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   "content" : "# Psykiatri er et fagfelt som er fullt av store, historiske feil\n\n## Eksperter finner det de leter etter\n\n## Blekk eller blyant\n\nPsykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.\n\nPsykiater Tor Ketil Larsen viser i[ sitt tilsvar til meg](/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning) en farlig naiv tiltro til det han kaller «presis diagnostikk». Slik gjentar han psykiatriens historiske feil med å love noe som ikke kan leveres.\n\nHan – og jeg – opererer i et fagfelt som er fullt av store, historiske blundere. Lobotomering, homofili som diagnose eller skadelig psykoterapi, [som jeg selv](/kultur/i/qL8QjE/terapi-virker-men-for-noen-gaar-det-helt-galt) har vært opptatt av. Mye har skjedd på grunn av for stor tiltro til faget og for lite ydmykhet overfor pasientene. Når Larsen skriver at «den som kan sitt fag, skriver med blekk», uttrykker han oppsiktsvekkende selvtillit i et fagfelt hvor vi aldri har hatt sikre årsaksforklaringer for noe som helst.\n\nI en medisinsk modell utredes pasienter, får rett diagnose og deretter riktig behandling. Problemet er at denne modellen, som Larsen klamrer seg til, passer dårlig for psykiske problemer. Et sinnrikt system av diagnoser overlapper hverandre. Det finnes for eksempel 636.130 [kombinasjoner av symptomer](https://pubmed.ncbi.nlm.nih.gov/26173229/) som kan gi posttraumatisk stresslidelse. For ADHD finnes [116.220 kombinasjoner](https://pmc.ncbi.nlm.nih.gov/articles/PMC6338383/). Da har vi enda ikke snakket om hundrevis av [behandlingsalternativer](https://www.forskning.no/helse-psykologi/hvorfor-finnes-det-500-ulike-typer-psykoterapi/2236331).\n\nDen anerkjente amerikanske psykiateren Allen Frances sa til meg en gang at han aldri hadde møtt en ekspert som [ikke vil utvide](https://www.psychotherapy.net/interview/allen-frances-interview#section-a-diagnosis-should-be-written-in-pencil) sitt eget ekspertfelt. Intensjonen er god: De er redde for å gå glipp av pasienter som kunne fått god hjelp. Eksperter på ADHD er gode på å finne «sin» diagnose, slik eksperter på spiseforstyrrelser finner sin og eksperter på traumer finner PTSD. Den diagnostiske «presisjonen» avhenger av hvem som utøver den.\n\nÅ skrive «diagnoser med blyant» er en faglig holdning som handler om å være forsiktig, fleksibel og ha en ikke-permanent holdning til diagnostikk. Kort sagt en måte å unngå faglig overmot på.\n\nNoen ganger betyr det å ta frem viskelæret og lage nye forståelser som passer bedre i takt med at pasientens situasjon har forandret seg. Med en slik holdning blir det mulig å gi behandling raskere og bruke mindre tid og ressurser på leting etter «riktig diagnose».\n\nJeg ønsker ikke frata mennesker med ADHD hjelp de behøver. Jeg vil at psykisk helsehjelp ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual, men bygger på skreddersøm tilpasset den enkeltes behov.\n\n- [Jørgen FlorPsykologspesialist og forfatter](http://aftenposten.no/av/joergen-flor-4)",
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   "metadata" : "{\"source_updated_at\":\"2025-11-27 10:11:49\",\"is_paywalled\":1,\"twitter\":{},\"description\":\"Psykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.\",\"meta\":{\"msapplication-config\":\"/cnp-assets/favicon-6c399f1f/browserconfig.xml\",\"theme-color\":\"#fff\",\"apple-mobile-web-app-capable\":\"yes\",\"description\":\"Pyskolog Jørgen Flor svarer psykiater Tor Ketil Larsen om ADHD\",\"application-name\":\"Aftenposten\",\"msapplication-TileColor\":\"#fff\",\"apple-mobile-web-app-title\":\"Aftenposten\",\"robots\":\"max-image-preview:large\",\"mobile-web-app-capable\":\"yes\",\"viewport\":\"width=device-width, initial-scale=1.0\",\"msapplication-TileImage\":\"/cnp-assets/favicon-6c399f1f/mstile-144x144.png\",\"apple-mobile-web-app-status-bar-style\":\"black-translucent\"},\"author\":\"\",\"title\":\"Psykiatri er et fagfelt som er fullt av store, historiske feil\",\"raw_feed_item\":\"<item>\\n            <title><![CDATA[Psykiatri er et fagfelt som er fullt av store, historiske feil]]></title>\\n            <link>https://www.aftenposten.no/meninger/debatt/i/m0gajp/psykiatri-er-et-fagfelt-som-er-fullt-av-store-historiske-feil</link>\\n            <guid>https://www.aftenposten.no/i/m0gajp</guid>\\n            <pubDate>Thu, 27 Nov 2025 22:00:00 GMT</pubDate>\\n            <description><![CDATA[Psykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.]]