Self Diagnose Quotes

Before you diagnose yourself with depression or low self-esteem, first make sure that you are not, in fact, just surrounded by assholes.

Comparing ourselves to people on social media is as risky as using WebMD to diagnose yourself. You’ll end up way more stressed than before - just don’t even go there.

That dead-eyed anhedonia is but a remora on the ventral flank of the true predator, the Great White Shark of pain. Authorities term this condition clinical depression or involutional depression or unipolar dysphoria. Instead of just an incapacity for feeling, a deadening of soul, the predator-grade depression Kate Gompert always feels as she Withdraws from secret marijuana is itself a feeling. It goes by many names — anguish, despair, torment, or q.v. Burton's melancholia or Yevtuschenko's more authoritative psychotic depression — but Kate Gompert, down in the trenches with the thing itself, knows it simply as It. It is a level of psychic pain wholly incompatible with human life as we know it. It is a sense of radical and thoroughgoing evil not just as a feature but as the essence of conscious existence. It is a sense of poisoning that pervades the self at the self's most elementary levels. It is a nausea of the cells and soul. It is an unnumb intuition in which the world is fully rich and animate and un-map-like and also thoroughly painful and malignant and antagonistic to the self, which depressed self It billows on and coagulates around and wraps in Its black folds and absorbs into Itself, so that an almost mystical unity is achieved with a world every constituent of which means painful harm to the self. Its emotional character, the feeling Gompert describes It as, is probably mostly indescribable except as a sort of double bind in which any/all of the alternatives we associate with human agency — sitting or standing, doing or resting, speaking or keeping silent, living or dying — are not just unpleasant but literally horrible. It is also lonely on a level that cannot be conveyed. There is no way Kate Gompert could ever even begin to make someone else understand what clinical depression feels like, not even another person who is herself clinically depressed, because a person in such a state is incapable of empathy with any other living thing. This anhedonic Inability To Identify is also an integral part of It. If a person in physical pain has a hard time attending to anything except that pain, a clinically depressed person cannot even perceive any other person or thing as independent of the universal pain that is digesting her cell by cell. Everything is part of the problem, and there is no solution. It is a hell for one. The authoritative term psychotic depression makes Kate Gompert feel especially lonely. Specifically the psychotic part. Think of it this way. Two people are screaming in pain. One of them is being tortured with electric current. The other is not. The screamer who's being tortured with electric current is not psychotic: her screams are circumstantially appropriate. The screaming person who's not being tortured, however, is psychotic, since the outside parties making the diagnoses can see no electrodes or measurable amperage. One of the least pleasant things about being psychotically depressed on a ward full of psychotically depressed patients is coming to see that none of them is really psychotic, that their screams are entirely appropriate to certain circumstances part of whose special charm is that they are undetectable by any outside party. Thus the loneliness: it's a closed circuit: the current is both applied and received from within.

The disorder is more common in women." Note the construction of that sentence. They did not write, "The disorder is more common in women." It would still be suspect, but they didn't bother trying to cover their tracks. Many disorders, judging by the hospital population, were more commonly diagnosed in women. Take, for example, "compulsive promiscuity." How many girls do you think a seventeen-year-old boy would have to screw to earn the label "compulsively promiscuous"? Three? No, not enough. Six? Doubtful. Ten? That seems more likely. Probably in the fifteen-to-twenty range, would be my guess - if they ever put that label on boys, which I don't recall their doing.... In the list of six "potentially self-damaging" activities favored by the borderline personality, three are commonly associated with women (shopping sprees, shoplifting, and eating binges) and one with men (reckless driving). One is not "gender specific," as they say these days (psychoactive substance abuse). And the definition of the other (casual sex) is in the eye of the beholder.

when people hear anything that sounds like criticism, they tend to invest their energy in self-defense or counterattack. If we wish for a compassionate response from others, it is self-defeating to express our needs by interpreting or diagnosing their behavior. Instead, the more directly we can connect our feelings to our own needs, the easier it is for others to respond to us compassionately.

What separates great players from all-time great players is their ability to self-assess, diagnose weaknesses, and turn those flaws into strengths.

Postmodernism's specifically academic appeal comes from its being another in the sequence of all-purpose "unmasking" strategies that offer a way to criticize the intellectual efforts of others not by engaging with them on the ground, but by diagnosing them from a superior vantage point and charging them with inadequate self-awareness. Logical positivism and Marxism were used by academics in this way, and postmodernist relativism is a natural successor in the role. [The Sleep of Reason]

from the Basement tapes Eric outdid Dylan with the apologies. To the untrained eye, he seemed sincere. The psychologists on the case found Eric less convincing. They saw a psychopath. Classic. He even pulled the stunt of self-diagnosing to dismiss it. "I wish I was a fucking sociopath so I didn't have any remorse," Eric said. "But I do." Watching that made Dr. Fuselier angry. Remorse meant a deep desire to correct a mistake. Eric hadn't done it yet. He excused his actions several times on the tapes. Fuselier was tough to rattle, but that got to him. "Those are the most worthless apologies I've ever heard in my life," he said. It got more ludicrous later, when Eric willed some of his stuff to two buddies, "if you guys live." "If you live?" Fuselier repeated. "They are going to go in there and quite possibly kill their friends. If they were the least bit sorry they would not do it!

You can't fight mental health bias if you label people based on a lists of symptoms and you have no medical degree to diagnose people. We all have crazy running through our blood and so many things trigger that. We all struggle with our anxiety and twisted issues. Defamation of character is not kind, nor Christlike. Because when you label people with self righteous vindication you open the door to the very idea that self righteousness is itself a disorder that we should all be afraid of. This doorway when left open too long gets people to pull away from Christ, not run to him.

A lumpy mass of American stereotypes was metastasizing inside me. It made me cringe when I heard Mr. Miyagi say "Wax on, wax off, Daniel San." It made me pretend to laugh when I saw Long Duk Dong in Sixteen Candles. It made me sign up for tae kwon do that year because that was what Asians did. It would be decades before I diagnosed the lump of alienation, dual consciousness, and self-hatred, but it was already growing quickly, bilious and caustic. I only saw myself as the piece that did not fit in the puzzle.

Before you diagnose yourself with depression or low self-esteem, first make sure that you are not, in fact, just surrounded by assholes.” Sigmund Freud

Before you diagnose yourself with depression or low self-esteem, first make sure you are not, in fact, surrounded by assholes.

In this world where value is unknown, but the price of anything is marked, where the creation of self has been abandoned for the search for self, the behavior diagnosed as antisocial is often too quickly ascribed to intelligence when thrust into contact with widespread conformity, and refuses.

Many people in the USA come to the conclusion that it is better not to purchase extremely expensive health care insurance and to use the saved money to self diagnose and treat with lifestyle changes, organic food, supplements and vitamins.

The pressure to reduce health care costs is aimed only at the treatment of real diseases. There is no pressure to reduce the costs of treating fictitious diseases. On the contrary, there is pressure to define ever more types of undesirable behaviors as mental disorders or addictions and to spend ever more tax dollars on developing new psychiatric diagnoses and facilities for storing and treating the victims of such diseases, whose members now include alcoholics, drug abusers, smokers, overeaters, self-starvers, gamblers, etc.

