Sublime

Operating under an illness model of care doesn’t just carry powerful implications for the way we conceptualize perfectionism, it impacts the way we conceptualize every aspect of mental health. The slightest pang of sadness, a drizzle of frustration—we register any decline in positive emotion with an assumption of pathology. It’s a cultural tic. The

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On a more personal level, this creeping reactionary tendency against psychological intervention is starting to get to me. Good therapy and SSRIs have saved my life on two occasions now, and I am unable to function without them due to the severe bouts of OCD which arise when I am unmedicated. Of course, it’s none of my business if this is the specif... See more

The capabilities of neurodivergent people can vary considerably from severely challenged to gifted. Some are nonverbal and fully reliant on care givers. Others have special abilities in things such as pattern recognition, memory or mathematics.  Yet even those with exceptional talents find it hard to get and hold a job. While unemployment esti... See more

The major limitation of active expressive therapies in the West—the ones that attempt to get the patient to relive childhood traumas, to act out childhood impulses and desires—is that it is not “me-then” who is birth-screaming or shouting rage at my father or drinking unlimited malts. It is “me-now.” And the “me-now” can’t see or feel or think as t

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1. Some therapists have an overly reductive understanding of psychiatric diagnosis. They seem to think a diagnosis of mental disorder necessarily implies there is some intrinsic brain abnormality. They think if someone’s symptoms can be explained with reference to a history of abuse or trauma, then a diagnosis doesn’t apply to them. The logic is so in

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