></description>\\n            <enclosure length=\\\"65535\\\" type=\\\"image/jpeg\\\" url=\\\"https://premium.vgc.no/v2/images/20a8ba6a-9805-41e2-bf43-c1cc2dc05572?fit=crop&amp;format=auto&amp;h=1152&amp;tight=true&amp;w=2048&amp;s=3b101aacef88d2557e50e505578ef20d0468e5f3\\\" />\\n        </item>\",\"published_at\":\"2025-11-27 22:00:00\",\"keywords\":[],\"schema\":{\"microdata\":{\"datePublished\":\"25. november\"}},\"content\":\"# Psykiatri er et fagfelt som er fullt av store, historiske feil\\n\\n## Eksperter finner det de leter etter\\n\\n## Blekk eller blyant\\n\\nPsykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.\\n\\nPsykiater Tor Ketil Larsen viser i[ sitt tilsvar til meg](/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning) en farlig naiv tiltro til det han kaller «presis diagnostikk». Slik gjentar han psykiatriens historiske feil med å love noe som ikke kan leveres.\\n\\nHan – og jeg – opererer i et fagfelt som er fullt av store, historiske blundere. Lobotomering, homofili som diagnose eller skadelig psykoterapi, [som jeg selv](/kultur/i/qL8QjE/terapi-virker-men-for-noen-gaar-det-helt-galt) har vært opptatt av. Mye har skjedd på grunn av for stor tiltro til faget og for lite ydmykhet overfor pasientene. Når Larsen skriver at «den som kan sitt fag, skriver med blekk», uttrykker han oppsiktsvekkende selvtillit i et fagfelt hvor vi aldri har hatt sikre årsaksforklaringer for noe som helst.\\n\\nI en medisinsk modell utredes pasienter, får rett diagnose og deretter riktig behandling. Problemet er at denne modellen, som Larsen klamrer seg til, passer dårlig for psykiske problemer. Et sinnrikt system av diagnoser overlapper hverandre. Det finnes for eksempel 636.130 [kombinasjoner av symptomer](https://pubmed.ncbi.nlm.nih.gov/26173229/) som kan gi posttraumatisk stresslidelse. For ADHD finnes [116.220 kombinasjoner](https://pmc.ncbi.nlm.nih.gov/articles/PMC6338383/). Da har vi enda ikke snakket om hundrevis av [behandlingsalternativer](https://www.forskning.no/helse-psykologi/hvorfor-finnes-det-500-ulike-typer-psykoterapi/2236331).\\n\\nDen anerkjente amerikanske psykiateren Allen Frances sa til meg en gang at han aldri hadde møtt en ekspert som [ikke vil utvide](https://www.psychotherapy.net/interview/allen-frances-interview#section-a-diagnosis-should-be-written-in-pencil) sitt eget ekspertfelt. Intensjonen er god: De er redde for å gå glipp av pasienter som kunne fått god hjelp. Eksperter på ADHD er gode på å finne «sin» diagnose, slik eksperter på spiseforstyrrelser finner sin og eksperter på traumer finner PTSD. Den diagnostiske «presisjonen» avhenger av hvem som utøver den.\\n\\nÅ skrive «diagnoser med blyant» er en faglig holdning som handler om å være forsiktig, fleksibel og ha en ikke-permanent holdning til diagnostikk. Kort sagt en måte å unngå faglig overmot på.\\n\\nNoen ganger betyr det å ta frem viskelæret og lage nye forståelser som passer bedre i takt med at pasientens situasjon har forandret seg. Med en slik holdning blir det mulig å gi behandling raskere og bruke mindre tid og ressurser på leting etter «riktig diagnose».\\n\\nJeg ønsker ikke frata mennesker med ADHD hjelp de behøver. Jeg vil at psykisk helsehjelp ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual, men bygger på skreddersøm tilpasset den enkeltes behov.\\n\\n- [Jørgen FlorPsykologspesialist og forfatter](http://aftenposten.no/av/joergen-flor-4)\",\"image_url\":\"https://premium.vgc.no/v2/images/ae4bd0bd-7853-44d5-ab9a-535cdc2eed42?fit=crop&format=auto&h=1014&w=2048&s=fed770a21d5d4ffd4ecd3eb17f6b64e9991c7941\",\"og\":{\"image\":\"https://premium.vgc.no/v2/images/ae4bd0bd-7853-44d5-ab9a-535cdc2eed42?fit=crop&format=auto&h=1014&w=2048&s=fed770a21d5d4ffd4ecd3eb17f6b64e9991c7941\",\"description\":\"Psykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.\",\"type\":\"article\",\"url\":\"https://www.aftenposten.no/meninger/debatt/i/m0gajp/psykiatri-er-et-fagfelt-som-er-fullt-av-store-historiske-feil\",\"title\":\"Psykiatri er et fagfelt som er fullt av store, historiske feil\",\"image:height\":\"1014\",\"image:width\":\"2048\"}}",