Diagnoses of the malaise of the humanities rightly point to anti-intellectual trends in our culture and to the commercialization of universities. But an honest appraisal would have to acknowledge that some of the damage is self-inflicted. The humanities have yet to recover from the disaster of postmodernism, with its defiant obscurantism, self-refuting relativism, and suffocating political correctness. Many of its luminaries—Nietzsche, Heidegger, Foucault, Lacan, Derrida, the Critical Theorists—are morose cultural pessimists who declare that modernity is odious, all statements are paradoxical, works of art are tools of oppression, liberal democracy is the same as fascism, and Western civilization is circling the drain.54

Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact. But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.

Please take a moment to answer this questionnaire and discover if you can benefit from a Taco Cleanse: Do you experience recurring feelings of hunger on a daily basis? Do you frequently lack access to eating utensils such as forks or chopsticks? Do you consider tortillas to function as edible napkins? Do you enjoy attention from peers based on dietary restrictions? Do you experience a range of emotions? Do you tilt your head when inserting food into your mouth? Do you use medical websites to self-diagnose your symptoms? Answering yes to any of these questions may indicate that a Taco Cleanse is right for you.

Hershey Pennsylvania was self-proclaimed as the “Sweetest Place On Earth,” but less advertised than chocolate, it was also home to one of the state’s largest Children’s Hospitals. The streets lined with Hershey Kiss–shaped streetlamps that led excited children and families on vacation to chocolate tour rides and rollercoasters were the same exact streets that led anxious children and families to x-rays and MRIs on the worsts days of their lives. Chocolate was being created on the same street that childhood diseases were being diagnosed. And that was life. The sweetest of sensations and the deepest of devastations live next door to each other.

Before you diagnose yourself with depression or low self-esteem, first make sure you are not, in fact, just surrounded by assholes.” —STEVEN WINTERBURN

Before you diagnose yourself with low self esteem, first make sure you are not, in fact, surrounded by people who are not in touch with their sensuality.

Before you diagnose yourself with depression or low self-esteem, first make sure that you are not, in fact, just surrounded by assholes.

the kids who can’t adapt to school’s tedium are diagnosed with ADHD and are put on powerful psychoactive drugs, which have the immediate effect of reducing their spontaneity so they can attend to the teacher and complete the senseless busywork. Nobody knows the long-term effects of these drugs on the human brain, but research with animals suggests that one effect may be to interfere with the normal development of the brain connections that lead children generally to become more controlled, less impulsive, with age and maturity.13 Perhaps that helps to explain why today we see more and more cases of ADHD extending into adulthood. As with lots of psychoactive drugs, the drugs used to treat ADHD may be creating long-term dependency.

Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder] had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious "capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!].

I was diagnosed with ADHD in my mid fifties and I was given Ritalin and Dexedrine. These are stimulant medications. They elevate the level of a chemical called dopamine in the brain. And dopamine is the motivation chemical, so when you are more motivated you pay attention. Your mind won't be all over the place. So we elevate dopamine levels with stimulant drugs like Ritalin, Aderall, Dexedrine and so on. But what else elevates Dopamine levels? Well, all other stimulants do. What other stimulants? Cocaine, crystal meth, caffeine, nicotine, which is to say that a significant minority of people that use stimulants, illicit stimulants, you know what they are actually doing? They're self-medicating their ADHD or their depression or their anxiety. So on one level (and we have to go deeper that that), but on one level addictions are about self-medications. If you look at alcoholics in one study, 40% of male adult alcoholics met the diagnostic criteria for ADHD? Why? Because alcohol soothes the hyperactive brain. Cannabis does the same thing. And in studies of stimulant addicts, about 30% had ADHD prior to their drug use. What else do people self-medicate? Someone mentioned depression. So, if you have been treated for depression, as I have been, and you were given a SSRI medication, these medications elevate the level of another brain chemical called serotonin, which is implicated in mood regulation. What else elevates serotonin levels temporarily in the brain? Cocaine does. People use cocaine to self-medicate depression. People use alcohol, cannabis and opiates to self-medicate anxiety. Incidentally people also use gambling or shopping to self-medicate because these activities also elevate dopamine levels in the brain. There is no difference between one addiction and the other. They're just different targets, but the brain systems that are involved and the target chemicals are the same, no matter what the addiction. So people self-medicate anxiety, depression. People self-medicate bipolar disorder with alcohol. People self-medicate Post-Traumatic-Stress-Disorder. So, one way to understand addictions is that they're self-medicating. And that's important to understand because if you are working with people who are addicted it is really important to know what's going on in their lives and why are they doing this. So apart from the level of comfort and pain relief, there's usually something diagnosible that's there at the same time. And you have to pay attention to that. At least you have to talk about it.

one important thing to keep in mind about BPD is that it comes with a lot of extra baggage. That is, many people with BPD have other problems and may meet criteria for other diagnoses. For instance, many people with BPD suffer from depression, anxiety disorders, eating disorders, and/or drug and alcohol problems. People with BPD are also at risk for suicide attempts, self-harm, and other self-destructive behaviors.

When we listen to ourselves with callous objectivity—trying to diagnose and eradicate our problems with effective solutions—this “listening” rarely works. Think of the people who treat you this way: those who can’t see beyond their labels and judgments of you. Those who only “listen” for long enough to decide which advice to give you. It feels horrible. This same attitude prevents us from hearing our inner conversations. When we feel like someone has an agenda, we resist. Trying to fix ourselves while pretending to love ourselves doesn’t work. We don’t heal through objectification. We heal through understanding. We need to feel appreciated by the people who help us—ourselves included.

Merely knowing the material doesn’t get you out of the box. Living it does. And we’re not living it if we’re using it to diagnose others. Rather, we’re living it when we’re using it to learn how we can be more helpful to others—even

Our hurts and wounds can make our self-centeredness even more intractable. When you point out selfish behavior to a wounded person, he or she will say, “Well, maybe so, but you don’t understand what it is like.” The wounds justify the behavior. There are two ways to diagnose and treat this condition. In our culture, there is still a widespread assumption of basic human goodness. If people are self-absorbed and messed up, it is argued, it is only because they lack healthy self-esteem. So what we should do is tell them to be good to themselves, to live for themselves, not for others. In this view of things, we give wounded people almost nothing but support, encouraging them to stop letting others run their lives, urging them to find out what their dreams are and take steps to fulfill them. That, we think, is the way to healing. But this approach assumes that self-centeredness isn’t natural, that it is only the product of some kind of mistreatment. That is a very popular understanding of human nature, but it is worth observing that it is an article of faith—a religious belief, as it were. No major religion in the world actually teaches that, yet this is the popular view of many people in the West.

