Dismantling the Diagnostic Reflex and Building Relational Healing “Every symptom is a strategy in disguise.” —Gabor Maté Why “What’s Wrong?” Gets It Wrong It’s the first question I hear from parents sitting across from me on Zoom: “What’s wrong with him?” “Why is she acting like this?” “Why can’t they just pull it together?” I get it. I’ve been there as a family member, too—watching someone I love make choices I didn’t understand and couldn’t fix. But over time, I’ve learned something most families are never told: 👉 Behavior isn’t about what’s wrong. It’s about what’s unresolved. The question “What’s wrong?” assumes pathology—something broken inside an individual. But “What’s unresolved?” assumes context—something inherited, stuck, unspoken, or unprocessed in the emotional system around them. And that shift? It changes everything. The Legacy of Symptom-Chasing The Clinical Lens: Helpful But Limited We’ve inherited a medical model that’s great for broken bones, but not for broken trust. It names symptoms like:
The result? Families get a diagnosis and a treatment plan for one person—usually the one in the most visible distress—while the rest of the emotional system goes untouched. Imagine treating smoke but never looking for fire. Ask the System, Not Just the Symptom When I ask families to slow down and get curious about what’s unresolved, here’s what surfaces:
Suddenly, the question isn’t “What’s wrong with this kid?” It’s “What have we all been carrying that hasn’t had a place to land?” Stories That Shift the Question Case Study — The Teen Who “Blew Up” Jake, age 16, had been suspended twice and was vaping weed in his bedroom. His parents came to me at their wit’s end. “He’s out of control.” We didn’t start with Jake. We started with what hadn’t been said in his home for 10 years—grief over his brother’s death, buried beneath toxic positivity. The family had never talked about it. But Jake’s nervous system never forgot. When the parents began practicing emotional literacy and modeling regulation, Jake didn’t just calm down—he began to speak, cry, and ask for help. Understanding Behavior as Intelligence Here’s the truth: Behavior is communication—especially when words fail. Drawing from Internal Family Systems (IFS), every behavior can be seen as a “part” of the person trying to protect them from overwhelming feelings. For example:
Instead of exiling these parts, we listen to what they’re trying to resolve. From Diagnosis to Dialogue: Tools That Create Safety 1. Use “Curious Reflection” Instead of Labels Instead of: “You’re so dramatic.” Try: “I wonder if something underneath is feeling unseen.” Why it works: It deactivates the shame response and opens the door to connection. 2. Practice Family Nervous System Regulation Borrowing from somatic experiencing, create daily rituals that bring the system into regulation:
3. Conduct a Family “Unresolved Inventory” Use these prompts:
Naming the emotional “ghosts” breaks their grip. A Whole-System Reframe In the Family WellthCare Coaching framework, we treat emotional health like a family financial portfolio. We stop asking: “What’s the problem with this one stock?” And start asking: “Where is the portfolio under pressure? Where have we over-invested or under-invested emotionally?” Behavior, then, becomes feedback—not failure. When You Change the Question, You Change the Outcome From: “My child is broken.” To: “Our family has some unresolved pain that’s trying to find a voice.” That’s when things begin to shift—from control to connection, from panic to possibility. Five Quick Ways to Apply This Shift Today Final Thought: You’re Not Alone—You’re In a Pattern That’s Ready to Be Seen
If your child is struggling, it’s not a diagnosis you’re missing—it’s a systemic invitation to explore what’s unresolved. Your family isn’t broken. It’s brave. Brave enough to look beneath the behavior and ask the real question: What needs to be heard, held, or healed that we’ve been carrying in silence?
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AuthorTimothy Harrington's purpose is to assist the family members of a loved one struggling with problematic drug use and/or behavioral health challenges in realizing their innate strength and purpose. Archives
June 2025
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