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Published: March 26, 2025
By: NewVista Psychology

Normal Anxiety vs. Clinically Significant Anxiety: A Reflection on Mental Health Diagnosis

In a world where we are constantly inundated with messages, differing opinions, and ideas, it becomes increasingly difficult to differentiate between scientifically-based knowledge and common misconceptions. The rise of social media has contributed to this confusion, as it often blurs the line between credible mental health information and self-diagnosis. A troubling phenomenon is that everyone now seems to consider themselves an “expert” on mental health, relying on platforms like Google and social media memes to diagnose themselves and others. This trend has led to the weaponization of mental health knowledge in social conflicts, further complicating the landscape.

Even mental health professionals sometimes struggle to resist the temptation of aligning with unscientific approaches, such as pop psychology and fleeting trends. As a result, I am writing this blog post to raise awareness and spark a discussion—not only among the general public but also among mental health care professionals. One of my primary concerns, and one I believe to be a harmful approach, is the stigma surrounding mental health diagnoses.

While I agree that premature or inaccurate diagnoses can create unnecessary stress, it is essential to recognize the value of a proper diagnosis. A correct diagnosis enables clients to receive appropriate, evidence-based treatments rather than a "one-size-fits-all" approach. For example, certain mental health professionals argue against making a diagnosis at all, but my challenge to them is that their stance might be influenced by personal biases. A proper diagnosis, such as one for borderline personality disorder (BPD), allows for tailored treatments like Dialectical Behavior Therapy (DBT), which has been proven effective in managing BPD. This approach is based on reliable, evidence-backed methodologies, including group therapy, individual sessions, and follow-up consultations.

Similarly, for individuals struggling with major depressive disorder (MDD), the gold standard treatment is Cognitive Behavioral Therapy (CBT), supported by an extensive body of research. These evidence-based approaches are not arbitrary; they are rooted in rigorous scientific inquiry and clinical efficacy. If these treatments or even the idea of receiving a formal diagnosis do not resonate with someone, that is entirely valid. However, it is dangerous and irresponsible to use one's own preferences as a universal standard for others. It is both unfair and unhelpful to impose personal views on clients, as they may not have the same needs or experiences.

We must distinguish between normal life struggles, which may not require a formal diagnosis, and clinically significant conditions that cannot be adequately addressed with supportive therapy alone. A comprehensive psychological or psychosocial assessment, even a simple screening tool, can help differentiate between these two categories. The reality is that many clients in our field do not receive the holistic, individualized care they need because of the overwhelming array of conflicting approaches.

Conclusion

In conclusion, it is vital to maintain a balance between understanding the value of proper diagnosis and avoiding the pitfalls of misdiagnosis or oversimplification. Mental health care should be based on scientific evidence and tailored to each individual's needs, not shaped by trends or personal biases. It is time to move beyond stigmatization and engage in honest conversations about mental health that focus on providing the best possible care for those who need it. We must encourage a more thoughtful and informed approach—one that respects the complexity of mental health while striving for clarity, compassion, and evidence-based treatment.

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