We began then to see trauma-related disorders not as disorders of events but as disorders of the body, brain, and nervous system. The neurobiological lens also resulted in another paradigm shift: if the brain and body are inherently adaptive, then the legacy of trauma responses must also reflect an attempt at adaptation, rather than evidence of pathology. Through that neurobiological lens, what appears clinically as stuckness and resistance, untreatable diagnoses, or character-disordered behavior simply represent how an individual’s mind and body adapted to a dangerous world in which the only “protection” was the very same caretaker who endangered him or her. Each symptom was an ingenious solution by the body to create some semblance of safety for the developing child or endangered adult. The trauma-related issues with which the client presents for help, I now believe, are in truth a “red badge of courage” that tell the story of what happened even more eloquently than the events each individual consciously remembers.

and only much later, when Mascha wanted a child, did I realize that love is a deadly poison, a vice, a vice that one wants to see shared, & that if one of the two involved is smitten, the other is often no more than a passive participant, or vixxtim, or possessed. And Moravagine was possessed. Love is masochistic. These cries & complaints, these sweet alarms. this anguished state of lovers, this suspense, this latent pain that is just below the surface, almost unexpressed, these thousand & one anxieties over the loved one's absence, this feeling of time rushing by, this touchiness, these fits of temper, these long daydreams, this childish fickleness of behavior, this moral torture where vanity & self-esteem, or perhaps honor, upbringing & modesty are at stake, these highs & lows in the nervous tone, these leaps of imagination, this fetishism, this cruel precision of senses, whipping & probing, the collapse, the prostration, the abdication, the self-abasement, the perpetual loss & recovery of one's personality, these stammered words & phrases, these pet-names, this intimacy, these hesitations in physical contact, these epileptic tremors, these successive & even more frequent relapses, this more & more turbulent & stormy passion with its ravages progressing to the point of complete inhibition & annihilation of the soul, the debility of the senses, the exhaustion of the marrow, the erasure of the brain & even the desiccation of the heart, this yearning for ruin, for destruction, for mutilation, this need of effusiveness, of adoration, of mysticism, this insatiability which expresses itself in hyper-irritability of the of mucus membranes, in errant taste, in vasomotor or peripheral disorders, & which conjures up jealousy & vengeance, crimes, prevarications & treacheries, this idolatry, this incurable melancholy, this apathy, this profound moral misery, this definitive & harrowing doubt, this despair--are not all these stigmata the very symptoms of love in which we can first diagnose, then trace with a sure hand, the clinical curve of masochism?

When he wrote back, he pretended to be his old self, he lied his way into sanity. For fear of his psychiatrist who was also their censor, they could never be sensual, or even emotional. His was considered a modern, enlightened prison, despite its Victorian chill. He had been diagnosed, with clinical precision, as morbidly oversexed, and in need of help as well as correction. He was not to be stimulated. Some letters—both his and hers—were confiscated for some timid expression of affection. So they wrote about literature, and used characters as codes. All those books, those happy or tragic couples they had never met to discuss! Tristan and Isolde the Duke Orsino and Olivia (and Malvolio too), Troilus and Criseyde, Once, in despair, he referred to Prometheus, chained to a rock, his liver devoured daily by a vulture. Sometimes she was patient Griselde. Mention of “a quiet corner in a library” was a code for sexual ecstasy. They charted the daily round too, in boring, loving detail. He described the prison routine in every aspect, but he never told her of its stupidity. That was plain enough. He never told her that he feared he might go under. That too was clear. She never wrote that she loved him, though she would have if she thought it would get through. But he knew it. She told him she had cut herself off from her family. She would never speak to her parents, brother or sister again. He followed closely all her steps along the way toward her nurse’s qualification. When she wrote, “I went to the library today to get the anatomy book I told you about. I found a quiet corner and pretended to read,” he knew she was feeding on the same memories that consumed him “They sat down, looked at each other, smiled and looked away. Robbie and Cecilia had been making love for years—by post. In their coded exchanges they had drawn close, but how artificial that closeness seemed now as they embarked on their small talk, their helpless catechism of polite query and response. As the distance opened up between them, they understood how far they had run ahead of themselves in their letters. This moment had been imagined and desired for too long, and could not measure up. He had been out of the world, and lacked the confidence to step back and reach for the larger thought. I love you, and you saved my life. He asked about her lodgings. She told him. “And do you get along all right with your landlady?” He could think of nothing better, and feared the silence that might come down, and the awkwardness that would be a prelude to her telling him that it had been nice to meet up again. Now she must be getting back to work. Everything they had, rested on a few minutes in a library years ago. Was it too frail? She could easily slip back into being a kind of sister. Was she disappointed? He had lost weight. He had shrunk in every sense. Prison made him despise himself, while she looked as adorable as he remembered her, especially in a nurse’s uniform. But she was miserably nervous too, incapable of stepping around the inanities. Instead, she was trying to be lighthearted about her landlady’s temper. After a few more such exchanges, she really was looking at the little watch that hung above her left breast, and telling him that her lunch break would soon be over.

Those who are diagnosably narcissistic may be talented, charming, even inspiring, but they lack the capacity for self-awareness and self-evaluation, shunning humility for defensive self-protection. Christian psychologist Diane Langberg says of the narcissist, “He has many gifts but the gift of humility.”1

Musk would later talk about—even joke about—having Asperger’s, a common name for a form of autism-spectrum disorder that can affect a person’s social skills, relationships, emotional connectivity, and self-regulation. “He was never actually diagnosed as a kid,” his mother says, “but he says he has Asperger’s, and I’m sure he’s right.” The condition was exacerbated by his childhood traumas. Whenever he would later feel bullied or threatened, his close friend Antonio Gracias says, the PTSD from his childhood would hijack his limbic system, the part of the brain that controls emotional responses. As a result, he was bad at picking up social cues. “I took people literally when they said something,” he says, “and it was only by reading books that I began to learn that people did not always say what they really meant.” He had a preference for things that were more precise, such as engineering, physics, and coding.

DID may be underdiagnosed. The image derived from classic textbooks of a florid, dramatic disorder with overt switching characterizes about 5% of the DID clinical population. The more typical presentation is of a covert disorder with dissociative symptoms embedded among affective, anxiety, pseudo-psychotic, dyscontrol, and self-destructive symptoms, and others (Loewenstein, 1991). The typical DID patient averages 6 to 12 years in the mental health system, receiving an average of 3 to 4 prior diagnoses. DID is often found in cases that were labeled as "treatment failures" because the patient did not respond to typical treatments for mood, anxiety, psychotic, somatoform, substance abuse, and eating disorders, among others. Rapid mood shifts (within minutes or hours), impulsivity, self-destructiveness, and/or apparent hallucinations lead to misdiagnosis of cyclic mood disorders (e.g., bipolar disorder) or psychotic disorders (e.g., schizophrenia).

Most curable sickness can now be diagnosed and treated by laymen. People find it so difficult to accept this statement because the complexity of medical ritual has hidden from them the simplicity of its basic procedures. It took the example of the barefoot doctor in China to show how modern practice by simple workers in their spare time could, in three years, catapult health care in China to levels unparalleled elsewhere. In most other countries health care by laymen is considered a crime. A seventeen-year-old friend of mine was recently tried for having treated some 130 of her high-school colleagues for VD. She was acquitted on a technicality by the judge when expert counsel compared her performance with that of the U.S. Health Service. Nowhere in the U.S.A. can her achievement be considered "standard," because she succeeded in making retests on all her patients six weeks after their first treatment. Progress should mean growing competence in self-care rather than growing dependence. 5

I walked downstairs, toward the beach, and then through the dunes, feeling the sort of rage that comes with the realization of one's gross inadequacy, of knowing for certain that you are at fault. It was the first time I realized that as much as he was two people around us, so were we two people around him: we saw of him what we wanted, and allowed ourselves not to see anything else. We Were so ill-equipped. Most people are easy: their unhappiness are our unhappiness, their sorrows are understandable, their bouts of self-loathing are fast moving and negotiable. But his were not. We don't know how to help him because we lacked the imagination needed to diagnose the problems. But this is making excuses.

