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Constantino Diaz-Duran

8 New Ways You Might Be Insane

Woman at Fridge at night Midnight snacker? Compulsive shopper? Bitter? The new edition of the mental health bible may classify you as having a psychological disorder.

The most controversial issue at last week’s annual meeting of the American Psychiatric Association in San Francisco was the upcoming publication of the DSM-V, the revised edition of the APA’s Diagnostic and Statistical Manual of Mental Disorder. The bible for the mental-health industry—originally published in 1952 and revised about once a decade—the DSM has been translated into 13 languages and is recognized around the world as the authoritative text on mental health.

Even though the APA asked the psychiatrists working on the manual’s revision to sign a nondisclosure agreement, leaked proposed additions to the new version have already stirred debate. “Psychiatrists manufacture mental diagnoses the way the Vatican manufactures saints,” says Dr. Thomas Szasz, an outspoken critic of modern psychiatry and author of Psychiatry: The Science of Lies. This view may be extreme, but some of the new “mental illnesses” under consideration for the new edition nonetheless sound a little…crazy. Here are eight you may already be suffering from, whether you knew it or not.

1. Binge-Eating Disorder
According to the Mayo Clinic, this is “a serious eating disorder in which you frequently consume unusually large amounts of food”—something Americans do with increasing frequency, if obesity statistics are to be believed. Someone suffering from this “may be deeply embarrassed about gorging and vow to stop,” but the compulsion is such “that you can't resist the urges.” Though the fat-acceptance movement might protest such an inclusion, it may nevertheless help Ben & Jerry’s addicts finagle insurance coverage for their problem.

2. Night-Eating Syndrome
Similar to Binge-Eating Disorder, this malady is characterized by a compulsion to raid the fridge—but is distinguished by the time it takes place: well past midnight. It affects 1.1%–1.5% of the general population, and people who suffer from it tend to eat at least a quarter of their daily calories in the middle of the night. Scientists believe Night-Eating Syndrome may be a pathway to obesity, partly because people who suffer from it tend to grab for calorie-laden comfort foods.

3. Internet Addiction
According to an article in the American Journal of Psychiatry, this is a disorder “that involves online and/or offline computer usage and consists of at least three subtypes: excessive gaming, sexual preoccupations, and email/text messaging.” It has several components, including excessive use, which is “often associated with a loss of sense of time or a neglect of basic drives”; withdrawal, which leads to “feelings of anger, tension, and/or depression when the computer is inaccessible”; tolerance, meaning “the need for better computer equipment, more software, or more hours of use”; and negative repercussions, “including arguments, lying, poor achievement, social isolation, and fatigue.”

4. Sex Addiction
What David Duchovny suffered from in Californication was actually included in previous editions of the DSM, but was dropped in 1994 (the year before Bill Clinton’s fling with an intern—right-wing conspiracy theorists take note). It is defined as “distress about a pattern of repeated sexual relationships involving a succession of lovers who are experienced by the individual only as things to be used,” and may well reclaim its position as a full-blown disorder in the new version.

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May 28, 2009 | 6:46am
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cbeenthere

Thank you for this, it is hysterical. You forgot to mention how many pages were in the first edition vs. todays. It has grown by leaps and bounds. Did they consider severe conservatism I wonder? Or is it already in there?

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8:13 am, May 28, 2009

deegeezee

i think that would fall under "pathological bias." who knows -- someday we may see mahr and hannity sharing the same padded cell. ;)

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9:14 am, May 28, 2009

cbeenthere

I think most liberals have already been nailed in the DSM, and I prefer my own cell, thanks.

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10:18 am, May 28, 2009

This user is no longer registered.

n--Y--mblips
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10:39 am, May 31, 2009

guiltybystander

so..., we're all crazy

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9:44 am, May 28, 2009

This comment has been removed by The Daily Beast's editors.

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10:26 am, May 28, 2009

cbeenthere

Oh, I think not. Just yesterday you were accusing people of insanity in regard to their thinking political. I'd say this is very appropriate.

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11:06 am, May 28, 2009

This comment has been removed by The Daily Beast's editors.

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12:29 pm, May 28, 2009

cbeenthere

Right !

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3:49 pm, May 28, 2009

Aramingo

Typical conservative. Or liberal.

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6:29 am, May 29, 2009

cbeenthere

And you have no opinions on anything. Typical conservative.

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7:49 am, May 29, 2009

deegeezee

i think the incentives of this are screwed up... they choose to recognize everything as a disorder, and thus people can afford to pay them for therapy through insurance. hmmm....

(and no, i don't have a better idea in mind.)

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10:39 am, May 28, 2009

sophia5

I agree deegeezee

Don't forget the rest of us who suffer from
listening to people making up "conditions"
to excuse their lack of personal responsibility.

It's called " H-A-H-C-O-S-T-F-U " SYNDROME.

As in . . .

Have - A - Hot - Cup - Of - Shut - The - F - Up.

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4:49 pm, May 29, 2009

spotted

I suspect #3 will be expanded by the next version to include Crackberrians, Facebookworms and the Twitterpated.

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11:11 am, May 28, 2009

EdinNJ

Is it too much to expect the author of this piece to have even a working knowledge of psychiatry and treatment. The phrase "But if the DSM-V has its way, there might soon be a pill to take care of that" reveals that the author is disqualified from participating in any serious discussion of this issue.

The DSM-V, like its predecessors, is merely a reference tool for diagnosis. If a disorder is causing problems in one's life, treatment would be indicated. There are many levels of treatment. One wouldn't expect to be medicated for a behavioral disorder. But in many cases, there is no help available without a proper diagnosis. Someone with an internet addiction might be in serious distress. Without a proper diagnosis, they may be denied proper treatment. This is just a way to catagorize and keep up with the times. People like the author mock what they don't understand, and assign nefarious reasons when none exist.

