Online Mental Diagnosis Skepticism

The cluster focuses on debates criticizing armchair or internet-based diagnoses of mental health conditions, particularly from brief online posts like those on Hacker News, and skepticism toward the scientific validity and application of psychiatric diagnoses like those in the DSM.

➡️ Stable 0.7x Health
3,240
Comments
19
Years Active
5
Top Authors
#3697
Topic ID

Activity Over Time

2008
6
2009
16
2010
46
2011
29
2012
68
2013
142
2014
142
2015
104
2016
154
2017
145
2018
202
2019
227
2020
206
2021
308
2022
327
2023
328
2024
325
2025
438
2026
27

Keywords

UW IMO HN PhDs GP OCD medicine.html nytimes.com ADHD DSM diagnosis diagnose diagnostic criteria disorders condition conditions mental diagnosed disorder

Sample Comments

Buzaga Sep 12, 2012 View on HN

not even psychiatrists know about their diagnosis, since there's no scientific method at all there, just bullet point stories to try to match with the pacient... so I'd suggest not trying to diagnose people over the internet too

watwut Dec 25, 2021 View on HN

You are fighting trend of making up diagnosis by making up diagnosis based on single assumed data point?

caymanjim Nov 29, 2018 View on HN

I agree. I'm not completely dismissive of the diagnosis. Just highly skeptical of its application. The sad state of modern medicine is that these diagnoses come not from extensive detailed study of every individual by a specialist, but from a few brief Q&A sessions where behavior is compared to a checklist. It's certainly not hard science at the individual level.

Medical practitioners aren't on a platonic quest for truth when they make diagnoses. They're generally trying to separate out those who would benefit from treatment. Physical tests aren't often that useful for mental conditions, so official diagnostic criteria often has a section about how the observed traits and behaviors cause problems for the patient at home, in school, or at work.Furthermore, people simply don't seek diagnosis and care unless they're having proble

RobertRoberts Mar 18, 2018 View on HN

Unless they are trained psychiatrists/psycologists, that actually tested her, shouldn't this diagnose be suspect? Especially since it's likely to be biased by personal experience?

h2core Jul 16, 2024 View on HN

can we stop diagnosing unknown people based on a 2 paragraph post on HN? the obsession with finding a label for all sorts of mental states is crazy. I agree with the rest of your post though

isoprophlex Jan 18, 2025 View on HN

Not if you're selecting out of 10s or 100s of possible diagnoses

icebraining Feb 11, 2018 View on HN

Where's the part about the undiagnosed?

fireflash38 Nov 22, 2023 View on HN

Treat it like the DSM: a single symptom is not enough to diagnose, you need X/7.

FinnLobsien Apr 11, 2025 View on HN

Or maybe we're just nerds, not everything needs to qualify as a clinical diagnosis