In 1944-1945, Dr Ancel Keys, a specialist in nutrition and the inventor of the K-ration, led a carefully controlled yearlong study of starvation at the University of Minnesota Laboratory of Physiological Hygiene. It was hoped that the results would help relief workers in rehabilitating war refugees and concentration camp victims. The study participants were thirty-two conscientious objectors eager to contribute humanely to the war effort. By the experiment's end, much of their enthusiasm had vanished. Over a six-month semi-starvation period, they were required to lose an average of twenty-five percent of their body weight." [...] p193 p193-194 "...the men exhibited physical symptoms...their movements slowed, they felt weak and cold, their skin was dry, their hair fell out, they had edema. And the psychological changes were dramatic. "[...] p194 "The men became apathetic and depressed, and frustrated with their inability to concentrate or perform tasks in their usual manner. Six of the thirty-two were eventually diagnosed with severe "character neurosis," two of them bordering on psychosis. Socially, they ceased to care much about others; they grew intensely selfish and self-absorbed. Personal grooming and hygiene deteriorated, and the men were moody and irritable with one another. The lively and cooperative group spirit that had developed in the three-month control phase of the experiment evaporated. Most participants lost interest in group activities or decisions, saying it was too much trouble to deal with the others; some men became scapegoats or targets of aggression for the rest of the group. Food - one's own food - became the only thing that mattered. When the men did talk to one another, it was almost always about eating, hunger, weight loss, foods they dreamt of eating. They grew more obsessed with the subject of food, collecting recipes, studying cookbooks, drawing up menus. As time went on, they stretched their meals out longer and longer, sometimes taking two hours to eat small dinners. Keys's research has often been cited often in recent years for this reason: The behavioral changes in the men mirror the actions of present-day dieters, especially of anorexics.

In my series, five percent presented self-diagnosed. In most cases, this was not believed by the initial clinician. I had the following unnerving experience. Prior to my first multiple personality disorder case, I did not think the condition existed. I saw a young woman who claimed to have multiple personality disorder, and dismissed her claim. She never mentioned it again. Seven years later, while doing research in multiple personality disorder, I asked her to be a control subject for a new multiple personality disorder screening protocol, since I believed she was a medication-controlled paranoid schizophrenic. A protector personality rapidly took over, cursed at me for disbelieving the patient in the first place, introduced me to other personalities, resumed control, and chastized me vehemently at great length. Thereafter, she left, never to return.

Self-diagnosed adolescent trans boys – natal females – started to fill up GIDS’s waiting room with similar stories, haircuts, even names – ‘one after another after another’. They’d talk about their favourite trans YouTubers, many having adopted the same name, and how they aspired to be like them in the future. Given how complicated these young people appeared to be, could something else be going on that explained this, something other than them all being trans?

We continue drinking unchecked, often overlooking the danger of addiction, because we have come to believe alcoholism can only happen to other people. By the time we realize we have a problem, we are faced with self-diagnosing a fatal and incurable illness or admitting to being weak-willed and lacking self-control. We tend to avoid this horrific diagnosis until things have gotten so out of control we can no longer avoid the problem. In some ways this approach has defined alcoholism as a disease of denial.

It’s joyful to know you could be diagnosed with a mental disorder but to opt out, to say yes to yourself instead, to have the patience and care to resist the label that never got you anywhere before, that was voted into existence as an illness, that simply isn’t helpful in looking at your life. Nothing tastes sweeter than inching toward self mastery, self intimacy, the progress that comes slowly over a long period of taking good care of yourself, the very best way you know how to, and very imperfectly at that.

Dying isn’t the end of the world,” my mother liked to joke after she was diagnosed as terminal. I never really understood what she meant, until the day I suddenly did—a few months after she died—when, at age thirty-eight, the breast cancer I’d been in treatment for became metastatic and incurable. There are so many things that are worse than death: old grudges, a lack of self-awareness, severe constipation, no sense of humor, the grimace on your husband’s face as he empties your surgical drain into the measuring cup.

There I was, in black and white. My entire being of weirdness, easily explained with bullet points listed under both “Signs of Adult AD(H)D” and “Signs of Adult Giftedness.” Double trouble. Twice fucked, as I like to say. Getting diagnosed was definitely a mixed blessing for me. On one hand there was a nicely packaged reason for all of the things I felt were wrong with me. On the other hand, it was comparable to a mental-health death sentence. I used to say to my mom, “It shouldn’t be this hard…it isn’t this hard for other people…this isn’t normal.” I used to think I could just fix myself away with my little self-improvement plans. I still do, actually—a different one every week, but getting that diagnosis meant I could do all of the self-improvement plans available in the universe, and I would still come out as messed up as I went in. No improvements for me. Sorry, Charlie. Shit out of luck, my friend. I’ve always felt misunderstood. Though I was never at a loss for friends, I was always told I was weird, which I was totally OK with. Weird

By contrast, moderate identity alteration differs from its milder countepart in that the alterations are not always under the person's control. In addition, moderate identity alteration does not always manifest the presence of distinct alter personalities. Someone who experiences moderate identity alteration may present with mood changes and behaviors that they perceive as uncontrollable. Patients with nondissociative psychiatric disorders (e.g., manic depressive illness) may report moderate alterations in behavior/demeanor that they cannot control; for example, one patient diagnosed as manic depressive mentioned being bothered by his inability to "keep his mind from racing" (SCID-D interview, unpublished transcript). However, these alterations do not coalesce around distinct personalities. Similarly, individuals who have borderline personality disorder tend to fluctuate rapidly between radically different behaviors and moods; however, these changes do not involve different names, memories, preferences, distinct ages, or amnesia for past events.

She had survived to age twenty-two with only the usual signs of wear: mild nutritional deficiencies, self-diagnosed anxious attachment style, self-diagnosed avoidant attachment style, stiff neck from excessive phone use. She googled things like “wildfires europe” and “heat wave crop failure famine” and “when will dublin underwater” and “will england fuck ireland over” and “will WHAT IS HAPPENING IN england fuck ireland over” and “why am i lonely” and “why do i hate existing” and “how many painkillers to die” and “how much carpet cleaner to die” and “why wont the government let me die.

I said. “I’m fine. I have a little bit of a head ache, but I’m not dizzy or nauseous. I can walk and talk just fine, and I can remember everything.” “Everything, huh? Don’t self-diagnose, Doctor Fisher. Do you remember when the Battle of Bunker Hill was fought?” “The what?” “The Battle of Bunker Hill. We covered it in World Civ.” “No, we did not.” “We did, too. The unit on the American Revolution.” “Davin, that was like, two years ago! I don’t remember stuff like that!” “So, not everything.” “Everything important.” “That happens to have been a very significant battle,” Davin reminded me, in a smug tone.

