Social Workers assess, diagnose and treat NPD?
I myself could probably diagnose your broken arm. But of course only an MD is allowed to diagnose or treat one. Only an MD can diagnose or treat a disease like diabetes or even one like fibromyalgia, which there is no reproducible medical test for. But guess who is out there disgnosing and treating mental illness like NPD. Not just psychiatrists, but also psychologists and even social workers!
The science of psychology amazes me yet again with practices that fall far short scientific standards. This is as ridiculous as estimating the prevalence of NPD from the numbers of people presenting themselves for treatment. As ridiculous as conducting "experiments" without controlling the variables.
Why are even mere social workers allowed to diagnose NPD? Is it because a diagnosis of mental illness is so much guesswork that no one can come along later and prove the diagnosis wrong?
To the contrary, precisely BECAUSE of that only a psychiatrist should be able to diagnose and treat the disease. He or she should monitor and supervise any additional treatment of other health-care providers like psychologists and social workers.
Sheesh. Indeed, if a social worker is good enough to diagnose and treat the disease, why isn't a social worker good enough to prescribe medication or put someone in the hospital? Give me a break.
So some snobby debutante walks in the door and gets diagnosed (perhaps without even knowing it) as suffereing from NPD, and then some malignant narcissist walks in the door and passes for normal.
So that's why malignant narcissists aren't malignant. There is no such thing as a bad person, you see. They are just suffering victims.
Not one thought in the do-gooder about the vast swath of pain and destruction that malignant narcissist is leaving in his or her wake.
Insurance companies are partly to blame. It's time they woke up and started calculating the cost of the collateral damage. They would find it much cheaper to fork over for a psychiatrist and quit forcing patients to see social workers instead.