Intended for healthcare professionals

Letters Bipolar II disorder

Bad medicine or bad mouthing?

BMJ 2011; 342 doi: (Published 24 May 2011) Cite this as: BMJ 2011;342:d3185

Psychiatric Disorders: Fact or Fiction

The Diagnostic and Statistical Manual of Mental Disorders (DSM) published by The American Psychiatric Association (APA) contains a growing number of psychiatric disorders that parallel a growing number of psychiatric drugs produced by Big Pharma, so that there is at least one psychiatric disorder for every psychiatric drug. This curious coincidence is fortunate for the financial interests of Big Pharma and makes some people wonder, with justifiable cynicism, if DSM and APA are subservient to Big Pharma, with its rather substantial inducements.(1) (2) (3) (4)

(1) Menand, L. "Head Case" The New Yorker 3/1/10

(2) Greenberg, G. Manufacturing Depression: The Secret History of a Modern Disease (Simon & Shuster, 2010)

(3) Kirsch, I. The Emperor's New Drugs: Exploding the Antidepressant Myth (Basic, 2010)

(4) Mann, H. Diagnosis: Fact or Fiction

Competing interests: No competing interests

23 June 2011
Hugh Mann
Eagle Rock, MO 65641 USA