>You can't totally reject some of these diagnoses, regardless of how porous the boundaries, without depriving a lot of people of the care they need. Which is p

>You can't totally reject some of these diagnoses, regardless of how porous the boundaries, without depriving a lot of people of the care they need. Which is precisely why the DSM is a political document, designed for clinical utility, and not a scientific one. I will mention that several of the barriers to create we create to care are artificial. One of the most common fears I've heard from those with ADHD is that without their diagnosis being taken seriously they will lose access to their medication. Yet that's only an issue because we won't give people drugs, even if they find them helpful, unless prescribing physicians believes they are disordered. Consequently, there are ADHD communities who ban people diagnosed with ADHD for having too positive of a self-outlook. The entire system is deeply twisted. We've made acceptance of an intrinsically derogatory pseudoscientific nosology a gatekeeper, and put reflexively categorising patients as disordered at the centre of our care model.