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 </script>\n\n</header>\n</div><div id=\"main\" role=\"main\" class=\"hyperion-css-c9g7d0\"><div class=\"hyperion-css-roozon\"><div class=\"advertory-aftenposten-skyscraperleft_1-wrapper\"><div id=\"skyscraperleft_1\" class=\"advertory-aftenposten-skyscraperleft_1\"></div></div></div><div class=\"hyperion-css-yck6b5\"><div class=\"page-layout-supertop hyperion-css-1499hb2\"><div class=\"advertory-aftenposten-topboard-wrapper\"><div id=\"topboard\" style=\"min-height:150px\" class=\"advertory-aftenposten-topboard\"></div></div><div class=\"advertory-wrapper-common-wallpaper wallpaper\"><div id=\"wallpaper\" class=\"advertory-common-wallpaper disable-cogwheel\"></div></div></div><div class=\"hyperion-css-dz5hzo\"><article class=\"article-wrapper-m0gajp\"><div class=\"opinion running-head extendedContent hyperion-css-1z06dqh\" data-test-tag=\"running-head\"><div class=\"hyperion-css-7enjca\"><a data-test-tag=\"internal-link\" href=\"/meninger/debatt\" class=\"hyperion-css-1raymq9\" rel=\"\" target=\"\" aria-label=\"Debatt\" theme=\"opinion\">Debatt</a></div><div class=\"hyperion-css-semo9s\"><a data-test-tag=\"internal-link\" href=\"/tag/adhd\" class=\"hyperion-css-1raymq9\" rel=\"\" target=\"\" aria-label=\"ADHD\" theme=\"opinion\">ADHD</a></div></div><h1 class=\"extendedContent h1 hyperion-css-j2lk82\" data-test-tag=\"headline\">Psykiatri er et fagfelt som er fullt av store, historiske feil</h1><div class=\"extendedContent hyperion-css-cgw1f6\"><div class=\"hyperion-css-io3370\" data-test-tag=\"byline\" data-testid=\"byline\"><ul data-test-tag=\"byline:authors\" data-testid=\"byline:authors\" class=\"hyperion-css-1772xtw\"><li class=\"hyperion-css-b8p8ys\"><a title=\"Se journalistens profil: Jørgen Flor\" aria-label=\"Se journalistens profil: Jørgen Flor\" href=\"http://aftenposten.no/av/joergen-flor-4\" class=\"hyperion-css-1x0qoq7\"><div class=\"hyperion-css-y7i40o\"><img class=\"image-asset hyperion-css-u06ts1\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=2048&amp;w=2048&amp;s=3696a844190d2228648992ca7ce0a319939d2eec\" srcSet=\"https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=2048&amp;w=2048&amp;s=3696a844190d2228648992ca7ce0a319939d2eec 2048w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=1440&amp;w=1440&amp;s=e3453621d775e914e0c8b8243b73805135c405e7 1440w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=1024&amp;w=1024&amp;s=84599fb1ee2d2a2056b6d5cb1ebbefbbe1a1fa84 1024w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=980&amp;w=980&amp;s=216e4d3cb2a90079726d8abc11193e46b88c58a0 980w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=780&amp;w=780&amp;s=3cebb490ea13463cf6727f518b952f78a30da25d 780w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=580&amp;w=580&amp;s=c1b010abd94051150df0aeac037e1ea6f5b2ff4b 580w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=380&amp;w=380&amp;s=6848b9ea5aaf189334a44f8d205f77f1c452c9ac 380w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=200&amp;w=200&amp;s=db8131670075f5c132e59d91637acd48d32c60ea 200w,https://premium.vgc.no/v2/images/author/52cd686d-a653-4357-9082-fcde9596b3a9?fit=crop&amp;format=auto&amp;h=100&amp;w=100&amp;s=1097b41298c72b4269139ebf3af83f9787c6dfe7 100w\" alt=\"Jørgen Flor\" sizes=\"(min-width: 981px) 980px, 100vw\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 2048\"/></div><div class=\"hyperion-css-0\"><span class=\"byline-name hyperion-css-1cn5stf\" data-test-tag=\"byline:author-name\" data-testid=\"byline:author-name\">Jørgen Flor</span><div class=\"hyperion-css-lc8ynt\">Psykologspesialist og forfatter</div></div></a></li></ul></div></div><figure data-test-tag=\"image\" class=\"image fullWidthDesktop top stretch-image-asset-on-mobile landscape hyperion-css-mochwu\"><img class=\"image-asset hyperion-css-h8249k\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=1014&amp;w=2048&amp;s=b3d2da9e566e8440b31c148470fa6b4bfbcc7c8c\" srcSet=\"https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=1014&amp;w=2048&amp;s=b3d2da9e566e8440b31c148470fa6b4bfbcc7c8c 2048w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=713&amp;w=1440&amp;s=13ffd043b19895bd2b696c4ebe23a5cf57fda5fb 1440w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=507&amp;w=1024&amp;s=2b2f32eb6e2cb8b671f2f33961348334c977b9ca 1024w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=485&amp;w=980&amp;s=ba669f2f6f06d2a93cc93b9d4eb8e720d3f96ffb 980w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=386&amp;w=780&amp;s=259c0703fb3ac57260d2609d136cfdc1ece144fd 780w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=287&amp;w=580&amp;s=813801786e51049f026d4b33d5e089cef260b27f 580w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=188&amp;w=380&amp;s=1ae9939a974cd8456f35ab9972c33ecd834d5063 380w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=99&amp;w=200&amp;s=60fda85095e5c85f88e1bdcc1a062e8742554c38 200w,https://premium.vgc.no/v2/images/db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&amp;format=auto&amp;h=49&amp;w=100&amp;s=62b313602fbcf1c97c65ecb8ac2e40a49131e149 100w\" alt=\"Jeg ønsker ikke frata mennesker med ADHD hjelp de behøver, skriver psykologspesialist Jørgen Flor.