Define "Mentally Ill"

Frizzman

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With all the talk of keeping firearms out of the hands of "mentally ill" people, I wonder what qualifies as "mentally ill" to the degree it is a disqualification for possessing a firearm? Is it anyone who has any form of psychiatric treatment or counselling? A veteran diagnosed with PTSD? Anyone who has been prescribed any medication for a psychological reason? Anyone who has received a diagnosis defined by the DSM-IV as suffering from a major mental disorder or a Personality Disorder? Who will make this diagnosis? Any psychiatrist? Any physician? A podiatrist or opthamologist? A Clinical Social Worked(ACSW) or Clinical Psychologist or Licensed Professional Counselor or ASAP counselor?.

Having been a clinician in the psychiatric field for many years, I know that I could probably label anyone with a diagnosis. The diagnostic terms and criteria are created and represent no more than a consensus between clinicians and researchers on what constitutes a mental disorder. It changes. What was once a psychiatric disorder can become just a lifestyle. What diagnosis makes one dangerous? Even someone given a diagnosis of Sociopathic or Antisocial Personality Disorder may not be dangerous. A sociopath may just become a politician or salesman. There have been mass murderers who would not meet the formal criteria for diagnosis with a mental disorder.

How long is the "mentally ill" label appropriate? Can one recover from fully from any form of mental illness? If one is depressed and perhaps even suicidal due to loss of one's career or a loved one and seeks counselling and recieves antidepressanr medication, should that person be barred from owning a firearm for life? Will this keep people who need the help from seeking it?

I have advanced degrees in the field of psychology and I cannot answer all of these questions. The situation is complex. I do know there are plenty of people who are very sick and in need of treatment who never seek or recieve and treatment. I also remember when the Soviet government placed many, many people in "mental hospitals" because they were "insane". The criteria for the diagnosis was based on opposition to the government. They presumed that opposing the regime constituted all the evidence needed to consider a person insane.

So, the idea that somehow there can be laws, statutes, diagnoses and reports that can determine whether a person is or will be a threat if allowed to own a weapon is a difficult hypothesis. I agree that if there is somehow a mechanism that can keep arms out of the hands of people sick enough to use them to kill innocent people, it should be used. I am skeptical this will be a reality. The blame for attrocities such as the ones seen the last few years and before can easily be blamed on mental illness but is it actually the cause? Mass murder is not new and the answers are not easy. I am concerned that this may be another simple answer to a complex issue.
 
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This should be discussed in depth before they are able to define "mentally ill" in any form without adjudication in court
 
Well, do you love your mom?

Great point, this should be the litmus test...

That being said, when I saw the 'how do you define mentally ill' headline, I thought to myself, "have you met my mother-in-law...? ;)
 
The most dangerous of all sociopaths move undetected by even the most astute analysis, parole boards and workmates.

I hope the medical profession will stand up and denounce this politically based pseudo science and quackery for what it is. An outrageous perversion and violation of the Hippocratic Oath:

"I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous.
I will give no deadly medicine to any one if asked, nor suggest any such counsel; and in like manner I will not give to a woman a pessary to produce abortion.
With purity and with holiness I will pass my life and practice my Art. I will not cut persons laboring under the stone, but will leave this to be done by men who are practitioners of this work.
Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption; and, further from the seduction of females or males, of freemen and slaves.

What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself holding such things shameful to be spoken about."
 
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Per the ATF Form 4473: If a person cannot purchase a firearm if they "have been adjudicated mentally defective (includes a determination by a court, board, commission, or other lawful authority that you are a danger to yourself or others, or are incompetent to manage your own affairs), OR have ever been committed to a mental institution."

The hard and fast rule is that a 72 hour psychiatric hold will do the job. This is initiated if you are a danger to yourself, a danger to others, or are gravely disabled and are unwilling to voluntarily admit yourself to a psychiatric facility. Typically the suicidal/homicidal ideation (SI/HI) require plan and intent.

This said, if you are allowed to voluntarily admit yourself into a facility, then the commitment may be nullified, though this the decision of the attending psychiatrist. At least in these parts, the 72 hour hold is most often the start of any psychiatric hold.

Other States may interpret the 24 hour hold as qualifying for exclusion from firearm ownership, but this would really be a sticky wicket, as anyone can initiate a 24 hour hold. This would open the doors to all kinds of abuse (vindictive significant others, for example).

The problem with this aspect of firearm law, at least from my perspective, is the potential for abuse. Back when I was doing mental health assessments and intakes, I saw a person placed on a 72 hour hold by her psychiatrist because she no-showed on too many meetings. She did not have any SI/HI and was not gravely disabled.

Another problem is that there isn't a standard assessment procedure for SI/HI or grave disability. I once did an intake on a teenager who was sent over for SI, though I couldn't detect any indicators of clinical depression or even an adjustment disorder. So I called the school nurse who sent her over to ask how she assessed SI. She advised me "I told her 'If I put a whole bunch of pills on the table in front of you and left the room, could you promise me that you wouldn't think of taking them?"

I interpreted this as an extremely leading question. Having a fleeting thought of suicide is very different from having a genuine plan and intent.

The short of this is that if they're going to expand the definition of "Mental Illness" as it relates to precluding firearm ownership, we gun owners need to be aware what the expanded criteria are going to be and how consistently they will be applied.
 
Per the ATF Form 4473: If a person cannot purchase a firearm if they "have been adjudicated mentally defective (includes a determination by a court, board, commission, or other lawful authority that you are a danger to yourself or others, or are incompetent to manage your own affairs), OR have ever been committed to a mental institution."