In the Judeo-Christian view--and thus, the dominant Western view--to die by suicide is a sinful, selfish act. This perception has been slow to fade, though the science is clear that suicide has root causes in diagnosable mental disorders and substance abuse. ("Sin" does not qualify for the DSM-5.) The cultural meaning of suicide in Japan is different. It's viewed as a selfless, even honorable act... Outsiders say that the Japanese romanticize suicide, and that Japan has a "suicide culture." But the reality is more complicated. The Japanese view of self-inflicted death as altruistic is more about wanting not to be a burden, rather than fascination with mortality itself.

I didn’t like the way Elgie was talking. Thanks to Victims Against Victimhood, I have grown expert at detecting the signs of being victimized by emotional abuse: confusion, withdrawal, negotiating reality, self-reproach. At VAV, we don’t help newcomers, we CRUSH them. C: Confirm their reality. R: Reveal our own abuse. U: Unite them with VAV. S: Say sayonara to abuse. H: Have a nice life! I launched into the saga of Barry’s failed businesses, his trips to Vegas, his Intermittent Explosive Disorder (which was never diagnosed, but which I’m convinced he suffers from), and finally how I found the strength to divorce him, but not before he successfully drained our life savings.

My awakening unfolded in phases. It occurred during a time of extreme physical and emotional stress when I was imbalanced in body, mind, and soul. It was a crisis of the Self. Life began to feel intolerable, old and new struggles compounding around me so that I had no choice but to address those that had gotten so far out of hand that they were my “normal.” It’s highly likely that if I had sought outside help again at this time, I would have been diagnosed with depression or anxiety, as I had been in the past. Instead I was intuitively drawn inward to self-witnessing that showed me how disengaged I had been. For the first time ever, I began to view these signs as messengers, not as something to repress or avoid.

Let’s take a quick look at what a psychopath is. Although the American Psychiatric Association (APA) no longer uses this term, much of the rest of the world does. The APA has incorporated the term psychopath and sociopath within a broader definition designated as antisocial personality disorder. Even within the APA, there is wide disagreement as to what these terms actually mean. The most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is an American handbook for mental health professionals. It lists different categories of mental disorders and the criteria for diagnosing them, according to the publishing organization, the American Psychiatric Association. The APA defines antisocial personality disorder, which would include Lobaczewski’s psychopathic personality disorder, as a pervasive pattern of disregard for the violation of the rights of others occurring since age fifteen years, as indicated by three or more of the following:   1.     Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest. 2.     Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3.     Impulsivity or failure to plan ahead. 4.     Aggressiveness, as indicated by repeated physical fights or assaults. 5.     Reckless disregard for the safety of self or others. 6.     Consistent irresponsibility. 7.     Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

Some researchers, such as psychologist Jean Twenge, say this new world where compliments are better than sex and pizza, in which the self-enhancing bias has been unchained and allowed to gorge unfettered, has led to a new normal in which the positive illusions of several generations have now mutated into full-blown narcissism. In her book The Narcissism Epidemic, Twenge says her research shows that since the mid-1980s, clinically defined narcissism rates in the United States have increased in the population at the same rate as obesity. She used the same test used by psychiatrists to test for narcissism in patients and found that, in 2006, one in four U.S. college students tested positive. That’s real narcissism, the kind that leads to diagnoses of personality disorders. In her estimation, this is a dangerous trend, and it shows signs of acceleration. Narcissistic overconfidence crosses a line, says Twenge, and taints those things improved by a skosh of confidence. Over that line, you become less concerned with the well-being of others, more materialistic, and obsessed with status in addition to losing all the restraint normally preventing you from tragically overestimating your ability to manage or even survive risky situations. In her book, Twenge connects this trend to the housing market crash of the mid-2000s and the stark increase in reality programming during that same decade. According to Twenge, the drive to be famous for nothing went from being strange to predictable thanks to a generation or two of people raised by parents who artificially boosted self-esteem to ’roidtastic levels and then released them into a culture filled with new technologies that emerged right when those people needed them most to prop up their self-enhancement biases. By the time Twenge’s research was published, reality programming had spent twenty years perfecting itself, and the modern stars of those shows represent a tiny portion of the population who not only want to be on those shows, but who also know what they are getting into and still want to participate. Producers with the experience to know who will provide the best television entertainment to millions then cull that small group. The result is a new generation of celebrities with positive illusions so robust and potent that the narcissistic overconfidence of the modern American teenager by comparison is now much easier to see as normal.

Debbie Nathan blames the early symptoms on pernicious anemia yet explains their supposed remission by Shirley’s being out of contact with Dr. Wilbur for those 9 years. But Dr. Wilbur never diagnosed a dissociative disorder in 1945. Nathan does not seem to recognize the implausibility of Dr. Wilbur creating via suggestion a complex dissociative disorder in five sessions, particularly when the doctor herself did not diagnose it. Nathan attributes Shirley’s postintegration improvement in functioning to being out of contact with Dr. Wilbur rather than to the therapy. But the pernicious anemia continued to be undiagnosed and untreated during that time period, so any symptoms due to it should have continued rather than showing an improvement that coincided with psychotherapy with Dr. Wilbur. Debbie Nathan’s thesis is self-contradictory.

Criteria for Diagnosing Borderline Personality Disorder 1. Frantic efforts to avoid being or feeling abandoned by loved ones. 2. Instability in relationships, including a tendency to idealize and then become disillusioned with relationships. 3. Problems with an unstable sense of self, self-image, or identity. 4. Impulsivity in at least two areas (other than suicidal behavior) that are potentially damaging, such as excessive spending, risky sex, substance abuse, or binge eating. 5. Recurrent suicidal behavior, including thoughts, attempts, or threats of suicide, as well as intentional self-harm that may or may not be life-threatening. 6. Mood swings, including intense negative mood, irritability, and anxiety. Moods usually last a few hours and rarely more than a few days. 7. Chronic feelings of emptiness. 8. Problems controlling intense anger and angry behavior. 9. Transient, stress-related paranoid thoughts or severe dissociation.

the new “affirmative-care” standard of mental health professionals is a different matter entirely. It surpasses sympathy and leaps straight to demanding that mental health professionals adopt their patients’ beliefs of being in the “wrong body.” Affirmative therapy compels therapists to endorse a falsehood: not that a teenage girl feels more comfortable presenting as a boy—but that she actually is a boy. This is not a subtle distinction, and it isn’t just a matter of humoring a patient. The whole course of appropriate treatment hinges on whether doctors view the patient as a biological girl suffering mental distress or a boy in a girl’s body. But the “affirmative-care” standard, which chooses between these diagnoses before the patient is even examined, has been adopted by nearly every medical accrediting organization. The American Medical Association, the American College of Physicians, the American Academy of Pediatrics, the American Psychological Association, and the Pediatric Endocrine Society have all endorsed “gender-affirming care” as the standard for treating patients who self-identify as “transgender” or self-diagnose as “gender dysphoric.

