comfortable my client is with me, I may be able to elicit a really full, balanced interview and information, but there are times when, you know, I or other providers think we have the diagnosis, but boy, the patient just doesn't seem to be responding to treatment. Or the patient doesn't resonate with what we're saying about them. And one of the things that is really very helpful is the use of a psychologist. A psychologist is a doctoral level provider. They have their PhD or their PsyD, and they have psychological tests that look at the whole person. And they look at factors of personality and lifestyle and stress and brain processing and emotional responding. And they can either confirm or refute a diagnosis. And again, they're not perfect either, but the more you dig into it, the more likely you are to get it right.
Tim Unsinn: He's got the psychiatric diagnosis. What if they disagree with it? What are their options?
Dr. Martinsen: I think it's really, really important that, that you and the person you're seeing agree with what's going on. And I really encourage people, whether they're seeing me or any other provider, if what the doctor, what the psychologist or the therapist is saying, doesn't fit. I really think you need to both take a look at, "Am I wrong?" But you have to be willing to see a different provider. You know, not every auto mechanic can fix your car. And similarly, not every provider is going to resonate with the kinds of problems that you're presenting and all of us have areas that we're stronger in and areas that we're weaker in. And so I think at the drop of a hat, if it doesn't feel right, and you can't come to an agreement with your provider, I think you get a second opinion, or you ask to see a psychologist and do some testing.
Tim Unsinn: Oh, great information as always. Psychiatric diagnosis information with Dr. Wayne Martinsen, Dr. Martinsen, always a pleasure talking with you. We appreciate your time. And as you know, you've done this before. It's not your first rodeo. We have another question before you go. You get a prize. What do you do personally, to mind your mind?
Dr. Martinsen: Well, you know, I'm luckier than most people in that I find my work by and large invigorating, but nonetheless, I work on those things that positive psychology is really defined as being helpful. I meditate. I take my dog for a walk every day. I try to connect with people. I eat a largely fresh fruit and vegetable diet because we know those things matter. I try to protect my sleep in those things, lifestyle, really lifestyle and relationships really matter.
Tim Unsinn: As always thank you for your time. We appreciate hearing from you. And on this episode of mind your mind talking about psychiatric diagnosis. Loving the podcast. The opportunity to pause, rewind relisten, relearn. Thank you, Dr. Martinsen.
Tim Unsinn: Thank you for joining us for Mind Your Mind, a podcast presented by Dakota Family Services. You can't have health without behavioral health. Remember to mind your mind. For more information, links to additional resources, contact information, and much more go to Dakota, family services.org.
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Fear is powerful. It can cause us to avoid problems, people, and even opportunities in our life. But it can also be overcome. In this episode of Mind Your Mind, host Tim Unsinn speaks with Falan Johnson, a therapist at Dakota Family Services, about the function of fear and how to face it. Learn where fear comes from, how to identify it, and how to calm down and build confidence when you’re feeling afraid.;
The Three R's: Regulate, Relate & Reason
In this episode of Mind Your Mind, our host Tim Unsinn talks with Dakota Family Services therapist Jessie Mertz about the “3 R’s”—Regulate, Relate, and Reason. They discuss what each term means, how they build upon each other, and how this approach can help you calm others who are experiencing distress.;
What is Schizophrenia?