The hard and fast rule is that a 72 hour psychiatric hold will do the job. This is initiated if you are a danger to yourself, a danger to others, or are gravely disabled and are unwilling to voluntarily admit yourself to a psychiatric facility. Typically the suicidal/homicidal ideation (SI/HI) require plan and intent.

This said, if you are allowed to voluntarily admit yourself into a facility, then the commitment may be nullified, though this the decision of the attending psychiatrist. At least in these parts, the 72 hour hold is most often the start of any psychiatric hold.

Other States may interpret the 24 hour hold as qualifying for exclusion from firearm ownership, but this would really be a sticky wicket, as anyone can initiate a 24 hour hold. This would open the doors to all kinds of abuse (vindictive significant others, for example).

The problem with this aspect of firearm law, at least from my perspective, is the potential for abuse. Back when I was doing mental health assessments and intakes, I saw a person placed on a 72 hour hold by her psychiatrist because she no-showed on too many meetings. She did not have any SI/HI and was not gravely disabled.

Another problem is that there isn't a standard assessment procedure for SI/HI or grave disability. I once did an intake on a teenager who was sent over for SI, though I couldn't detect any indicators of clinical depression or even an adjustment disorder. So I called the school nurse who sent her over to ask how she assessed SI. She advised me "I told her 'If I put a whole bunch of pills on the table in front of you and left the room, could you promise me that you wouldn't think of taking them?"

I interpreted this as an extremely leading question. Having a fleeting thought of suicide is very different from having a genuine plan and intent.

The short of this is that if they're going to expand the definition of "Mental Illness" as it relates to precluding firearm ownership, we gun owners need to be aware what the expanded criteria are going to be and how consistently they will be applied.

Absolutely, and I am certain the definitions will be ever changing in the sense that certain individuals in office favor interpreting our constitution to suit their agenda.
 
Frizzman-thus lies the crux of the issue. I'm not a mental health professional but I bet I see more mental illness in my practice than anyone else but practioners like you (and LEO's like Charlie :D). Your assessment is absolutely spot on. My take is that I'm OK the rest of you are not.
Do you disqualify everyone who has taken an anti depressant???
I am afraid that they will form a commission with objective criteria to pigeon hole people. If you think that is far fetched-go read the Social Security Regulations and different grids that are used to objectify whether or not a person is eligible for benefits. It is why so many are getting their "crazy checks" because they are adhd while the poor slob who can hardly walk upright for the back pain falls outside the grid and is told he can hold a job as a parking lot attendant notwithstanding that the nearest parking lot attendant job is 150 miles away.
The devil is in the details and that is why this country is actually run be penny ante bureaucrats who can hardly walk and chew gum at the same time.
The older I get the angrier I get-at everything.
Rant off.
 
I have also worked in the mental health field. Having worked there I know how difficult it can be to get a diagnoses and how hard it can be to get two psychiatrists to agree on the same diagnoses. I have had to take clients into court and have them court ordered into the hospital, I had to declare the client was unable to care for themselves due to a mental health problem or the person was a danger to themselves or others based on a mental health issue. Or a person was unwilling to be treated for a condition that could lead to a worsting of condition or risk of death. After the court signs the court order the individual is supposed to be added to a list that prevents them for being able to purchase a firearm.

If memory services me to get a true diagnoses the individual has to have the same symptoms a least 3 times in a specified period of time;otherwise it would be a provisional diagnoses. I

I would wonder if a persons has one episode in a 3 years period should he or she be denied a purchase permit for firearm?

Lots of issues that need to be worked out.

The post is very interesting when you look at who is asking these questions, A bunch of gun owners. shouldn't these questions already be answered.
 
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I had a EX brother in law that tried to kill someone many years ago. After knifeing her he walked to a police station and told them "I just killed a commie!" She lived. They put him in for the criminaly insane. My ex father in law fought the system to keep him in. My FIL went to hearings telling them he should never be loose. The system kicked him loose a couple years ago, and he killed a woman! Said she somehow was controlling his mind through the tv set! My ex FIL is a fine man that I still highly respect.
 
My wife spent 2 weeks in the mental hospital in Aug, 2001. She was diagnosed with, among everything else, bi-polar, alcoholic, and manic depression. She has to take medication every day. When she runs out, she is a danger to herself and most others. When she is on her meds, she functions as well as the rest of us. I will never let her buy a firearm, just comman sense. This is no laughing matter. I cant have any firearms in my house between her and my son who is high-functioning autistic. Im not asking for yalls sympathy, just understand that this is a very serious matter. I dont have any answers, just what works for me.
 
No child has ever told their parents they want to be mentally ill when they grow up. It just happens. Parents and LEO's have to deal with it every day.

Watch "Hoarders" or "My Strange Addiction".

You will be shocked by the next atrocity, but no longer will you be suprised that it happened.
 
To me the simple answer is (if there is a simple answer)
Anyone who is a danger to ones self or others.
How we determine this is the question. An individuals past history would be a starting place and probably the best indicator we have.
 
This gets farther afield. The government suggestion that doctors predict behavior and report to federal agencies would be roundly criticized as "profiling" were we talking about immigration investigations based on skin tone or speech patterns, no?
Mental health is terribly important and should not be "suddenly discovered" when the administration notices that murder has been committed by madmen, but only when said madmen have used firearms to commit murder.
 

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