\" sizes=\"(min-width: 380px) 980px, 100vw\" loading=\"eager\" fetchpriority=\"high\" style=\"aspect-ratio:2048 / 1014\"/><figcaption class=\"image-figcaption hyperion-css-1ksg4fz\" data-test-tag=\"image:caption\"><span class=\"image-caption\" aria-hidden=\"true\">Jeg ønsker ikke frata mennesker med ADHD hjelp de behøver, skriver psykologspesialist Jørgen Flor.</span><span class=\"image-byline hyperion-css-161dy2i\"> Foto: Berit Kessler, Shutterstock</span></figcaption></figure><p class=\"contentWidth hyperion-css-1mepuqa\" data-test-tag=\"lead-text\">Psykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.</p><div class=\"paywall hyperion-css-h9wc15\" data-test-tag=\"timestamp\"><div><time itemProp=\"datePublished\" dateTime=\"2025-11-27T22:00:00Z\" aria-label=\"Publisert: 27.11.2025 23:00\">Publisert: 27.11.2025 23:00</time></div></div><p class=\"paywall hyperion-css-1j42uic\">Psykiater Tor Ketil Larsen viser i<a data-test-tag=\"internal-link\" href=\"/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning\" class=\"hyperion-css-1raymq9\" rel=\"\" target=\"\" aria-label=\" sitt tilsvar til meg\" theme=\"opinion\"> sitt tilsvar til meg</a> en farlig naiv tiltro til det han kaller «presis diagnostikk». Slik gjentar han psykiatriens historiske feil med å love noe som ikke kan leveres.</p><p class=\"paywall hyperion-css-1j42uic\">Han – og jeg – opererer i et fagfelt som er fullt av store, historiske blundere. Lobotomering, homofili som diagnose eller skadelig psykoterapi, <a data-test-tag=\"internal-link\" href=\"/kultur/i/qL8QjE/terapi-virker-men-for-noen-gaar-det-helt-galt\" class=\"hyperion-css-1raymq9\" rel=\"\" target=\"\" aria-label=\"som jeg selv\" theme=\"opinion\">som jeg selv</a> har vært opptatt av. Mye har skjedd på grunn av for stor tiltro til faget og for lite ydmykhet overfor pasientene. Når Larsen skriver at «den som kan sitt fag, skriver med blekk», uttrykker han oppsiktsvekkende selvtillit i et fagfelt hvor vi aldri har hatt sikre årsaksforklaringer for noe som helst.</p><div class=\"advertory-aftenposten-netboard-wrapper__article \"><div id=\"netboard_1\" class=\"advertory-aftenposten-netboard__article\"></div></div><h2 class=\"paywall hyperion-css-npxxyf\" data-test-tag=\"paragraph-header\">Eksperter finner det de leter etter</h2><p class=\"paywall hyperion-css-1j42uic\">I en medisinsk modell utredes pasienter, får rett diagnose og deretter riktig behandling. Problemet er at denne modellen, som Larsen klamrer seg til, passer dårlig for psykiske problemer. Et sinnrikt system av diagnoser overlapper hverandre. Det finnes for eksempel 636.130 <a aria-label=\"kombinasjoner av symptomer\" class=\"opinion hyperion-css-1raymq9\" href=\"https://pubmed.ncbi.nlm.nih.gov/26173229/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" data-test-tag=\"external-link\">kombinasjoner av symptomer</a> som kan gi posttraumatisk stresslidelse. For ADHD finnes <a aria-label=\"116.220 kombinasjoner\" class=\"opinion hyperion-css-1raymq9\" href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC6338383/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" data-test-tag=\"external-link\">116.220 kombinasjoner</a>. Da har vi enda ikke snakket om hundrevis av <a aria-label=\"behandlingsalternativer\" class=\"opinion hyperion-css-1raymq9\" href=\"https://www.forskning.no/helse-psykologi/hvorfor-finnes-det-500-ulike-typer-psykoterapi/2236331\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" data-test-tag=\"external-link\">behandlingsalternativer</a>.</p><p class=\"paywall hyperion-css-1j42uic\">Den anerkjente amerikanske psykiateren Allen Frances sa til meg en gang at han aldri hadde møtt en ekspert som <a aria-label=\"ikke vil utvide\" class=\"opinion hyperion-css-1raymq9\" href=\"https://www.psychotherapy.net/interview/allen-frances-interview#section-a-diagnosis-should-be-written-in-pencil\" target=\"_blank\" rel=\"noopener nofollow noreferrer\" data-test-tag=\"external-link\">ikke vil utvide</a> sitt eget ekspertfelt. Intensjonen er god: De er redde for å gå glipp av pasienter som kunne fått god hjelp. Eksperter på ADHD er gode på å finne «sin» diagnose, slik eksperter på spiseforstyrrelser finner sin og eksperter på traumer finner PTSD. Den diagnostiske «presisjonen» avhenger av hvem som utøver den.