A serious flaw in our mental health system exists in that patients suffering from psychosis/mania are simply labeled with generic DSM5 dx's using with what psychiatrists refer to as a “Chinese Menu” approach.

Psy dx's are created as descriptive labels to help clinicians assess moods, behaviors, thought processes, perceptions, insights, etc. in order to make a determination if a person has "abnormalities" & is in need of treatment. 

This unscientific labeling process fails to consider the diverse array of underlying medical conditions/substances known to induce symptoms of psychosis/mania.  

Professionals who fail to use the Best Practice Assessment of Psychosis guildlines published in the British Medical Journal leave their patients at risk of unnecessary and prolonged suffering, as well forced treatment.  

Because some patients in a psychotic/manic state may cause harm to others, the failure to use Best Practice standards jeopardizes the health, safety and welfare of the public.