The Psychiatrization of Negative Emotions

Introduction: It is of the utmost importance to distinguish psychiatric illness from negative emotions to avoid psychiatrization of normal emotional responses.Case description: An 82-year-old man without a history of psychiatric disease was seen in the emergency room after a suicide attempt by hanging. He was committed and medicated with 25 mg of sertraline. Fifteen days later, the patient was evaluated in a psychiatric consultation. No psychopathology was present, and he had been cheerful and functioning well since he exited the inpatient unit. Sertraline was weaned off, and he was released from the consultation. Comment: The case report addresses psychiatrization driven by top-down factors, such as the diagnostic vagueness of classification systems or the heterogeneity of psychiatric assessments. Thus, diagnosing in mental health must involve much more than following a checklist and merely considering the patient's words and responses to questioning.