</p><h2 class=\"paywall hyperion-css-npxxyf\" data-test-tag=\"paragraph-header\">Blekk eller blyant</h2><p class=\"paywall hyperion-css-1j42uic\">Å skrive «diagnoser med blyant» er en faglig holdning som handler om å være forsiktig, fleksibel og ha en ikke-permanent holdning til diagnostikk. Kort sagt en måte å unngå faglig overmot på. </p><div class=\"opinion extendedContent paywall hyperion-css-15ic3dq\"><blockquote data-test-tag=\"blockquote\" class=\"hyperion-css-qsvb07\">Den diagnostiske «presisjonen» avhenger av hvem som utøver den</blockquote></div><p class=\"paywall hyperion-css-1j42uic\">Noen ganger betyr det å ta frem viskelæret og lage nye forståelser som passer bedre i takt med at pasientens situasjon har forandret seg. Med en slik holdning blir det mulig å gi behandling raskere og bruke mindre tid og ressurser på leting etter «riktig diagnose».</p><p class=\"paywall hyperion-css-1j42uic\">Jeg ønsker ikke frata mennesker med ADHD hjelp de behøver. Jeg vil at psykisk helsehjelp ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual, men bygger på skreddersøm tilpasset den enkeltes behov.</p></article><div id=\"brandmetrics-survey\" class=\"advertory-brandmetrics-survey\"></div><div class=\"hyperion-css-1lkfsxc\"><button aria-label=\"Vis kommentarer\" title=\"Vis kommentarer\" type=\"button\" class=\"hyperion-css-1q6qqhb\"> <!-- -->Vis<!-- --> <!-- -->kommentarer</button></div><div class=\"hyperion-css-1yxx8oe\"><div class=\"hyperion-css-1jbnpry\"><button type=\"button\" title=\"Kopier URL til utklippstavle\" aria-label=\"Kopier URL til utklippstavle\" class=\"hyperion-css-pdsgro\">Kopier lenke</button><a data-test-tag=\"internal-link\" href=\"/tips\" class=\"hyperion-css-1f62hkp\" rel=\"\" target=\"\" aria-label=\"Tips oss\">Tips oss</a></div></div><div id=\"widget-recirculation-matrix\" class=\"extendedContent paywall hyperion-css-177q39v\"><h2 class=\"hyperion-css-r57xc5\" data-test-tag=\"widget:title\">Les videre</h2><div class=\"bundle extendedContent hyperion-css-cbecqi\"><ol class=\"hyperion-css-1700tdj\"><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/meninger/debatt/i/ArzPg3/adhd-spesialistene-har-plikt-til-grundig-utredning\" class=\"imagePosition-top medium opinion-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"ADHD er ikke en «favorittforklaring». Det er en diagnose som krever presis utredning. \"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-1e63vnj\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=78b08d4944a1f5cba3c2a1c0ebe5a05a01ba1862\" srcSet=\"https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=78b08d4944a1f5cba3c2a1c0ebe5a05a01ba1862 2048w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=f9cfd20ccad1ef0f2f5700d231d5faca2b7d1377 1440w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=107d9ced319ada214141bb08d14be47209ccf2f0 1024w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=86b7f6137a6409da13f78b194c30edcb66bcc801 980w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=ac4748153cd8d1f6625fae0f14ac67e2788a7269 780w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=6c9b55309e46a387150c54f0204ebbac21819631 580w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=6bc3eb2a731e07dfaf3663e088806dd07cc85a79 380w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=28fbd21b6bbda9f5b7db76d1fe407cba40b7f9f8 200w,https://premium.vgc.no/v2/images/5322bf90-c6cd-4462-80b0-5e8e62f2cdbf?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=c274e914e18277128b4431364d23166e9ff77c68 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">DEBATT<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-24T06:45:21Z\" aria-label=\"2025-11-24T06:45:21Z\" pubdate=\"pubdate\">24. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">ADHD er ikke en «favorittforklaring». Det er en diagnose som krever presis utredning. </h2></div></div></a></li><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/meninger/debatt/i/Ey08W2/debatten-om-adhd-trenger-mindre-polarisering-og-mer-presisjon\" class=\"imagePosition-top medium opinion-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"Debatten om ADHD trenger mindre polarisering og mer presisjon\"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-ylzq8t\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=4e2ac0bb3af6c7f176fb4c035f188993094d8dfc\" srcSet=\"https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=4e2ac0bb3af6c7f176fb4c035f188993094d8dfc 2048w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=21388ba9cb779e0d42fa4ee65934a4471875af0d 