Mindfulness
fromPsychology Today
16 hours agoWhy Insight Alone Does Not Heal
Insight opens the door to understanding, but integration and daily practice are essential for true healing.
Psychotherapy and counselling psychology, however, did not emerge from institutional logic. The field was forged within relational, psychoanalytic, and depth-oriented traditions that prioritize lived experience, symbolic meaning, cultural complexity, and human nuance over procedural standardization. Bureaucracy seeks predictability, yet psychotherapy was built upon a disciplined engagement with uncertainty.
Evidence Based Medicine was formalized in the 1990s, largely by Canadian physician David Sackett. Sackett described the goal of EBM is to replace hunches and habits with data and clinical trials. Clinical guidelines were developed involving protocols that tell doctors which drug to prescribe first, what dose to use, when to escalate treatment, and when to refer a patient to a specialist.
If we treat ADHD as binary (you have it or you do not), we are missing the possibility that we all lie somewhere on a continuum with diagnosed ADHD towards one end (and perhaps an ability to focus and concentrate at the other). A diagnosis of ADHD then depends on where the line is drawn. I suggest that this line has been moved in recent years, so that a large group of people have been caught up in the positive ADHD group, who would not have been previously.