While I’m side-questing into health stuff I might as well link this one that I’ve been sitting on as well. Gavin Francis writes about mental health diagnoses from the perspective of a GP. This one is likely even more controversial than the “enhanced self” post from earlier, but also worth the time to get another perspective1:
The subject is important, because according to modern psychiatric definitions, the 21st century is seeing an epidemic of mental illness. The line between health and ill-health of the mind has never been more blurred. A survey in 2019 found that two-thirds of young people in the UK felt they have had a mental disorder. We are broadening the criteria for what counts as illness at the same time as lowering the thresholds for diagnosis. This is not a bad thing if it helps us feel better, but evidence is gathering that as a society it may be making us feel worse.
And if this quote doesn’t get you to click through, nothing will…
We have developed a tendency to categorise mild to moderate mental and emotional distress as a necessarily clinical problem rather than an integral part of being human – a tendency that is new in our own culture, and not widely shared with others. Psychiatrists who work across different cultures point out that, in many non-western societies, low mood, anxiety and delusional states are seen more as spiritual, relational or religious problems – not psychiatric ones. By making sense of states of mind through terms that are embedded in community and tradition, they may even have more success at incorporating our crises of mind into the stories of our lives.
My wife is a therapist and I see daily the impact of the amazing work she does with clients with complex trauma. One of the many things I learned from her is this idea in Internal Family Systems that there are “No Bad Parts” in us. These feelings of low mood, anxiety, etc. are not meant to be ignored or eliminated. We are meant to understand why they are there, and learn and grow through that understanding.
That is easier said than done, of course, and where my opinion diverges from Francis is that I think it is a good thing that this generation has more/better language to talk about mental health than we (meaning Gen X) did when we were growing up. I don’t doubt that over-diagnosis is a problem, but that’s kind of expected once we have the language to describe how we feel. I trust we will find our balance, and ultimately find that this was a net positive development.