Around the time of the pandemic, I began to notice something happening in my social circle. A close friend, then in her early 50s, got a diagnosis of attention deficit hyperactivity disorder. She described it as a profound relief, releasing her from years of self-blame — about missed deadlines and lost receipts, but also things that were deeper and more complicated, like her sensitivity to injustice.
Something similar happened to a co-worker, and a cousin in his 30s, and an increasing number of people I met covering mental health. It wasn’t always A.D.H.D. For some of them, the revelation was a diagnosis of autism spectrum disorder: After years of inarticulate unease in social situations, they felt freed by the framework of neurodivergence, and embraced by the community that came along with it.
Since then I’ve heard accounts from people who received midlife diagnoses of binge eating disorder, post-traumatic stress disorder, anxiety. Nearly all of them said the diagnosis provided relief. Sometimes it led to an effective treatment. But sometimes, simply identifying the problem — putting a name to it — seemed to help.
Lately, it seems as if we never stop talking about the rising rates of chronic diseases, among them autism, A.D.H.D., depression, anxiety and PTSD. Health Secretary Robert F. Kennedy Jr. has pointed to these trends as evidence that Americans are “the sickest people in the world,” and has set about upending whole swaths of our public health system in search of causes, like vaccines or environmental toxins.
But much of what we’re seeing is a change in diagnostic practices, as we apply medical labels to ever milder versions of disease. There are many reasons for this: The shame that once accompanied many disorders has lifted. Screening for mental health problems is now common in schools. Social media gives us the tools to diagnose ourselves. And clinicians, in a time of mental health crisis, see an opportunity to treat illnesses early.
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