Beyond the Diagnosis: Cultivating Authentic Identity in a Label-Driven Age
Throughout human history, individuals have sought meaning and identity by anchoring themselves to sacred texts. From the Torah and the Quran to the Bible, the Bhagavad Gita, and the Tao Te Ching, humanity has long revered these ancient writings as ultimate sources of truth and moral guidance. Although modern secular society subjects these texts to critical scrutiny, strict adherence to them now represents only a minority within most world religions.
A key attraction of these ancient texts is their ability to bestow a profound sense of identity and intrinsic value on their followers. Each work offers a glorified vision of the self: the Torah designates the Israelites—and by extension, modern Jews—as God’s chosen people; the New Testament portrays Christians as a royal priesthood reborn in a new creation; the Quran proclaims Muslims as the best community on earth; the Bhagavad Gita presents Hindus as fragments of the divine; and the Tao Te Ching extols its followers as sages in union with the Tao.
In communal worship, adherents recite these identity-affirming narratives through prayers and rituals, thereby reinforcing their self-worth and offering solace in times of hardship. When life brings failure, conflict, or trauma, believers find immense comfort in the assurances provided by their sacred texts—a comfort that has even been linked to enhanced well-being and life satisfaction (Moreira-Almeida, 2008).
In stark contrast, contemporary Western society has experienced a steady decline in religious affiliation, particularly among politically liberal individuals. This shift has created an identity vacuum, especially among young people wrestling with perennial existential questions: “What is my purpose?” “Is life meaningful?” “What is my worth?”
Let me be clear: I am not advocating for a religious revival in this blog; rather, I’m making an observation that while religious communities address these questions with the comforting certainty of divine purpose, secular culture often settles for the modest declaration, “I’m a good person.” Compared to the poetic grandeur of ancient scriptures—for example, the verses from Tehillim that proclaim, “For You created my inmost being; You knit me together in my mother’s womb. I praise you because I am fearfully and wonderfully made”—this modern assertion of “I’m a good person” feels markedly less profound, as its often as if the speakers are straining to truly believe it.
Consequently, many young people are in a quest for identity—a search for something to define their worth and provide a sense of meaning. In the absence of religious frameworks, a surprisingly large number seemed to have turned to the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and to the virtual communities that have sprung up around it. Whereas traditional religious congregations gather in mosques, churches, temples, or synagogues, modern adherents of diagnosis convene online, sharing their identity-affirming narratives in comment sections that reach far more viewers than any conventional sermon. Expressions such as “This is a trauma response,” “It’s giving ADHD,” or “Tell me you’re autistic without telling me you’re autistic” have become common refrains in these digital spaces.
It is increasingly common for new therapy clients to arrive with self-diagnoses acquired from platforms like TikTok—diagnoses they embrace with surprising enthusiasm. In an era where invalidating someone’s personal identity is deemed socially unacceptable, such self-attribution complicates professional assessment and challenges traditional diagnostic practices.
One must then ask: how did mental health diagnosis evolve into a primary source of identity and self-worth? Older generations often found identity in national pride, allegiance to alma maters (Roll Tide! Fight On!), or steadfast ethical convictions. In contrast, many young people now increasingly identify themselves in terms of psychological or emotional distress.
Social Currency
Today, authenticity and vulnerability are celebrated virtues, particularly among those on the political left. While previous generations often regarded personal hardships as private matters, today’s youth are encouraged to share their struggles openly—a shift that has spurred widespread mental health initiatives in schools and universities. However, this openness has an unintended consequence: personal revelations about mental health are frequently rewarded with social media acclaim. Influencers amass vast followings by disclosing their diagnoses, prompting one to question whether the pursuit of attention is now an incentive to pathologize normal experiences.
Accommodations
Consider the case of a client in his early twenties—a brilliant young man who, following the traumatic loss of a close friend, was diagnosed with adjustment disorder with depressive mood. Although this diagnosis was initially appropriate during a period of acute distress, it was later rescinded as he recovered and resumed his academic and social life. Yet he observed with bemusement that many of his peers received academic accommodations simply by virtue of holding a formal diagnosis—benefits extended by educational institutions and even recognized in corporate human resource policies. Consider, then, the incentive for individuals to cling to a diagnosis that affords tangible advantages in academia and the workplace. Increased time to take exams, attending class from homes, extensions on deadlines and due dates. I suspect universities and workplaces make every attempt to avoid potential litigation and individuals undergo very little scrutiny when requesting they be allowed benefits their undiagnosed peers have no access to.
The Diagnostic Shield Against Criticism
In a fiercely competitive society—whether in economic terms or in the realm of personal relationships—individuals are acutely sensitive to perceptions of inadequacy. For many, adopting a mental health diagnosis serves as a protective shield, a means of deflecting criticism both from others and from themselves. While the diagnosis may not offer material benefits, it provides a crucial social and psychological buffer against judgments of failure. It is remarkably bad taste to criticize someone who has a disability.
