08/26/2026
I came across an interesting article today from The Conversation about the future of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
For decades, psychiatric diagnoses have primarily been based on patterns of symptoms and behavior. Unlike many areas of medicine, we haven't generally had a blood test, brain scan, or other biological test that can definitively tell us, “This is depression,” “This is ADHD,” or “This is PTSD.”
That may be beginning to change.
Researchers are now working toward incorporating biology and neuroscience into our understanding of mental disorders. The long-term goal is potentially more precise diagnosis and more individualized treatment.
And I think that's exciting but it also raises an important question:
How do we incorporate biology without losing the person?
Two people can have the same diagnosis and have completely different histories, relationships, environments, coping strategies, and experiences.
Biology matters.
So do trauma, stress, relationships, family dynamics, learned behaviors, life transitions, and the meaning we give to what we've experienced.
That's one reason I believe therapy has to go beyond simply identifying a diagnosis.
The more useful questions are often:
What happened?
Why does this pattern make sense?
What keeps it going?
And what can we do differently?
A diagnosis can give us a framework. It shouldn't become the entire story.
If you're struggling with anxiety, depression, trauma, anger, relationship difficulties, major life changes, or simply feel stuck in patterns you can't seem to break, therapy can provide a place to slow things down, understand what's happening, and figure out what comes next.
You don't have to wait until you're in crisis to ask for help.
If you're considering individual therapy, send me a message to learn more about my approach and schedule an appointment.
You don't need to have everything figured out before you start.
Read the full article:
The DSM will use biology in the next edition (https://theconversation.com/im-part-of-the-team-writing-the-next-bible-of-psychiatry-for-the-first-time-the-dsm-will-use-biology-to-understand-mental-disorders-288064)
Despite advances in neuroscience, the underlying biology of mental illness has remained elusive. The DSM-6 will attempt to integrate neurobiology into how clinicians diagnose and treat psychiatric conditions.