Schizophrenia is a chronic, complex mental health disorder that affects around 1% of people in the United States. In this episode of Mind Your Mind, host Tim Unsinn and psychiatrist Dr. Wayne Martinsen discuss the symptoms and implications of schizophrenia, touching on its many effects on individual and family life. Learn about how schizophrenia is treated, how it affects physical health, when it tends to develop, and how it is perceived between cultures.;
How to Have a Conversation About Mental Health
Although the stigma surrounding mental health is gradually disappearing, it can still be tricky knowing how to talk about it. In this episode of Mind Your Mind, host Tim Unsinn and psychologist Megan Spencer explore how to have a conversation with someone about their mental health, including signs that you should talk to them, how to start the conversation, and some possible reactions to expect from the other person.;
The Benefits of Being Outside
Are you feeling cooped up indoors? Join host Tim Unsinn and therapist Lucas Mitzel in this episode of Mind Your Mind as they discuss the importance of getting outside on your mental health. Learn about the benefits of green and blue spaces, activities you can do while outside, and how being outside can help improve symptoms of different mental health diagnoses.;
Dealing With Burnout
In this episode of Mind Your Mind, Tim Unsinn talks with psychologist Dr. Hannah Baczynski about the signs of burnout, how to prevent it, and how to know if your burnout is related to general life stressors or a mental health disorder. They also talk about the difference between fatigue and burnout, as well as how to support yourself and alleviate burnout when you’re experiencing it.;
Living with Chronic Illness
Many of us know someone who has been diagnosed with a chronic illness, or have been diagnosed with one ourselves. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist April Morris about how chronic illness can impact daily living and mental health, as well as how to seek support if you have been diagnosed with a chronic illness.;
Bipolar Disorder: Understanding the Highs and Lows
Although the term ‘bipolar’ is sometimes used as slang to describe someone who is moody or indecisive, true bipolar disorder is a complex and sometimes severe mental health disorder that affects the way a person thinks, feels, and behaves. In this episode of Mind Your Mind, host Tim Unsinn discusses bipolar disorder with nurse practitioner Amanda Daggett, touching on what the disorder is, what its symptoms look like, and how it can be treated.;
Social Media: Managing Emotions & Setting Boundaries
How much time do you spend each day looking at your phone? An hour or two? Multiple hours? In this episode of Mind Your Mind, host Tim Unsinn meets with therapist Christy Wilkie to discuss how social media use can impact our mental health, relationships, and behavior. Learn tips for monitoring your child’s internet use, as well as how to manage your own time spent on social media.;
Understanding OCD
While OCD is sometimes perceived as simply a desire to keep things neat and organized, it can actually have much more severe symptoms for those who experience it. In this episode of Mind Your Mind, host Tim Unsinn meets with psychologist Dr. Megan Spencer to talk about who Obsessive Compulsive Disorder affects, what its signs and symptoms are, and how to seek help if you or a loved one has been diagnosed with OCD.;
Breaking Bad Habits
Bad habits can be easy to start but sometimes very difficult to stop. In this episode of Mind Your Mind, host Tim Unsinn and therapist Falan Johnson talk about breaking bad habits, including where habits come from, how to know if a habit is bad, and steps you can take to stop it.;
Finding a Therapist
Are you looking for some help on your mental health journey? In this episode of Mind Your Mind, host Tim Unsinn and therapist Jessie Mertz talk about how to find a therapist, including what you should know when searching and what questions to ask when you meet a therapist for the first time. They also touch on what the letters after a therapist’s name mean, and how they apply to the type of services or treatment you might be looking for.;
Coping with Rejection
Whether it’s from asking someone on a date or applying for a job, we all experience rejection at some point in our lives. In this episode of Mind Your Mind, host Tim Unsinn talks with therapist April Morris about how to cope with rejection, including the common coping stages, the importance of acceptance, and how rejection can impact people differently.;
Borderline Personality Disorder
Like other personality disorders, borderline personality disorder is a commonly misunderstood and stigmatized mental illness. In this episode of Mind Your Mind, host Tim Unsinn talks with Lucas Mitzel, a therapist at Dakota Family Services, about what BPD is, how it affects someone’s behavior, and where to seek treatment if your child has been diagnosed with BPD.;
Psychological Assessments: What to Expect
Do you think you might be suffering from an undiagnosed mental disorder? If so, a psychological assessment might be able to help. In this episode of Mind Your Mind, psychologist Dr. Hannah Baczynski and host Tim Unsinn talk about what to expect from a psychological assessment, including what an assessment might include, what information you might receive from the psychologist, and what you should communicate with your psychologist before and after receiving an assessment.;
Supplements in Psychiatry
In this episode of Mind Your Mind, host Tim Unsinn and Amanda Daggett explore the topic of using supplements for mental health. In addition to talking about some of the most commonly used supplements like melatonin and St. John’s Wort, they also discuss the benefits, the risks, and the research surrounding various supplements.;
Seasonal Affective Disorder (Community Chat Series)
Feeling like you’ve got the winter blues? If you’re noticing symptoms of depression with the change of seasons, it may be a sign that you’re suffering from Seasonal Affective Disorder, or SAD. In this special Community Chat episode of Mind Your Mind, therapists Christy Wilkie and Lucas Mitzel discuss the common symptoms of Seasonal Affective Disorder, how it can affect other mental health disorders, and some useful tips, tricks, and resources for managing symptoms of SAD.;
Trying New Things With Confidence
Join Christy and Lucas, therapists at Dakota Family Services, as they share practical tips for building confidence when trying new things. From managing self-doubt to building resilience, this episode will empower you to approach new experiences with a positive mindset.;
Relationships are Hard
In this episode, Christy and Lucas explore why relationships can be so hard. Join them as they discuss the characteristics of both healthy and toxic relationships, talk about the difference between normal conflict and abuse, and help you discover your love languages so you and your partner can best express your love to each other.;
Is Everybody Anxious?
