DSM

A depression diagnosis usually marks a turning point in your experience of the illness. Up to that point, you may have downplayed the seriousness of mood problems, or you may have been less aware of feelings and focused instead on pain or insomnia or some other physical symptom.

When things get so bad that you can’t lead the life you’re used to, then you know you need help but may still have no idea what the cause is. So you head for the doctor’s office – whether it’s your primary care physician or a psychiatrist – and hope they’ll be able to tell you what’s wrong and do something about it.

Like many, I’ve been worried that the revision of Diagnostic and Statistical Manual of Mental Disorders, the source for all our diagnoses, could lead to what’s been called the medicalization of normality. But there are even more fundamental problems inherent in the classification system itself. It slots you into a fixed category based on a […]

When I started getting a diagnosis of “depression” years ago, I found myself assuming that this was the name for a permanent condition rather than one dimension in the changing nature of an unfolding life. Later, the term became more formalized as “major depressive disorder recurrent non-psychotic” under the DSM-IV classification system. In a way, […]