I began to see that the stronger a therapy emphasized feelings, self-esteem, and self-confidence, the more dependent the therapist was upon his providing for the patient ongoing, unconditional, positive regard. The more self-esteem was the end, the more the means, in the form of the patient’s efforts, had to appear blameless in the face of failure. In this paradigm, accuracy and comparison must continually be sacrificed to acceptance and compassion; which often results in the escalation of bizarre behavior and bizarre diagnoses. The bizarre behavior results from us taking credit for everything that is positive and assigning blame elsewhere for anything negative. Because of this skewed positive-feedback loop between our judged actions and our beliefs, we systematically become more and more adapted to ourselves, our feelings, and our inaccurate solitary thinking; and less and less adapted to the environment that we share with our fellows. The resultant behavior, such as crying, depression, displays of temper, high-risk behavior, or romantic ventures, or abandonment of personal responsibilities, which seem either compulsory, necessary, or intelligent to us, will begin to appear more and more irrational to others. The bizarre diagnoses occur because, in some cases, if a ‘cause disease’ (excuse from blame) does not exist, it has to be 'discovered’ (invented). Psychiatry has expanded its diagnoses of mental disease every year to include 'illnesses’ like kleptomania and frotteurism [now frotteuristic disorder in the DSM-V]. (Do you know what frotteurism is? It is a mental disorder that causes people, usually men, to surreptitiously fondle women’s breasts or genitals in crowded situations such as elevators and subways.) The problem with the escalation of these kinds of diagnoses is that either we can become so adapted to our thinking and feelings instead of our environment that we will become dissociated from the whole idea that we have a problem at all; or at least, the more we become blameless, the more we become helpless in the face of our problems, thinking our problems need to be 'fixed’ by outside help before we can move forward on our own. For 2,000 years of Western culture our problems existed in the human power struggle constantly being waged between our principles and our primal impulses. In the last fifty years we have unprincipled ourselves and become what I call 'psychologized.’ Now the power struggle is between the 'expert’ and the 'disorder.’ Since the rise of psychiatry and psychology as the moral compass, we don’t talk about moral imperatives anymore, we talk about coping mechanisms. We are not living our lives by principles so much as we are living our lives by mental health diagnoses. This is not working because it very subtly undermines our solid sense of self.

Kathy’s teachers view her as a good student who always does her homework but rarely participates in class. Her close friends see her as a loyal and trustworthy person who is a lot of fun once you get to know her. The other students in school think she is shy and very quiet. None of them realize how much Kathy struggles with everyday life. When teachers call on her in class, her heart races, her face gets red and hot, and she forgets what she wants to say. Kathy believes that people think she is stupid and inadequate. She imagines that classmates and teachers talk behind her back about the silly things she says. She makes excuses not to go to social events because she is terrified she will do something awkward. Staying home while her friends are out having a good time also upsets her. “Why can’t I just act like other people?” she often thinks. Although Kathy feels isolated, she has a very common problem--social anxiety. Literally millions of people are so affected by self-consciousness that they have difficulties in social situations. For some, the anxiety occurs during very specific events, such as giving a speech or eating in public. For others, like Kathy, social anxiety is part of everyday life. Unfortunately, social anxiety is not an easily diagnosed condition. Instead, it is often viewed as the far edge of a continuum of behaviors and feelings that occur during social situations. Although you may not have as much difficulty as Kathy, shyness may still be causing you distress, affecting your relationships, or making you act in ways with which you are not happy. If this is the case, you will benefit from the advice and techniques provided in this book. The good news is that it is possible to change your thinking and behavior. However, there are no easy solutions. It takes strong motivation and time to overcome social anxiety. It might even be necessary to see a professional therapist or take medication. Eventually, becoming free of your anxiety will make the hard work well worth the effort. This book will help you understand social anxiety and the impact it can have on your life, now and in the future. You will find out how the disorder is diagnosed, you will receive information on professional guidance, and you will learn ways to cope with and manage the symptoms. Becoming an extroverted person is probably unlikely, but you can become more confident in social situations and increase your self-esteem.

Heightened emotion potentially posed another threat more serious than bad skin: hysteria. Doctors diagnosed the condition as a woman’s disease, believed to originate in the womb and to demonstrate female frailty and fallibility. Girls around puberty were particularly susceptible, doctors worried, to the fits and seizures hysteria could induce. How important it was, then, for a young woman to exercise self-restraint and to remain in a limited arena: the home.

Z ipes’s concerns overlap with those of feminists such as Marcia Lieberman, Karen Rowe, Sandra Gilbert, Susan Gubar, and, to a lesser extent, Ruth B. Bottigheimer, who diagnose fairy tales as symptoms of their cultures’ misogynistic traditions.11 For feminists, the fairy tales favored by a given society reflect its gender biases. Accordingly, Amer- icans’ Disney-abetted passion for “Cinderella,” “Sleeping Beauty,” “Snow White,” and “Beauty and the Beast” testifies to our culture’s expediently sexist projection of women as passively compliant, self- sacrificing, beauty-obsessed creatures devoid of agency.12 The inclu- sion of Russian fairy tales in Western feminists’ sphere of reference would necessitate a modification of their critique, for, Russian society’s notorious ageless sexism notwithstanding, some of Russia’s favorite tales (“The Feather of Finist the Bright Falcon,” “The Maiden Tsar,” and “The Frog Princess”) reverse the gender roles in the hackneyed paradigm that feminists deem generically quintessential.

Hobbes and Spinoza, in contrast, found the grounds of much interpersonal conflict in the emotions, and even diagnosed specific emotions as inherently disruptive to social order, e.g., glory for Hobbes. But by the same token, there are many passions that Hobbes stated “incline us to peace,” and Spinoza allowed that insofar as people agree in affects, they agree in nature. Eighteenth-century philosophers tended to evaluate the social effects of the emotions in terms of whether they were self- or other-directed, with Shaftesbury and Hutcheson arguing against Mandeville that our most natural emotions were other-directed. In his Philosophical Enquiry into the Origin of Our Ideas of the Sublime and Beautiful (1759), Edmund Burke distinguished between the passions directed at self-preservation and those belonging to society, but spends the lion's share of his time on the latter. The issue is somewhat more complicated in Hume, but he does seem to take the development of our emotions and their susceptibility to a standard of appropriateness to be indispensable to many of the “artifices” that make social life possible.

I ask the anti-label people to think twice, before they criticize our need to call ourselves Autistic People. We are Autistic People, and we now have a term many of us use: Au
So, it is for our identity, healing, closure and true self-actualization that we become rightfully diagnosed and/or self-identify as autistic. 

Do You Have DID? Determining if you have DID isn’t as easy as it sounds. In fact, many clinicians and psychotherapists have such difficulty figuring out whether or not people have DID that it typically takes them several years to provide an accurate diagnosis. Because many of the symptoms of DID overlap with other psychological diagnoses, as well as normal occurrences such as forgetfulness or talking to yourself, there is a great deal of confusion in making the diagnosis of DID. Although this section will provide you with information which may help you determine if you have DID, it is a good idea to consult with a professional in the mental health field so that you can have further confirmation of your findings.

Theological and hermeneutical naïveté gives birth to superficial diagnoses, which in turn issue in superficial remedies. It seems that the dynamics and effects of sin are poorly understood in our day. The result is that many Christian self-help books owe more to secular culture than a thoroughgoing Christian worldview.

