Autistic Therapist

DSM-VIII Pocket Edition™

Now condensed to a single diagnosis!

Fits conveniently on your refrigerator or in your back pocket!

CAPITALISM

(Chronic Environmental Adaptation Syndrome)

Diagnostic Criteria:

A diagnosis of Capitalism may be made when an individual has been exposed to modern economic conditions for any length of time.

Common Symptoms:

- Persistent burnout accompanied by a broken spirit, broken mind, and broken soul.

- Chronic dissociation and emotional numbing used for self-protection.

- Reliance on destructive coping mechanisms to tolerate daily existence.

- Hypervigilance regarding finances, status, productivity, appearance, aging, and perceived social value.

- Social withdrawal and isolation to avoid overwhelm, judgment, or additional demands.

- Masking authentic feelings, needs, and personality traits in order to obtain love, approval, employment, housing, healthcare, or basic survival.

- Persistent belief that one is "not enough" despite evidence to the contrary.

- Continuous exposure to carefully curated images of people, places, bodies, lifestyles, careers, and possessions that appear superior to one's own.

- Pervasive sense that something essential is missing.

- Persistent feeling that something is deeply wrong accompanied by an inability to identify the source because the source is considered normal.

- Compulsive future orientation based on the belief that happiness exists somewhere later.

- Excessive planning, optimizing, hustling, preparing, self-improving, networking, branding, and striving for a future life that never quite arrives.

- Missing meaningful moments, authentic connection, rest, creativity, play, and belonging due to feelings of inadequacy or failure.

- Inability to afford adequate support while simultaneously providing emotional, physical, financial, or caregiving support to others also suffering from Capitalism.

- Chronic inflammation, tension, fatigue, and stress-related symptoms resulting from prolonged separation between one's authentic self and the conditions required for survival.

Individuals may report:

- Feeling lonely in crowded places.
- Feeling exhausted after resting.
- Feeling guilty while resting.
- Feeling anxious while working.
- Feeling behind despite constantly moving.
- Feeling responsible for problems one did not create.

Differential Diagnosis:

None.

Prevalence:

Approximately 99.9%.

Prognosis:

Symptoms often worsen when patients are informed that their distress represents a personal failure rather than a predictable response to environmental conditions.

Recommended Treatment:

- Community
- Meaningful connection
- Mutual aid
- Rest
- Play
- Creativity
- Time in nature
- Unstructured conversation
- Affordable healthcare
- Secure housing
- Living wages
- Collective problem solving

Note:

These interventions may be difficult to obtain due to Capitalism.

Disclaimer:

Patients are frequently told their symptoms indicate a defect within themselves.

Current evidence suggests they may instead be exhibiting a normal human response to prolonged exposure to Capitalism.

JLK

*Update*

I have really appreciated the conversations that this post has inspired. Thank you to all who have shared their perspectives. I have found it meaningful to learn more based on the comments people have shared.

Just wanted to add—I was not intending to write public policy with this post. I was simply reframing diagnoses with the intention that people who suffer can shift the blame from believing something is inherently wrong with them to maybe taking a look around and recognizing that something is actually inherently wrong with systems that exploit people by caring more about growing the system than about understanding individual contexts and needs and investing in how to understand those contexts and meet those needs.

I’m coming from a lifetime of trying to get help for my mother (who was brilliant but who heard voices) inside a system that was not only useless to her, but harmful.

So to me, until the system changes and makes quality healthcare available to people who can’t afford it, it’s hard to sing praises for it.

And yet I get that there are consequences to this because there are a lot of people in the mental healthcare industry who truly care and want to help, but those people who can’t access it are jaded about the system.

And my goal in this post was to be a spokesperson for those people who feel totally let down, totally shamed, totally unwelcome in a system that may help other people who can afford it, but not them.

Sliding scales, out of network plans, specialists who need to be paid out of pocket— a lot of regular people who have mental health issues cannot access this.

And when I have conversations with these people about capitalism being a huge source of the burden, there is relief and some empowerment knowing that it’s not their fault.

This doesn’t mean that people are going to stop pursuing help. Posts like this don’t have that much power. But being denied help from a system that is built in a way that they cannot access—that has a lot of power.

But again, I am definitely not suggesting people abandon diagnoses and mental health care and meds. Our system still helps a lot of people. And diagnoses are hugely important for so many people, including people dear to me.

Much love, JLK