1440w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=29235f449d9c83a5bc65a12426f1a85100cce988 1024w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=0f0dbbb163fce9173a9421f1eb0fc86923fe4931 980w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=dac14990f327cafb3cf3b3e6ebcbed3fd13b59e7 780w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=785f66954bcb8739d0449b7471b702048daec918 580w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=ede90d33c6a836d0df15ea9ed693d14139b36eda 380w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=82f596ada01e9642c4e6238e185c37f61dc5ea2e 200w,https://premium.vgc.no/v2/images/4171f231-0a0a-4b4b-85bb-a20aebc8f9ee?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=750a98c45f02902ee6b266a7dab6af6ac82f6439 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">DEBATT<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-14T14:00:00Z\" aria-label=\"2025-11-14T14:00:00Z\" pubdate=\"pubdate\">14. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">Debatten om ADHD trenger mindre polarisering og mer presisjon</h2></div></div></a></li><li class=\"hyperion-css-1lcs599\"><div class=\"advertory-aftenposten-netboard-wrapper \"><div id=\"netboard_recirc\" class=\"advertory-aftenposten-netboard\"></div></div></li><li class=\"hyperion-css-1lcs599\"><a data-test-tag=\"teaser-medium:link-internal\" href=\"/meninger/debatt/i/kwq4lk/adhd-er-ingen-motediagnose-for-mange-kommer-hjelpen-for-sent\" class=\"imagePosition-top medium opinion-teaser hyperion-css-bvr9ut\" rel=\"\" target=\"\" aria-label=\"Vi må ikke la oss skremme av enkelte kollegers skremselsretorikk om ADHD\"><div class=\"hyperion-css-bjn8wh\"><div class=\"hyperion-css-1k8sl4j\"><img class=\"image-asset hyperion-css-ayq4v7\" data-test-tag=\"image-asset\" src=\"https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=2bfe7081950db061ede430d7eae03ed3c013c002\" srcSet=\"https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=1536&amp;w=2048&amp;s=2bfe7081950db061ede430d7eae03ed3c013c002 2048w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=1080&amp;w=1440&amp;s=88713749400ea68c3d4555c8b6bd2b4dc3359106 1440w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=768&amp;w=1024&amp;s=890667b73fb30660457526fe6ee41c8bbefa2877 1024w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=735&amp;w=980&amp;s=bc45706382611660d84a0de0be60ab6a7a58d1d3 980w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=585&amp;w=780&amp;s=641330890c2ad128a304f930864beb3c11057613 780w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=435&amp;w=580&amp;s=c5017036ba783a4a01cc5595007ae7d9090a460b 580w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=285&amp;w=380&amp;s=303bd3efb291f53250db8c7b6ac786e3f2a881b6 380w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=150&amp;w=200&amp;s=1f8a892074878c72c2777889d40ba87006211a79 200w,https://premium.vgc.no/v2/images/859f6e96-f8ae-4614-895f-ec8bc5d47bf9?fit=crop&amp;format=auto&amp;h=75&amp;w=100&amp;s=5f14ec624ee4e8e585b3ecb1022468bfe959d498 100w\" alt=\"\" sizes=\"(min-width: 981px) 980px, 100vw\" loading=\"lazy\" fetchpriority=\"auto\" style=\"aspect-ratio:2048 / 1536\"/></div></div><div class=\"hyperion-css-1hlrz9z\"><div class=\"teaser-label hyperion-css-52yh2p\">DEBATT<div class=\"timestamp friendly hyperion-css-10eh1jy\" data-test-tag=\"timestamp\"><span class=\"hyperion-css-ea91rp\">Publisert:</span><div><time itemProp=\"datePublished\" dateTime=\"2025-11-25T11:08:53Z\" aria-label=\"2025-11-25T11:08:53Z\" pubdate=\"pubdate\">25. november</time></div></div></div><div class=\"opinion hyperion-css-1ucd1we\"><h2 class=\"hyperion-css-1hyuqep\">Vi må ikke la oss skremme av enkelte kollegers skremselsretorikk om ADHD</h2></div></div></a></li></ol></div></div><div id=\"widget-inline-list\" class=\"extendedContent paywall hyperion-css-1wv24dq\"><div class=\"bundle hyperion-css-6nuwex\"><ol class=\"hyperion-css-19mvxvm\"><li class=\"hyperion-css-1og0r8\"><a data-test-tag=\"internal-link\" href=\"/tag/adhd\" class=\"hyperion-css-vpoaev\" rel=\"\" target=\"\" aria-label=\"ADHD\"><span class=\"hyperion-css-0\">ADHD</span></a></li><li class=\"hyperion-css-1og0r8\"><a data-test-tag=\"internal-link\" href=\"/tag/diagnose\" class=\"hyperion-css-vpoaev\" rel=\"\" target=\"\" aria-label=\"Diagnose\"><span class=\"hyperion-css-0\">Diagnose</span></a></li><li class=\"hyperion-css-1og0r8\"><a data-test-tag=\"internal-link\" href=\"/tag/helsehjelp\" class=\"hyperion-css-vpoaev\" rel=\"\" target=\"\" aria-label=\"Helsehjelp\"><span