Author | S. Nassir Ghaemi, MD, MPH


Differentiating Comorbid Bipolar Disorder and OCD

March 04, 2020


This review highlights an important diagnostic and therapeutic task: the importance of differentiating true bipolar disorder/obsessive-compulsive disorder comorbidity from BD with secondary OCD.

The Postmodern Assumptions of the Biopsychosocial Approach

January 27, 2020


Early on, psychiatry accepted the idea that unconscious psychology affected the body to cause disease. By the 1970s, the rise of psychiatric drugs pushed the field in a biological direction, and by the 1980s, psychoanalysis was in full retreat, at least in the halls of psychiatric power. S. Nassir Ghaemi, MD, adds to the debate.

Bipolar Disorder: Update on Diagnosis

May 06, 2014


Is bipolar disorder overdiagnosed? Underdiagnosed? Neither? In this podcast, Dr S. Nassir Ghaemi offers his perspective on those questions.

Science and “Pragmatism” in DSM: A Question of Priorities

December 18, 2013


"The main problem here is not that past DSM leaders were derelict or purely political. The problem is that they now say that they would place science below pragmatism," according to this clinician.

Why DSM-III, IV, and 5 are Unscientific

October 14, 2013


If science is defined as some kind of systematic study of observed experience applied to hypotheses or theories, and then confirmation or refutation of those hypotheses or theories, followed by new hypotheses or theories that are further tested and refined by new observations – if this is the core of any scientific inquiry, I think that no objective observer can attribute the history of DSM-III, IV, and 5 to anything that approximates this process.

Requiem for DSM

July 17, 2013


This psychiatrist's wish is that in one more generation, our profession will learn to go beyond DSM to the truths of science.

Letter to a Foreign Psychiatrist

April 11, 2013


All psychiatry, anywhere in the world, is American psychiatry. This is both good and bad.

Planck's Law of Generations

January 23, 2013


Planck's Law of Generations: scientific change doesn't happen by changing minds, but by changing generations.

DSM-5: If You Don't Like the Effects, Look at the Causes

January 17, 2013


It is clear that the leadership of DSM-IV, and of DSM-III before it, views psychiatric diagnosis in the DSM system as something that should be based on “pragmatism.”

Letter to a Young Psychiatrist

June 29, 2012


Psychiatry is a profession that deeply needs honest workers who are willing to seek a knowing ignorance, to be dissatisfied, and to refuse to conform-doing so in the interest of the truth and of the profession, seeing both as inseparable.