What if the way we approach mental health is quietly making things worse?

Psychiatrist and psychotherapist Sami Timimi joins Michael Shermer to examine some of the core assumptions behind modern psychiatry. Why have diagnoses such as ADHD, autism, anxiety, and depression expanded so dramatically—and why hasn’t increased access to treatment led to better outcomes at the population level?

Timimi describes how diagnostic categories have broadened over time and questions whether psychiatric labels function in the same way as medical diagnoses elsewhere in healthcare. Without clear biological markers, he argues, definitions can expand to include forms of distress that were once considered part of ordinary human experience.

The conversation also considers the role of meaning, identity, and culture in shaping how people understand psychological suffering. Timimi reflects on the limits of medication and therapy, the unintended consequences of the “mental illness as physical illness” model, and how social media may contribute to the spread and reinforcement of certain diagnostic categories.

Dr. Sami Timimi is a child and adolescent psychiatrist, psychotherapist, and Fellow of the Royal College of Psychiatrists. He has published more than 150 academic papers and authored or edited over a dozen books, including Naughty Boys, Liberatory Psychiatry, and The Myth of Autism. His new book is Searching for Normal: A New Approach to Understanding Mental Health, Distress, and Neurodiversity.