class=\"hyperion-css-0\">Helsehjelp</span></a></li></ol></div></div><div class=\"advertory-aftenposten-netboard-wrapper__article \"><div id=\"netboard_5\" class=\"advertory-aftenposten-netboard__article\"></div></div><div class=\"observer-placeholder\"><noscript></noscript></div><div class=\"hyperion-css-1q3hux1\"><button aria-label=\"Tilbake til forsiden\" title=\"Tilbake til forsiden\" type=\"button\" class=\"hyperion-css-1t4sy44\">Tilbake til forsiden</button></div><div class=\"advertory-aftenposten-netboard-wrapper__article advertory-aftenposten-bottom-ad\"><div id=\"netboard_6\" 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er et fagfelt som er fullt av store, historiske feil\"},\"layout\":\"extendedContent\"},\"byline\":{\"type\":\"byline\",\"authors\":[{\"text\":{\"value\":\"Jørgen Flor\"},\"originatorId\":\"4dcedd3c-e959-4b99-b78a-824054cdd096\"}],\"divider\":false,\"layout\":\"extendedContent\"},\"image\":{\"caption\":{\"value\":\"Jeg ønsker ikke frata mennesker med ADHD hjelp de behøver, skriver psykologspesialist Jørgen Flor.\"},\"byline\":{\"title\":\"Foto: Berit Kessler, Shutterstock\"},\"imageAsset\":{\"id\":\"db3baeef-b3ea-48c0-87a7-6a3f7ebb13cf\",\"size\":{\"width\":8131,\"height\":4024},\"hotspot\":{\"x\":3485,\"y\":306,\"width\":4646,\"height\":3489},\"urls\":[{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=1014&w=2048&s=b3d2da9e566e8440b31c148470fa6b4bfbcc7c8c\",\"width\":2048,\"height\":1014},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=713&w=1440&s=13ffd043b19895bd2b696c4ebe23a5cf57fda5fb\",\"width\":1440,\"height\":713},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=507&w=1024&s=2b2f32eb6e2cb8b671f2f33961348334c977b9ca\",\"width\":1024,\"height\":507},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=485&w=980&s=ba669f2f6f06d2a93cc93b9d4eb8e720d3f96ffb\",\"width\":980,\"height\":485},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=386&w=780&s=259c0703fb3ac57260d2609d136cfdc1ece144fd\",\"width\":780,\"height\":386},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=287&w=580&s=813801786e51049f026d4b33d5e089cef260b27f\",\"width\":580,\"height\":287},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=188&w=380&s=1ae9939a974cd8456f35ab9972c33ecd834d5063\",\"width\":380,\"height\":188},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=99&w=200&s=60fda85095e5c85f88e1bdcc1a062e8742554c38\",\"width\":200,\"height\":99},{\"url\":\"https:\\u002F\\u002Fpremium.vgc.no\\u002Fv2\\u002Fimages\\u002Fdb3baeef-b3ea-48c0-87a7-6a3f7ebb13cf?fit=crop&format=auto&h=49&w=100&s=62b313602fbcf1c97c65ecb8ac2e40a49131e149\",\"width\":100,\"height\":49}]},\"characteristics\":{\"figure\":false,\"sensitive\":false},\"type\":\"image\",\"top\":true,\"lazy\":false,\"layout\":\"fullWidthDesktop\"},\"text-lead\":{\"type\":\"text\",\"text\":{\"value\":\"Psykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.\"},\"subtype\":\"lead\",\"layout\":\"contentWidth\"},\"text-timestamp\":{\"type\":\"text\",\"subtype\":\"timestamp\",\"text\":{\"value\":\"Publisert: 27.11.2025 23:00\",\"markup\":[]},\"friendly\":false,\"top\":true,\"showPublished\":true,\"externalClassName\":\"paywall\",\"lazy\":false},\"newsletter-signup\":{\"type\":\"newsletter-signup\",\"newsletterPublication\":\"ap\",\"newsletterId\":\"5272064d-7078-4c71-bfcd-08c95f5a507e\",\"newsletterName\":\"Morgenbrief\",\"newsletterDescription\":\"Få en kjapp oversikt over de største nyhetene, rett i innboksen, hver morgen.\",\"newsletterSignupMessage\":\"Takk, din påmelding er registrert. Administrer dine nyhetsbrev på \\\"Min side\\\".\",\"needsSubscription\":false,\"secondaryNewsletter\":{\"newsletterPublication\":\"ap\",\"newsletterId\":\"ba1a0e9b-996c-46bb-9ec7-8ac5c851fdc8\",\"newsletterName\":\"Se. Lese. Høre. Gjøre.\",\"newsletterDescription\":\"Debattredaktør Erik Tornes sender deg de mest interessante anmeldelsene og debattene.\",\"needsSubscription\":false},\"externalClassName\":\"paywall\"},\"article-marker-content-start\":{\"type\":\"article-marker\",\"subtype\":\"content-start\",\"externalClassName\":\"paywall\"},\"text\":{\"type\":\"text\",\"text\":{\"value\":\"Psykiater Tor Ketil Larsen viser i sitt tilsvar til meg en farlig naiv tiltro til det han kaller «presis diagnostikk». Slik gjentar han psykiatriens historiske feil med å love noe som ikke kan leveres.