FacebookTwitterGoogle+RedditEmail

Private Insurance Induced Stress Disorder?

by RUSSELL MOKHIBER

Pissed off?

Maybe it’s your insurance company.

A Maryland psychiatrist thinks it might be.

Writing in the current issue of Psychiatric Times, Dr. Carol Paris lays out the diagnostic criteria for something she calls Private Insurance Induced Stress Disorder (PIISD).

“Mental illness can sometimes be triggered by abnormalities of brain chemistry,” Dr. Paris said. “But in this case it’s triggered by outside forces – in particular, large corporations.”

Dr. Paris lays out four criteria for diagnosing PIISD.

Criteria A: The person has been exposed to a traumatic insurance-induced event in which both of the following have been present:

* The person has experienced a health insurance traumatic event, due either to lack of access to health insurance, or due to failure of their health insurance to meet their health care needs.

* The person’s traumatic response involved intense fear, helplessness, anger, and confusion and was caused by financial considerations that seriously complicate their (or their patient’s) medical treatment and recovery.

Criterion B: The traumatic event is persistently re-experienced in one (or more) of the following ways:

* Feelings of anger, frustration, and shame at the thought of one’s inability to access (or provide) needed care.

* Feelings of alienation from and abandonment by one’s countrymen and elected officials, precipitated by exposure to any form of corporate-controlled news media coverage of the health care crisis.

* Feelings of inadequacy, as an individual, as a family member, or as a physician/provider, due to the repeated inability to obtain needed care for oneself, one’s family member, or one’s patient.

* Avoidance of seeking, or providing, needed care due to fear of serious financial strain or even bankruptcy.

* Fear of an acute confusional state or other cognitive disorder following attempts to understand one’s EOBs (explanation of benefits).

Criterion C: Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness, as indicated by three or more of the following:

* Efforts to avoid thoughts, feelings or conversations about anything related to health insurance or healthcare.

* Efforts to avoid interactions with physicians, hospitals or health care centers that arouse recollection of the trauma. In the case of physicians, efforts to avoid patients who are experiencing health insurance trauma.

* Markedly diminished interest or participation in significant activities.

* Feelings of detachment or estrangement from others.

* Restricted range of affect (e.g., unable to experience feelings of wellbeing)

* Sense of foreshortened future (e.g. does not expect to have a career, marriage, children, or a normal life span). In the case of physicians, does not expect to remain in practice, anticipates early retirement or disability due to consequences of health insurance trauma.

Criterion D: Persistent symptoms of increased arousal, as indicated by two or more of the following:

* Difficulty falling or staying asleep, due to intrusive thoughts about the health insurance trauma.

* Irritability or outbursts of anger. In the case of physicians, this often results in sanctions, possible loss of hospital privileges, and being labeled a “disruptive physician.” In the case of patients, it often results in suspiciousness directed at one’s physician, often being labeled a “difficult patient.”

* Difficulty concentrating, resulting in functional impairment and further jeopardizing career, health, and sense of wellbeing.

* Hypervigilance, (e.g., won’t let children play on playground equipment for fear of minor injury resulting in possible retraumatizing need to interact with one’s health insurance company).

Criterion E: The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Dr. Paris warns in the article that “this diagnosis is not currently reimbursed by health insurance carriers.”

RUSSELL MOKHIBER edits SinglePayer Action.

 

 

Russell Mokhiber edits the Corporate Crime Reporter.

More articles by:
Weekend Edition
May 27, 2016
Friday - Sunday
Andrew Levine
Hillary’s Gun Gambit
Paul Street
Feel the Hate
Daniel Raventós - Julie Wark
Basic Income Gathers Steam Across Europe
Peter Lee
To Hell and Back: Hiroshima and Nagasaki
Jeffrey St. Clair
Hand Jobs: Heidegger, Hitler and Trump
Pete Dolack
Millions for the Boss, Cuts for You!
Martha Rosenberg – Ronnie Cummins
Bayer and Monsanto: a Marriage Made in Hell
Karl Grossman
Long Island as a Nuclear Park
Binoy Kampmark
Sweden’s Assange Problem: The District Court Ruling
Robert Fisk
Why the US Dropped Its Demand That Assad Must Go
Brian Cloughley
Pivoting to War
Stavros Mavroudeas
Blatant Hypocrisy: the Latest Late-Night Bailout of Greece
Arun Gupta
A War of All Against All
Dan Kovalik
NPR, Yemen & the Downplaying of U.S. War Crimes
Murray Dobbin
Are We Witnessing the Beginning of the End of Globalization?
Daniel Falcone
Urban Injustice: How Ghettos Happen, an Interview with David Hilfiker
Gloria Jimenez
In Honduras, USAID Honduras Was in Bed with Berta Cáceres’ Accused Killers
Kent Paterson
The Old Braceros Fight On
Randy Blazak
Thugs, Bullies, and Donald J. Trump: The Perils of Wounded Masculinity
Lawrence Reichard
The Seemingly Endless Indignities of Air Travel: Report from the Losing Side of Class Warfare
Peter Berllios
Bernie and Utopia
Stan Cox – Paul Cox
Indonesia’s Unnatural Mud Disaster Turns Ten
Linda Pentz Gunter
Obama in Hiroshima: Time to Say “Sorry” and “Ban the Bomb”
George Souvlis
How the West Came to Rule: an Interview with Alexander Anievas
Dave Lindorff
With Clinton’s Nixonian Email Scandal Deepening, Sandes Must Demand Answers
Dmitry Mickiewicz
Barbarous Deforestation in Western Ukraine
Gilbert Mercier
Donald Trump: Caligula of the Lowest Common Denominator Empire?
Patrick Bond
Imperialism’s Junior Partners
Mark Hand
The Trouble with Fracking Fiction
Priti Gulati Cox
Broken Green: Two Years of Modi
Marc Levy
Sitrep: Hometown Unwelcomes Vietnam Vets
Robert Dodge
On President Obama’s Hiroshima Visit
Andrew Moss
Bridge to Wellbeing?
Ed Kemmick
New Book Full of Amazing Montana Women
Michael Dickinson
Bye Bye Legal High in Backwards Britain
Missy Comley Beattie
Wanted: Daddy or Mommy in Chief
Charles R. Larson
Russian Women, Then and Now
May 26, 2016
Paul Craig Roberts
The Looting Stage of Capitalism: Germany’s Assault on the IMF
Pepe Escobar
Hillary Clinton: A Major Gold-Digging Liability
Sam Pizzigati
America’s Cosmic Tax Gap
Ramzy Baroud
Time to End the ‘Hasbara’: Palestinian Media and the Search for a Common Story
José L. Flores
Wall Street’s New Man in Brazil: The Forces Behind Dilma Rousseff’s Impeachment
Patrick Cockburn
The Battle of Fallujah: ISIS Unleashes Its Death Squads
John Feffer
The Coming Drone Blowback
Alex Ray
The Death Toll in Syria: What Do the Numbers Really Say?
FacebookTwitterGoogle+RedditEmail