Sometimes young people do not realise they may have a mental illness until they see something on social media.
“You’ve first got to become aware that you do not feel like most other people do, that what you thought was normal isn’t normal at all,” Özdemir says, noting that if you do not suspect anything, you will not make an appointment with a psychotherapist.
Take ADHD, for instance. According to Özdemir, statistics show that the number of ADHD diagnoses is rising. This is not because the disorder has become more prevalent, he says, but because the symptoms have become more widely known.
“People now have an opportunity to inform themselves,” he says.
A specialist must make a definitive diagnosis
A growing number of people come to his therapeutic practice suspecting they have a mental health condition.
“This shows me they’re asking the right questions and not dismissing the matter,” says Özdemir, while emphasising that a specialist must make a definitive diagnosis, and that self-diagnoses are error-prone.
“For one thing, [self diagnoses] are subjective. In addition, they typically lack professional expertise as regards a differential diagnosis,” he says, referring to the fact that a number of conditions share the same symptoms.
He is critical of people expecting special treatment from others on the basis of a supposition not backed by a professional medical assessment.
“At worst, it could lead to the person resting on their supposition,” he says.
Vet information sources carefully
Dr Burkhard Rodeck, secretary general of the German Society of Paediatrics and Adolescent Medicine (DGKJ), also warns of the dangers of informing yourself about illnesses from information gathered on social media.
While social media should not be condemned wholesale as an information source, he says, “there’s often an absence of thorough research, and little distinction is made between fact and opinion”.
Adolescents, in particular, do not have the experience to recognise the distinction, he says, adding that reliable information is available from medical associations and in guidelines on illnesses.
Özdemir also advises people to critically examine information sources.
“Lots of people have simply jumped on the mental health bandwagon,” he says. “Sometimes I have the impression that [ …] everyone’s an ‘expert’ on the psyche.”
Rodeck points to another problem. “We all inform ourselves with a bias,” he says, meaning we read what we want to read.
If you’d like or need therapy, you won’t get around a diagnosis by a professional
He adds that “our perception is always subjective”, which is why the involvement of someone who is as neutral and expert as possible is important when it comes to a diagnosis.
Therapist shortage is driving self-diagnosis
Ultimately of importance after a self-diagnosis, Özdemir points out, is what happens next. “If you’d like or need therapy, you won’t get around a diagnosis by a professional.”