Gemma Spake

They are trialing this deliberately and across many different populations to be more truthful to the human experience.

I want to quickly return to something I mentioned before, and that is the example I gave of that change to the ADHD criteria from six lowered to five and how many symptoms need to be present and the difficult decision of deciding on a threshold.

Here is something we still don't have a consensus on.

When it comes to a diagnosis, who is impacted enough to receive said diagnosis?

How long do symptoms have to be present before a diagnosis is given?

What is personality?

What is small quirks?

And what is a problem?

You know, this is the debate that happens a lot online a lot, which is that all of us at times can be a little bit idle minded.

All of us at times can have low mood or are people who want things organized or coherent.

What is personality?

What is environment?

What is just quirky behavior?

And when does it get serious enough for a label?

I think this is what is really worrying some people.

Have we over-pathologized things so much to the point that everybody can see themselves represented in a diagnosis?

Perhaps the same way that everybody can see themselves represented in tarot cards or astrology or personality tests.

I would say no.

I would say the level of impairment you have to experience to get a formal diagnosis is still pretty significant.

But self-diagnosis is, I think, where people get concerned about this.