@DrMC It’s a disease if it hurts you, and can be fixed.
Hurt, of course, is subjective. Different people have different relationships to being hurt. Some say that that which does not kill you makes you stronger. A “Fix” is also in the eye of the beholder. That’s the problem for many folks with mental illness. The benefits of the meds do not seem worth the side effects. The cure can be worse than the illness.
While, to some degree, any illness or perception of pain is subjective, I think this is even more true with mental illness. It is impossible to say if one person’s experience is the same as another’s. This is true in pain management, as well. How often to doctors not believe their patients are in pain? And how often do mental health professionals diagnose illnesses where they don’t really exist? After, even for the most ethical practitioner, where there is any doubt or borderline diagnosis, even absent the pressures of defensive medicine, couldn’t that extra payday resulting from many client visits push the diagnosis over to the “illness” side? If ethical doctors can be influenced simply by the visit of a pharmaceutical rep, then I don’t see how pecuniary concerns wouldn’t influence diagnoses.
Then there’s the whole illness model of Western medicine. We cure things, instead of trying to learn how to live with them or even harness them for whatever benefits we can make of them.
And yes, your mention of the issues raised with extremes of physical attributes and their impact on lifespan is interesting. Clearly many athletes choose a short and glorious life to a long, unnoticed life. Look at the controversy surrounding concussions that football players experience. How about basketball players?
And again, what is the cutting edge of evolution, and how wise is it to pull ourselves back from that edge? We cannot know. It all comes back to philosophy, and doctors are trained in one philosophy. “First, do no harm.” Well, who defines harm? Usually we think of harm as being different from the central tendency.
I “suffer” from mental illness. But I also gain from it. And maybe part of my “recovery” process is to reclaim whatever the hell it is to reclaim from this disorder. Like many of us, I’d prefer to learn to manage or cope with this on my own. I particularly want to get rid of the Lithium, although the lamictal sucks, too. But then, who would believe me? After all, I’ve been diagnosed with a mental illness which invalidates my opinions anyway.