\",\"markup\":[{\"type\":\"link:internal\",\"offset\":34,\"length\":21,\"uri\":\"article:ArzPg3\",\"expandedUri\":\"https:\\u002F\\u002Fwww.aftenposten.no\\u002Fmeninger\\u002Fdebatt\\u002Fi\\u002FArzPg3\\u002Fadhd-spesialistene-har-plikt-til-grundig-utredning\"}]},\"externalClassName\":\"paywall\"},\"text-0\":{\"type\":\"text\",\"text\":{\"value\":\"Han – og jeg – opererer i et fagfelt som er fullt av store, historiske blundere. Lobotomering, homofili som diagnose eller skadelig psykoterapi, som jeg selv har vært opptatt av. Mye har skjedd på grunn av for stor tiltro til faget og for lite ydmykhet overfor pasientene. Når Larsen skriver at «den som kan sitt fag, skriver med blekk», uttrykker han oppsiktsvekkende selvtillit i et fagfelt hvor vi aldri har hatt sikre årsaksforklaringer for noe som helst.\",\"markup\":[{\"type\":\"link:internal\",\"offset\":145,\"length\":12,\"uri\":\"article:qL8QjE\",\"expandedUri\":\"https:\\u002F\\u002Fwww.aftenposten.no\\u002Fkultur\\u002Fi\\u002FqL8QjE\\u002Fterapi-virker-men-for-noen-gaar-det-helt-galt\"}]},\"externalClassName\":\"paywall\"},\"text-heading\":{\"type\":\"text\",\"text\":{\"value\":\"Eksperter finner det de leter etter\"},\"subtype\":\"heading\",\"externalClassName\":\"paywall\"},\"text-1\":{\"type\":\"text\",\"text\":{\"value\":\"I en medisinsk modell utredes pasienter, får rett diagnose og deretter riktig behandling. Problemet er at denne modellen, som Larsen klamrer seg til, passer dårlig for psykiske problemer. Et sinnrikt system av diagnoser overlapper hverandre. Det finnes for eksempel 636.130 kombinasjoner av symptomer som kan gi posttraumatisk stresslidelse. For ADHD finnes 116.220 kombinasjoner. Da har vi enda ikke snakket om hundrevis av behandlingsalternativer.\",\"markup\":[{\"type\":\"link:external\",\"offset\":274,\"length\":26,\"uri\":\"https:\\u002F\\u002Fpubmed.ncbi.nlm.nih.gov\\u002F26173229\\u002F\",\"relationships\":[\"nofollow\",\"noreferrer\"]},{\"type\":\"link:external\",\"offset\":358,\"length\":21,\"uri\":\"https:\\u002F\\u002Fpmc.ncbi.nlm.nih.gov\\u002Farticles\\u002FPMC6338383\\u002F\",\"relationships\":[\"nofollow\",\"noreferrer\"]},{\"type\":\"link:external\",\"offset\":425,\"length\":23,\"uri\":\"https:\\u002F\\u002Fwww.forskning.no\\u002Fhelse-psykologi\\u002Fhvorfor-finnes-det-500-ulike-typer-psykoterapi\\u002F2236331\",\"relationships\":[\"nofollow\",\"noreferrer\"]}]},\"externalClassName\":\"paywall\"},\"text-2\":{\"type\":\"text\",\"text\":{\"value\":\"Den anerkjente amerikanske psykiateren Allen Frances sa til meg en gang at han aldri hadde møtt en ekspert som ikke vil utvide sitt eget ekspertfelt. Intensjonen er god: De er redde for å gå glipp av pasienter som kunne fått god hjelp. Eksperter på ADHD er gode på å finne «sin» diagnose, slik eksperter på spiseforstyrrelser finner sin og eksperter på traumer finner PTSD. Den diagnostiske «presisjonen» avhenger av hvem som utøver den.\",\"markup\":[{\"type\":\"link:external\",\"offset\":111,\"length\":15,\"uri\":\"https:\\u002F\\u002Fwww.psychotherapy.net\\u002Finterview\\u002Fallen-frances-interview#section-a-diagnosis-should-be-written-in-pencil\",\"relationships\":[\"nofollow\",\"noreferrer\"]}]},\"externalClassName\":\"paywall\"},\"text-heading-3\":{\"type\":\"text\",\"text\":{\"value\":\"Blekk eller blyant\"},\"subtype\":\"heading\",\"externalClassName\":\"paywall\"},\"text-4\":{\"type\":\"text\",\"text\":{\"value\":\"Å skrive «diagnoser med blyant» er en faglig holdning som handler om å være forsiktig, fleksibel og ha en ikke-permanent holdning til diagnostikk. Kort sagt en måte å unngå faglig overmot på. \"},\"externalClassName\":\"paywall\"},\"text-blockquote\":{\"type\":\"text\",\"text\":{\"value\":\"Den diagnostiske «presisjonen» avhenger av hvem som utøver den\"},\"subtype\":\"blockquote\",\"externalClassName\":\"paywall\",\"layout\":\"extendedContent\"},\"text-5\":{\"type\":\"text\",\"text\":{\"value\":\"Noen ganger betyr det å ta frem viskelæret og lage nye forståelser som passer bedre i takt med at pasientens situasjon har forandret seg. Med en slik holdning blir det mulig å gi behandling raskere og bruke mindre tid og ressurser på leting etter «riktig diagnose».\"},\"externalClassName\":\"paywall\"},\"text-6\":{\"type\":\"text\",\"text\":{\"value\":\"Jeg ønsker ikke frata mennesker med ADHD hjelp de behøver. 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   "source_updated_at" : "2025-11-27 10:11:49",
   "summary" : "Psykisk helsehjelp må ikke begrenses av rigid lesning av en stadig mer omfangsrik diagnosemanual.",
   "tags" : null,
   "title" : "Psykiatri er et fagfelt som er fullt av store, historiske feil",
   "twitter_title" : null,
   "version" : 1
}