Rethinking Diagnostic Labels: A Path Beyond Pathology

Lawrence Hand

November 2, 2024
Middle aged woman at work

A diagnostic label is a term used by healthcare professionals to describe a person’s specific mental health or medical condition. It helps to identify and categorise the symptoms someone is experiencing so that they can receive the right treatment or support. In simpler terms, it’s like a name for what’s going on with a person’s health, which helps doctors understand how to help them better.

In the area of mental health, diagnostic and pathological labels are everywhere and often used by professionals to categorise a variety of conditions people face, which can be very helpful for treatment. However, the use of these labels raises important questions about their impact on identity, agency (ability to take responsibility), and therapeutic outcomes. A growing perspective in contemporary therapy challenges the regular reliance on these labels, allowing us to consider a more empowering approach to mental health care.

The Limitations of Diagnostic Labels

Diagnostic labels can reduce individuals to mere categories, hiding their unique experiences and methods of coping. When someone is labeled as depressed or suffering acute anxiety like I had been diagnosed, it can inadvertently lead to a medicalised view of their mental health, sidelining the intricate psychological and social factors contributing to their feelings. Instead of seeing the person as a whole, these labels often promote a one-dimensional view.

Whilst being beneficial, this medicalised approach can also create significant dangers, as individuals may internalise these labels and feel helpless, believing their situations are unchangeable. This perception may stunt personal growth and slow the search for effective solutions, leading many to feel defeated before they even begin their healing journey.

In contrast, a wellness-oriented approach emphasises personal strengths and skill-building. By focusing on what clients can do and the resources they already possess, therapists can help foster an internal locus of control, empowering individuals to actively shape their experiences. This shift is not just about steering clear of labels; it’s about recapturing one’s sense of autonomy and capability.

Looking Beyond Pathology

The skepticism many therapists hold toward diagnostic labels comes from an understanding that these terms can imply a permanent state of being. When people feel labeled, it can suggest to them that they are incapable of effecting change, ultimately stunting progress in therapy. This gap in awareness is what some psychotherapists call a stable attribution. Meaning what they think is causing their affliction is unchangeable. 

A focus on solutions highlights the importance of understanding what works for each person and building on those successes. This collaborative strategy allows therapists to explore multiple avenues for growth, rather than fixating on problems alone. Neuroscience and cognitive psychology has brought new evidence in support of the value in focusing on the goal as opposed to the past. There’s a saying that goes “Where your attention goes, energy flows”. A question to ask is: Do we want to provide energy to the diagnosis of the reasons why, or do we want to focus energy on a path towards a more fulfilling future?

Toward a Wellness-Focused Conversation

The therapeutic practices that center individual resources, strengths and potential, rather than rigid diagnostic labels, remind us of the importance of recognising clients as humans with layers of complexity. This approach encourages a more effective therapeutic environment that levels up resilience, autonomy, and personal growth. 

When one feels empowered to engage actively in their mental health journeys, they can dismantle self-limiting beliefs and embrace their inherent ability to create change. The most up to date data shows that clients that take some accountability for their progress create greater and longer lasting effects.

Encouragement for Your Journey

If you find yourself feeling defined by labels, struggling with feelings of helplessness or even just curious about other perspectives, there is room for change and growth. The right support can help you navigate these challenges while taking control of what you can.

By working together, we can explore the narratives and beliefs that shape your experiences and workshop strategies that get you to where you want to be. If you’re ready to move beyond labels and embark on a journey towards empowerment and healing, I invite you to reach out. Your path to writing a new identity is always on the other side of comfort.