A diagnosis like autism may function like the 19th-century term 'dropsy' (swelling). It accurately describes a collection of symptoms but doesn't necessarily identify a single, unified underlying cause. The label captures a surface-level phenomenon, not a fundamental 'thing' in the world.
While increased awareness is positive, mental health terminology is often misused as a shield. People can use labels to deflect responsibility, expecting empathy without accountability, which complicates professional and personal development.
For individuals whose symptoms have been repeatedly dismissed, a serious diagnosis can feel like a relief. It provides validation that their suffering is real and offers a concrete problem to address, overriding the initial terror of the illness itself.
Complex environmental illnesses are often dismissed by doctors and friends as being "all in your head" because their symptoms are invisible and difficult to test for. This parallels the historical misdiagnosis of "hysteria" to label real but poorly understood medical conditions.
People may use therapeutic labels like 'anxious attachment' not to heal, but to gain a sense of control over a painful situation. It's easier to diagnose a partner as 'avoidant' or oneself with a 'disorder' than to confront the simpler, more painful reality: the relationship is terrible and years have been wasted.
People with ADHD don't lack attention; their brain's "salience network" fails to distinguish between important and unimportant stimuli. Every sound or movement is treated as relevant, causing distraction. Neurofeedback can train this network to filter out noise and focus on the primary task.
ADHD symptoms are framed not as a neurological disorder, but as a physiological stress response. The 'Attention-Deficit' is the 'flight' (distraction) and 'Hyperactivity' is the 'fight' (aggression) from an over-activated nervous system, often triggered by early childhood stress.
Contrary to the dominant medical model, mental health issues like depression and anxiety are not illnesses. They are normal, helpful responses that act as messengers, signaling an underlying problem or unresolved trauma that needs to be addressed rather than a chemical imbalance to be suppressed.
Medicine excels at following standardized algorithms for acute issues like heart attacks but struggles with complex, multifactorial illnesses that lack a clear diagnostic path. This systemic design, not just individual doctors, is why complex patients often feel lost.
Early ADHD research focused on hyperactive boys, ignoring how symptoms present in girls (withdrawal, self-criticism, anxiety). This resulted in a 'lost generation' of women who were treated for anxiety for decades when the underlying issue was actually a neurodivergent condition like ADHD.
The term "depression" is a misleading catch-all. Two people diagnosed with it can have completely opposite symptoms, such as oversleeping versus insomnia or overeating versus appetite loss. These are not points on a spectrum but discrete experiences, and lumping them together hinders effective, personalized treatment.