Comprehensive and unbiased. I was so pleased to see that complex trauma and ACEs were included, in addition to many other long-recognized mental health conditions, and that all treatment options for each of the diagnoses were discussed. Medication was typically explored last, which tacitly acknowledges the fact that medication alone is often not the most effective approach. And the importance of building your child’s self-regulation toolkit is emphasized several times; if you yourself lack these skills, building and modeling them for for child and working together to co-regulate can be an extremely effective way to support your child through all of life’s inevitable challenges, not just on their mental health journey. In addition, I cannot express how much I appreciated the prudent and accurate perspective on the DSM-5 as a useful tool for knowing how to approach treating a set of symptoms, but that, as Dr. Crawford states, “diagnosis is not prognosis.”
While the book is supposed to be based on first-hand accounts however, it didn’t read that way, and, I’m not going to lie, it is a bit of a slog to get through. I sincerely urge you to read it cover to cover though, and not simply read the sections you think are relevant to your situation. Again, “diagnosis is not prognosis,” and different types of care providers might have different diagnoses for your child because they are approaching your child through the lens of their specialty or type of practice, but also diagnoses change. What is true today might not be true tomorrow, so having a complete picture of the landscape of mental illness in children is so very important and will make you more agile as things evolve. In addition, you will learn so much about how to navigate the complexities of getting your child the support they need and the types of care providers they might work with along their journey. I chose to listen to the audiobook on my commute, and that was a good approach to chipping away at it, so you might consider doing the same.
I’ll also just share that while I don’t have any children, I am the caregiver for an adult with mental illness, and I’m also a college educator, and so often I find that reading books about parenting or about mental illness in children gives me insight into what some of the adults I work with and care about are experiencing. That then provides me with some ideas about the best ways to support them and, in some cases, to help meet needs that were not met in their childhood. This would be a 5-star book if it was more readable, but the information alone warrants 4.5 stars.