Back at the beginning of the Reformation, wrote [Erich] Fromm, the individual gained the ability to determine his own path - and at the same time lost his sense of certainty in place and self. Fromm divided newfound freedom into two parts: 'freedom to' and 'freedom from.' If the former was positive, the latter could cause unbearable anxiety: 'The world has become limitless and at the same time threatening. ... By losing his fixed place in a closed world man loses the answer to the meaning of his life; the result is that doubt has befallen him concerning himself and the aim of life.' Along came Martin Luther and John Calvin with remedies for this anxiety: 'By not only accepting his own insignificance but by humiliating himself to the utmost, by giving up every vestige of individual will, by renouncing and denouncing his individual strength, the individual could hop to be acceptable to God.' In other words, the individual could in one swoop regain his certainty in the future - it would now be in God's hands - and rid himself of his most unbearable burden: the self. In Fromm's view, a new kind of character was thus inaugurated and soon became prevalent among the middle classes of some societies. He described this character as someone who by an individual psychoanalyst might be diagnosed as a sadomasochistic personality but on the level of social psychology could be called the 'authoritarian personality' - in part because sadomasochistic tendencies in individual relationships are usually understood as a pathology while similar behavior in society can be the most rational and 'normal' strategy. The authoritarian character survives by surrending his power to an outside authority - God or a leader - whom Fromm called the 'magic helper.' The 'magic helper' is a source of guidance, security, and also of pride, because with surrender comes a sense of belonging.

A few tips to help you further distinguish hypomania is to remember that hypomania is abnormally high or irritable mood, meaning different from what a person usually experiences when happy or upset/irritable. Hypomanic episodes also last for at least four consecutive days. Thus, this abnormally high or irritable mood persists for several days and is accompanied by at least three (or four, if the mood is irritable) of the manic/hypomanic symptoms in table 1.1 for the same four days. Finally, in order to be diagnosed with BPII, you must have also experienced a major depressive episode at some time in your life.

These are examples, however, of how we can sometimes be taken advantage of. Our loyalty and strong work ethic, combined with not always being able to read people, mean that we can end up in situations where we get saddled with more than our fair share and are overworked and underpaid.

When we express our needs indirectly through the use of evaluations, interpretations, and images, others are likely to hear criticism. And when people hear anything that sounds like criticism, they tend to invest their energy in self-defense or counterattack. If we wish for a compassionate response from others, it is self-defeating to express our needs by interpreting or diagnosing their behavior. Instead, the more directly we can connect our feelings to our own needs, the easier it is for others to respond to us compassionately

I’ve been surprised at how many autistic people I’ve chatted with who have had similar experiences with meditation, and I wonder if this is because of the way the autistic mind experiences the sensory world. Perhaps for us, to focus our attention on the present moment means that we let in a rush of unfiltered sensory information that is simply too much to endure...

often have somewhat delayed interoception, meaning that I may not realize I am hungry or tired or cold or hot until I am so hungry/tired/cold/hot that I am on the very brink of a breakdown.

When I’m not “productive” (according to my own harsh standards), I struggle with guilt and a wilting sense of self worth. I often have to remind myself that this attitude is actually ableism, embedded deep in my thoughts—that I would never be so hard on an autistic friend as I am on myself.

My interest in learning the names of things in the world has been with me for as long as I can remember.

The names of things, specificity, mattered to me more than it seemed to matter to most other people I knew, and it was puzzling.

You spend a lot of time wondering what’s wrong without ever knowing why—and, for someone who values specificity? It produces the worst anxiety you can imagine.

I still preferred the company of names, of fascinating things in the world, of words. I learned with the advent of universal internet access that my ideal medium for communication, for initial connection, was through written correspondence and chat interfaces.

Not everyone is prepared for exchanges as intense and earnest as the ones I prefer. Not everyone sees hyperfocus to the exclusion of nearly all else as a strength. Not everyone considers encyclopedic memory an advantage, and not everyone regards passion for forms of writing that aren’t guaranteed to earn a fortune as admirable.

What I’ve come to realize is that most people seem to like an exhausting array of things in a general sense, whereas I love a specific and carefully-curated array of things with all my heart.

What are your interests, and why do you take pride in them? Why do they bring you pleasure, or a sense of security, or whatever benefit it is that they happen to bring you? How do these pursuits help you to feel more secure in who you are, and how do you feel about yourself when you have the chance to share them with others?

We construct systems, whether entirely of thought or by using some combination of thought and external manifestation, that help us to interpret data the world throws at us and also to find our place in relation to it.

our difficulty interpreting social cues as maliciousness, our sensory sensitivities as pickiness, or our difficulty with eye contact as disrespect, they are likely to mistreat us—especially if our explanations are then treated as evidence that we can’t be trusted to report accurately on our own experiences.

To avert some of that mistreatment, we often spend major effort to appear more superficially “normal,” which can be necessary, but passing (or attempting to pass) as neurotypical in this way carries its own kind of damage.

You spend a lot of time wondering what’s wrong without ever knowing why.

Many adult autistic people come to a diagnosis or self-diagnosis due to burnout—a period when, after many years of struggling to cope, the demands of everyday life become increasingly difficult or impossible.

Many autistic people have differences in sensory perception. Noises, sounds, textures, or other sensory input unremarkable to others can be painful or aversive to us.

People often wonder what the point is of identifying oneself as autistic in adulthood. The way they see it is, you’ve made it this far, what difference does it make now? What they don’t understand is how autistic people like me have only made it that far by clawing our way there, by struggling in silence, by turning ourselves inside out, and we can’t do it anymore.

And that’s when we will finally seek the answer to a question that’s been at the back of our minds for most of our lives: exactly why am I different from those other people?

Sometimes I think of my death,’ wrote Kurosawa, ‘I think of ceasing to be... and it is from these thoughts that Ikiru came.’ The story of a man diagnosed with stomach cancer, Kurosawa’s film is a serious contemplation of the nature of existence and the question of how we find meaning in our lives. Opening with a shot of an x-ray, showing the main character’s stomach, Ikiru, tells the tale of a dedicated, downtrodden civil servant who, diagnosed with a fatal cancer, learns to change his dull, unfulfilled existence, and suddenly discovers a zest for life. Plunging first into self-pity, then a bout of hedonistic pleasure-seeking on the frentic streets of post-war Tokyo, Watanabe - the film’s hero, finally finds satisfaction through building a children’s playground. In this, the role of his career, Shimura plays Kanji Watanabe, a senior civil servant sunk in ossified routine - a man who, as the dispassionate narrator tells us, has lived like a corpse for twenty-five years. Confronted with the news that he has terminal cancer with only months to live, he finds himself driven to give some meaning to his life. This was one of Kurosawa’s own favourites among his films. It grew, he said, out of a sense of his own mortality. Although he was only 42 and had yet to make most of his finest films, he was tormented with doubts about what his own life would be worth, saying, ‘I keep feeling I have lived so little. My heart aches with this feeling.’ From this angle, the film can be seen as a form of therapy, Kurosawa reassuring himself, and us, that life *can* be made to have meaning, even under the shadow of imminent death. As the critic Richard Brown wrote, Ikiru ‘consists of a restrained affirmation within the context of a giant negation. What it says in starkly lucid terms is that ‘life’ is meaningless when all’s said and done; at the same time one man’s life can acquire meaning when he undertakes to perform some task which is meaningful *to him*. What everyone else thinks about that man’s life is utterly beside the point, even ludicrous. The meaning of his life is what he commits the meaning of his life to be. There is nothing else.

