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Debate : are we overpathologising young people's mental health? Research shows otherwise - mental health conditions are not being recognised or diagnosed in healthcare settings

Sayal, Kapil
Hiller, Rachel
Abstract
Over recent years, there have been increasing societal, political and media concerns in relation to the 'over-diagnosis' and 'self-diagnosis' of common mental health conditions or emotional disorders, such as depression and anxiety. Using two large research projects as illustrative examples, we highlight that there is a mismatch between concern about 'over-pathologising' young people's mental health and the recognition and diagnosis of emotional mental health conditions in health and care settings. Concerns around labelling risks us losing a shared understanding and language around mental health and mental health care, within services, between sectors, and for young people and families.
Citation
Sayal, K. & Hiller, R. (2025). Debate: Are we overpathologising young people's mental health? Research shows otherwise - mental health conditions are not being recognised or diagnosed in healthcare settings. Children and Adolescent Mental Health, 30 (3), pp.305-307.
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2025 The Author(s). Child and Adolescent Mental Health published by John Wiley & Sons Ltd on behalf of Association for Child andAdolescent Mental Health.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Child and Adolescent Mental Health 30, No. 3, 2025, pp. 305–307 doi:10.1111/camh.70019
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