Gemma Spake

It's a trauma and stressor-related disorder.

It also changed the symptom clusters.

It removed the old requirement that a person needed to respond with intense stress.

fear, healthlessness, or horror initially.

And it narrowed the criteria around the kinds of trauma somebody had to be exposed to, to get a diagnosis of PTSD.

So basically it made it more difficult.

Some aspects broadened, some narrowed.

And it's not, again, it's not that criteria keep expanding and that's the only changes that are happening.

It's just that our understanding is changing for conditions that previously were perhaps gatekept by medical standards that weren't accurate.

We're just giving it a more realistic kind of bar that needs to be jumped over.

And then for others, we're kind of saying perhaps our understanding of that was incorrect in the opposite way.

I really need to stress, this is not because of public pressure.

Not at all.

This is not because of public pressure.

This is not because the cultural conversation changed.

It's because the scientific conversation changed first.

The people who make these changes to the DSM are not just doing it because somebody online is making an argument that everybody has ADHD these days.

They're not just doing it because...

of outside pressure.

They are debating this routinely.