A “diffuse sense of self” is, not surprisingly, associated with several mental health diagnoses, including autism. Interestingly, the experience is also frequently recorded among survivors of abuse. Which means, essentially, in any Venn diagram you draw, women on the autism spectrum are right in the middle of everything. Or, perhaps many of those abuse survivors also happen to be autistic. You see, spectrum women have our own movement where sexual, physical, psychological, and emotional abuse are the rule rather than the exception.

Similar, if not larger, improvements in sleep time and efficiency are to be found in midlife and older adults, including those who are self-reported poor sleepers or those with clinically diagnosed insomnia.

Despite the illusion imparted by a diagnosis, people do not usually “have” an emotional issue in the sense of having a cold or a bacterial infection.8 Unlike medical diagnoses, few psychiatric diagnoses describe an underlying cause with a clearly useful course of treatment or a reliable prognosis. Depression, as one example, is not something people have, it is an experience, a way of experiencing oneself and the world. Some people characteristically—or in the shorter term, in an acute response to life events—have depressed feelings and sometimes live out the feelings in ways that are problematic and self-perpetuating.

Unfortunately, the disease cannot be diagnosed unless the gastroenterologist looks for it, so referring to it as a rare disease was a self-fulfilling prophecy.

She was surprised to find that the more psychological safety a team felt, the higher its error rates. It appeared that psychological safety could breed complacency. When trust runs deep in a team, people might not feel the need to question their colleagues or double-check their own work. But Edmondson soon recognized a major limitation of the data: the errors were all self-reported. To get an unbiased measure of mistakes, she sent a covert observer into the units. When she analyzed those data, the results flipped: psychologically safe teams reported more errors, but they actually made fewer errors. By freely admitting their mistakes, they were then able to learn what had caused them and eliminate them moving forward. In psychologically unsafe teams, people hid their mishaps to avoid penalties, which made it difficult for anyone to diagnose the root causes and prevent future problems. They kept repeating the same mistakes.

THE DSM-V: A VERITABLE SMORGASBORD OF “DIAGNOSES” When DSM-V was published in May 2013 it included some three hundred disorders in its 945 pages. It offers a veritable smorgasbord of possible labels for the problems associated with severe early-life trauma, including some new ones such as Disruptive Mood Regulation Disorder,26 Non-suicidal Self Injury, Intermittent Explosive Disorder, Dysregulated Social Engagement Disorder, and Disruptive Impulse Control Disorder.27 Before the late nineteenth century doctors classified illnesses according to their surface manifestations, like fevers and pustules, which was not unreasonable, given that they had little else to go on.28 This changed when scientists like Louis Pasteur and Robert Koch discovered that many diseases were caused by bacteria that were invisible to the naked eye. Medicine then was transformed by its attempts to discover ways to get rid of those organisms rather than just treating the boils and the fevers that they caused. With DSM-V psychiatry firmly regressed to early-nineteenth-century medical practice. Despite the fact that we know the origin of many of the problems it identifies, its “diagnoses” describe surface phenomena that completely ignore the underlying causes. Even before DSM-V was released, the American Journal of Psychiatry published the results of validity tests of various new diagnoses, which indicated that the DSM largely lacks what in the world of science is known as “reliability”—the ability to produce consistent, replicable results. In other words, it lacks scientific validity. Oddly, the lack of reliability and validity did not keep the DSM-V from meeting its deadline for publication, despite the near-universal consensus that it represented no improvement over the previous diagnostic system.29 Could the fact that the APA had earned $100 million on the DSM-IV and is slated to take in a similar amount with the DSM-V (because all mental health practitioners, many lawyers, and other professionals will be obliged to purchase the latest edition) be the reason we have this new diagnostic system?

In our secular world, we no longer see eternal paradise as a carrot at the end of the stick of life, but try to cram as much as possible into our relatively short time on the planet instead. This is, of course, a futile endeavour, doomed to failure. It is tempting to interpret the modern epidemics of depression and burnout as the individual's response to the unbearable nature of constant acceleration. The decelerating individual - who slows down instead of speeding up, and maybe even stops completely - seems out of place in a culture characterised by manic development, and may be interpreted pathologically (i.e. diagnosed as clinically depressed).

robots smaller than human cells to make medical diagnoses, conduct repairs and even self-propagate.

Toward the end of his presidency, he gave one of his most famous speeches, diagnosing a crisis of confidence in the country and attacking materialism as the cause: "In a nation that was proud of hard work, strong families, close-knit communities, and our faith in God, too many of us now tend to worship self-indulgence and consumption.

The self-esteem of psychiatry got very low as a result of it. It had never really been accepted as part of medicine because the diagnoses were so unreliable, and the Rosenhan experiment confirmed it.” Spitzer’s

While some mainstream medical professionals continue to insist that NCGS doesn’t exist, scientists have validated it as a distinct clinical condition. In one major study, researchers reviewed the charts of 276 patients with irritable bowel syndrome (IBS) who had been diagnosed with NCGS using a double-blind, placebo-controlled wheat challenge (patients were put on a gluten-free diet and then given capsules containing either wheat or an inert substance). As a whole, the NCGS group had a higher frequency of anemia, weight loss, self-reported wheat intolerance, and a history of childhood food allergies than those in the IBS without NCGS group. The authors concluded that their data “confirm the existence of non-celiac

While some mainstream medical professionals continue to insist that NCGS doesn’t exist, scientists have validated it as a distinct clinical condition. In one major study, researchers reviewed the charts of 276 patients with irritable bowel syndrome (IBS) who had been diagnosed with NCGS using a double-blind, placebo-controlled wheat challenge (patients were put on a gluten-free diet and then given capsules containing either wheat or an inert substance). As a whole, the NCGS group had a higher frequency of anemia, weight loss, self-reported wheat intolerance, and a history of childhood food allergies than those in the IBS without NCGS group. The authors concluded that their data “confirm the existence of non-celiac wheat sensitivity as a distinct clinical condition.

What if the theories in psychology that dominate our mainstream culture are flawed, rather than the people they diagnose? That we close our eyes to modern brain science and global context and pigeonhole human beings as “normal” or “abnormal” is one of the biggest shams of the century.

Only then did scientists realize the rather profound conclusions of the experiment: REM sleep is what stands between rationality and insanity. Describe these symptoms to a psychiatrist without informing them of the REM-sleep deprivation context, and the clinician will give clear diagnoses of depression, anxiety disorders, and schizophrenia. But these were all healthy young individuals just days before. They were not depressed, weren’t suffering from anxiety disorders or schizophrenia, nor did they have any history of such conditions, self or familial. Read of any attempts to break sleep-deprivation world records throughout early history, and you will discover this same universal signature of emotional instability and psychosis of one sort or another. It is the lack of REM sleep—that critical stage occurring in the final hours of sleep that we strip from our children and teenagers by way of early school start times—that creates the difference between a stable and unstable mental state.