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11:19 am, May 28, 2009

logicwhore

Take it easy Dr. Edin.....you don't have to be hip to the psychology game to logically deduce the influence of Pharmacology here.........restless leg syndrome any one? seriously though the more problems established the more pills you can sedate Americans with. Also the Internet as we know it is what...15 years old now? If an individual is "addicted" to texting, emailing Internet porn or what have you, then the diagnosis must encompass a broader spectrum than the tool used to express the actual disorder or illness. For example an individual who obsesses over counting compared to one who obsesses over spelling doesn't have a completely separate disorder, does he? There is a general diagnosis with specific variables...right? Gambling, sex food, drugs.....matters not, the instant gratification is satisfied, either way its an addiction.

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8:05 pm, May 28, 2009

speekup

I hope you don't think that Restless Leg Syndrome isn't a true physiological disorder because it is--and also can be treated pharmacologically. That rather reduces the validity of whatever else you might have to say.

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6:05 pm, May 29, 2009

kasemenova

Hey!
I've had four episodes of restless leg syndrome--the result of surgeries and medications--and let me tell you, it sucks!! I know it *sounds* hilarious, but trust me, it isn't. Have you ever had that thing where you're almost falling asleep, and then your body--for no apparent reason--gives a big jerk? Well, imagine that happening, every few seconds, in your legs, as you're trying to go to sleep. And anytime you creep anywhere near finally falling asleep, you're jerked awake again, for hours, and then days, on end. Now, that is crazy-making.

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10:49 am, May 31, 2009

Wednes

I was thinking the same thing. This author has a blatant bias based on what they've assumed the DSMV is trying to say, rather than actually reading the thing. I just don't see the problem with psychiatry or psychology helping people toward a better quality of life.

People commonly assert that being diagnosed with an "illness" or "syndrome" lets the affected person off the hook. Contrarily, being diagnosed is the first step toward fixing whatever is causing you distress. Instead of saying "oh, that's just how I am" they can say "Oh, this is a problem other people also have? There's even a name for it? Great, now how to we fix it?"

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4:56 pm, May 30, 2009

scott1607

Oh goodness, I know eight people who fit these categories, and they are all me.

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12:58 pm, May 28, 2009

cbeenthere

That is so so funny. Thanks for the good laugh, I needed it and also to know I am not alone. Actually, my therapist said to never admit to being crazy, so don't you either. Paid $125.00 for that advice.

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3:48 pm, May 28, 2009

drmarkklein

A board certified psychiatrist I believe most of the DSM is designed to ensure therapist full employment by creating insurance reimbursable mental diseases out of normal variants of human behavior.

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1:35 pm, May 28, 2009

pulmanomancer

Yep - I used to just be a weird loner :-)

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11:16 am, May 29, 2009

flyoverland

Bush Derangement Syndrome?

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1:39 pm, May 28, 2009

zepfan81

I'm not insane. Whatever happened to people just having harmless "quirks"? Now everyone needs therapy or pills for any little thing. White people...I swear. lol

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3:09 pm, May 28, 2009

felixsama

LOL!

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2:34 pm, May 29, 2009

epicureandealmaker

#10 -- Accumulating more than $5 million in wealth:

http://epicureandealmaker.blogspot.com/2009/05/life-imitates-art.html

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3:45 pm, May 28, 2009

whipmawhopma

I wonder if there are more than 6 billion forms of insanity.

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3:57 pm, May 28, 2009

nthoughtu

I think a proper diagnosis would include 'oxygen consumption syndrome'... just to cover the 'spread' in the DSM ?

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4:24 pm, May 28, 2009

txsunshine

The more diseases/disorders there are, the more cures there are to promote, the more pharmaceutical companies stand to profit. It works because diagnosing someone with a disorder allows them to shrug off responsibility for their actions.

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8:53 pm, May 28, 2009

xlntcat

Guess you didn't quite make it through med school? Obesity was removed from the DSM so that the morbidly obese would be covered by insurance years ago. Guess you don't keep up but until October, 2008 insurance companies were allowed to disallow payment or to restrict payment for mental and emotional disorders. That's why things like sleep apnea showed up in the DSM. Insurance companies could deny claims or restrict payment of same. Nice racket, but at least for now, it's over. Of course, that isn't saying alot since across the board Health insurance companies regularly settle racketeering claims for delaying payment and denying all claims regardless of their contracted agreement.

That said, I worked on the Binge Eating Disorder research for the DSM-IV. The diagnostic criteria includes extensive pathology that you omitted, I assume in order to appear "cute." Best not to write about that which you lack the credentials to assess. Obesity is a very costly, very serious, fatal condition. Don't guess you bothered to check the morbidity rate.

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6:07 am, May 29, 2009

Concordian

Obesity is the side effect of the underlying condition of overeating, which is caused by addiction. For some people, certain foods trigger uncontrollable cravings. It's a form of addiction. I don't know why the medical establishment is so hesitant to see it that way. David Kessler's just written a wonderful book about it called "The End of Overeating". Food manufacturers know exactly how to engineer their food to stimulate those cravings and cause people to overeat. Obese people need food rehab, sympathy, and support. They also need to know that they're just like alcoholics when it comes to certain foods, and stay away from them one day at a time.

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8:49 am, May 29, 2009

scott1607

I agree that overeating can be an addiction and it is problem similar to addiction, but dear god I don't want to be subsidizing and paying for even more sick people. If we're going to pay for anything, why can't we focus on prevention... you know like hitting fat people with a bat whenever they reach for another Dorito...

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11:39 am, May 29, 2009
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8 New Ways You Might Be Insane

by Constantino Diaz-Duran

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