In this episode, Christy and Lucas explore anxiety. Join them as they discuss the signs and symptoms of an anxiety disorder, what you can do to decrease your anxiety, and how to best help loved ones struggling with anxiety.;
Is Everyone Feeling Sad
In this episode, Christy and Lucas explore depression. Join them as they discuss the signs and symptoms of Major Depressive Disorder, what you can do to help yourself feel better, and what you can do to help your loved ones. They will talk about coping strategies, therapy interventions, and ways to help you identify when your child might need extra help.;
Change is Hard
Change is inevitable. Join Christy and Lucas as they explore big and small changes and how they impact you. Learn why change can be so hard, even good change, and discover ways to manage it effectively.;
We Need to Talk About Suicide
In this episode of "Is It Just Me," Christy and Lucas discuss the very important topic of suicide. Listen to learn about risk factors, warning signs, and what you can do to help a loved one who is struggling. Remember, you are not alone. If you need immediate assistance, call 911. If you need to talk to someone, call the Suicide and Crisis Lifeline at 988.;
Do We Need to Get Outside?
Join Lucas and Christy as they explore the power of spending time outdoors on mental and emotional well-being. Discover practical tips, personal anecdotes, and expert insights on the benefits of getting outside and reconnecting with nature.;
Exploring ADHD
In this episode of "Is It Just Me?" Lucas and Christy discuss ADHD, shedding light on its prevalence and impact on daily life. Learn practical strategies for managing symptoms and understand why your friend or loved one with ADHD does the things they do.;
Internet Safety and Mental Health
In this episode of "Is It Just Me?", join our hosts Christy and Lucas as they delve into the complex relationship between the internet and mental health. With the digital age bringing information and social connections to our fingertips, it also presents unique challenges and opportunities for our safety and psychological well-being.;
Boosting Self-Esteem: From Marathons to Daily Triumphs
In this episode of "Is It Just Me?", Christy and Lucas discuss how common it is for people to see themselves differently from others. Using their own personal triumphs and challenges as examples, they outline the things that shape our self-esteem. Additionally, they share simple daily practices to help listeners recognize and celebrate their own personal victories. This episode is filled with tips and engaging stories aimed at encouraging listeners to undertake challenges that foster self-growth and personal confidence.;
Therapy Unveiled: What to Know Before You Go
In this episode of "Is It Just Me," Lucas and Christy talk about what it's like to begin therapy. Feeling apprehensive about starting therapy is normal, but surmountable. Together, Lucas and Christy unravel common myths about therapy and emphasize the role of therapy in disrupting negative life patterns and routines that are no longer serving you.;
Coping with the Back-to-School Blues
In the latest episode of “Is It Just Me?” Christy and Lucas tackle the transition from leisurely summer days to structured school schedules with warmth and wisdom. This episode is a must-listen for parents seeking guidance and strategies to help navigate the shift with confidence. Learn how to handle changes in routine, the importance of communication, and strategies to help the entire family adjust to and embrace the new normal. Listening to this episode can be your first step toward making back-to-school a season of growth and positive change for all.;
The Art of Overcoming Trauma
In this month’s episode of the "Is It Just Me?" podcast, Lucas Mitzel and Christy Wilkie, Dakota Family Services, dive into the complexities of trauma and its therapy. The episode sheds light on Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and the importance of creating a trauma narrative as a cornerstone of healing. The thoughtful discussions aim to educate listeners on the intricacies of trauma, the innovative methods used in therapy, and the role of caregivers in the recovery process. Through expert insights and compassionate storytelling, Lucas and Christy provide practical advice and real-world examples for individuals who have experienced trauma.;
Navigating Life Through Mindfulness
In this episode of “Is It Just Me?”, Lucas and Christy delve into the world of mindfulness and relaxation techniques. From body scans to mindfulness exercises, they provide a soothing experience to help you unwind and distress. Discover practical tips and advice on incorporating mindfulness into your daily routine and learn how to prioritize mental well-being in today's fast-paced world.;
Mindfulness: Body Scan
In this special additional episode of “Is It Just Me” join therapist Lucas Mitzel as he gives listeners a transformative journey within their own body and mind. In this episode, Lucas guides listeners through a soothing body scan to promote calm, mindfulness, and inner peace. This episode offers a unique mixdown of gentle narration, and relaxation techniques, leaving you feeling refreshed, rejuvenated, and more connected to yourself.;