{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:34:48Z","timestamp":1790562888446,"version":"4.1.0"},"reference-count":65,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T00:00:00Z","timestamp":1752796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>Although diagnostic and therapeutic issues are relatively settled in formal psychiatry, there is considerable confusion among the public. In the real world, there is notable misunderstanding of terminology and concepts, not only of diagnoses and treatments, but also of the titles and characteristics of mental health professionals and institutions. Moreover, the numerous and conflicting treatment models that have been proposed over time have led to the lack of a clear protocol for the treatment of even a common psychiatric case. Thus, each patient must choose his or her own treatment from among an infinite number of treatment options, provided by an infinite number of therapists, coming from various known and unknown theoretical and therapeutic fields. As a result, psychiatric patients often receive incorrect or incomplete treatments and are faced with chronicity of the disease, exploitation and poverty. Furthermore, the high mental and physical comorbidity of psychiatric cases further exacerbates this situation. We are looking for a psychiatry that will be at the center of the mental health system, having the obligation to constantly regulate the flow of cases, depending on their needs. Psychiatry is grounded in clinical neuroscience. We are looking for psychiatry that will be constantly updated and will apply the valuable knowledge of neuroscience, at a research, diagnostic and therapeutic level. Also, psychiatry that will refer and collaborate closely with other medical specialties, as well as with non-medical accredited mental health professionals. In parallel, psychiatry must envision, plan and supervise the development of scientifically based psychosocial rehabilitation programs. Finally, the stakeholders involved should promote the view of a medico-social approach to mental disorders, centered on formal diagnosis and treatment by professionals, with the aim of providing safe, continuous and complete care for patients.<\/jats:p>","DOI":"10.3389\/fpsyt.2025.1616276","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T05:24:22Z","timestamp":1752816262000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Psychiatry in the real world"],"prefix":"10.3389","volume":"16","author":[{"given":"Orestis","family":"Giotakos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101675","article-title":"Quantifying the global burden of mental disorders and their economic value","volume":"54","author":"Arias","year":"2022","journal-title":"EClinical Med"},{"key":"B2","unstructured":"National institute of mental health"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-023-02594-x","article-title":"Burden and trends of mental disorders in China from 1990 to 2019: findings from the Global Burden of Disease Study 2019","volume":"59","author":"Deng","year":"2024","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00395-3","article-title":"Mental Disorders Collaborators Global, regional, and national burden of 12 mental disorders in 204 countries and territories 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"9","year":"2019","journal-title":"Lancet Psychiatry 2022"},{"key":"B5","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1176\/appi.ajp.2012.12070999","article-title":"DSM-5 field trials in the United States and Canada, Part II: test-retest reliability of selected categorical diagnoses","volume":"170","author":"Regier","year":"2013","journal-title":"Am J Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796018000513","article-title":"The debate about renaming schizophrenia: a new name would not resolve the stigma","volume":"28","author":"Gaebel","year":"2019","journal-title":"Epidemiol Psychiatr Sci"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796018000586","article-title":"Renaming schizophrenia: 5 \u00d7 5","volume":"28","author":"Guloksuz","year":"2019","journal-title":"Epidemiol Psychiatr Sci"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796018000598","article-title":"Renaming schizophrenia","volume":"28","author":"Maruta","year":"2019","journal-title":"Epidemiol Psychiatr Sci"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i375","article-title":"\u2018Schizophrenia\u2019 does not exist","volume":"352","author":"van Os","year":"2016","journal-title":"BMJ"},{"key":"B10","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1002\/wps.20998","article-title":"Psychiatric diagnosis and treatment in the 21st century: paradigm shifts versus incremental integration","volume":"21","author":"Stein","year":"2022","journal-title":"World Psychiatry"},{"key":"B11","doi-asserted-by":"publisher","first-page":"3","DOI":"10.31887\/DCNS.2018.20.1\/fthibaut","article-title":"The mind-body Cartesian dualism and psychiatry","volume":"20","author":"Thibaut","year":"2018","journal-title":"Dialogues in Clinical Neuroscience"},{"key":"B12","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1093\/schbul\/sbl054","article-title":"DSM and the Death of Phenomenology in America: An Example of Unintended Consequences","volume":"33","author":"Andreasen","year":"2007","journal-title":"Schizophrenia Bulletin"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.940978","article-title":"Patterns of multimorbidity and some psychiatric disorders: A systematic review of the literature","volume":"13","author":"Castro-de-Araujo","year":"2022","journal-title":"Front Psychol"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1351695","article-title":"Differences in predictive factors for post-traumatic stress disorder encompassing partial PTSD and full PTSD: a cross-sectional study among individuals exposed to the November 13, 2015 Paris attacks","volume":"15","author":"Berthail","year":"2024","journal-title":"Front Psychiatry"},{"key":"B15","volume-title":"Are eating disorders obsessive compulsive disorder? 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