"There is another possibility here that deserves far more attention: the diagnosis itself has become part of the epidemic. When more than half of young women in a political demographic report having been diagnosed with a mental health condition, the appropriate response is not simply to declare that half the population is mentally ill. It is to ask what the hell the health-care system is doing. Psychiatry has steadily expanded the boundaries of pathology, medicalizing distress, grief, anxiety, loneliness, adolescent turmoil, and ordinary difficulty as diagnosable disease. A system that can convert normal human suffering into a billing code, a prescription, and a lifelong medical identity should not be treated as a neutral observer of this crisis. At some point, an exploding diagnosis rate stops being proof of exploding disease and starts becoming evidence that the diagnostic machinery itself may be broken.+