The Mental Health Industry
The critique of industries such as diet and beauty are well established, with these sectors continuously promoting unrealistic standards that turn natural human variations into sources of insecurity. Crow’s feet, cellulite, post pregnancy weight, so much more. All of these very normal human experiences have been made to be unacceptable. Turning an insecure and uninformed populous into loyal customers. Of course, there are valid reasons to belong to a gym and have a nutritionist, but endlessly trying to stave off the realities of aging and the inevitable reality of your body changing has turned the diet and beauty industries into mega profitable conglomerates. A similar dynamic is at work within the mental health arena. With influencers, podcasters, and even some clinicians incentivized to expand their reach, everyday experiences are increasingly labeled with clinical terms. Stress before an exam is recast as “academic anxiety,” nervousness in new social situations becomes “social anxiety,” and a child’s natural restlessness is often reinterpreted as ADHD. Particularly disconcerting is the role of some psychiatrists, whose diagnostic practices may prioritize client retention and medication refills over genuine therapeutic care.
Suggestions for Parents and Individuals
If you find yourself caught in this trap of mass-diagnosis, or you want to help your child avoid the pitfalls of mass self-diagnosis, here are some clear recommendations:
- Unfollow, Unfollow, Unfollow
While certain influencers may articulate personal experiences in ways that resonate, it might be wise to take a break from mental health–focused social media accounts. Whether it’s Brene Brown discussing vulnerability or a 17-year-old sharing how her breakup with her boyfriend of 2 months traumatized her, consider clearing your feed temporarily to reduce the constant barrage of diagnostic labels. - Embrace Secular Wisdom
If you’re not religious or are uncertain about spirituality but still crave a solid foundation, turn to the timeless insights of secular thinkers. Authors like Carl Sagan, Marcus Aurelius, Bertrand Russell, and Albert Camus offer profound reflections on the intrinsic value of the individual without needing to invoke supernatural beliefs. For instance:
• “Very little is needed to make a happy life; it is all within yourself, in your way of thinking.”
• “Every one of us is, in the cosmic perspective, precious. If a human disagrees with you, let him live. In a hundred billion galaxies, you will not find another.”
• “In the depth of winter, I finally learned that within me there lay an invincible summer.”
• “It is the preoccupation with possessions, more than anything else, that prevents us from living freely and nobly.” - Consider Existential or Narrative Therapy
Not all therapists adhere to the conventional diagnostic model. Many question the utility—and even the harm—of reducing individuals to clinical labels, particularly given the DSM’s links to the pharmaceutical industry. Approaches such as existential and narrative therapy empower individuals to shape their own life stories rather than being confined by a predetermined label. - Connect with Nature
There’s no better reminder of your unassailable worth than the natural world. Whether among trees, near streams, by the ocean, or in the mountains, nature offers a reprieve from labels, diagnoses, and digital distractions. In the quiet rhythms of nature, where the stars and trees exist without concern for personal struggles, you can reconnect with a sense of inner peace and resilience.
**Author’s Note:** While the ideas presented are entirely my own, I utilized AI assistance to refine and articulate them more clearly.
New Years Will Be As Meaningful As You Want To Make It
If you want some practical steps on how to do this, I’d encourage you to start small
1. Get to a quiet place either at home or out in nature and be quiet and still for a while
2. Maybe put on an instrumental song with no lyrics that you enjoy.
3. Close your eyes
4. In that stillness, see if a word emerges from your mind that you want to embody in 2025.
I was able to do this moments before the clock hit 12:00 on January 1st and came up with the word: Belief.
In expanding my practice, Matt Bishop Therapy will simply no longer do. So after a few months of deliberating, I settled on the name: Sonder Therapy Group. If you want to read more about the name, you can click here.More important than the name, are the people. I hired each of them because they impressed me with one quality in particular: They walk the walk. Their work as therapists is an extension of who they are as individuals. They value introspection, self reflection, humility, and growth. They don’t consider themselves finished products and instead lead with vulnerability, having a therapeutic posture of walking alongside clients on their own journeys. I firmly believe this quality each of them possess is the soil from which all gifted clinicians grow their clinical skills. In saying all of this, it brings me back to my word for 2025: belief. I believe in these new clinicians. I believe in their abilities, their gifts, their intelligence, and their ethics. I believe they will be real game changers in the lives of their future clients. I believe they already are excellent clinicians, and I believe in their ability to hone their skills under my supervision.So if you want to bring a bit of intention into the new year. I’d encourage you to find a quiet place, let a word emerge, and keep that word with you as you navigate your days in the coming weeks and notice the times in your life when you’re being invited into embodying it. Happy New Years everyone.
“And now let us believe in a long year that is given to us, new, untouched, full of things that have never been, full of work that has never been done, full of tasks, claims, and demands; and let us see that we learn to take it without letting fall too much of what it has to bestow upon those who demand of it necessary, serious, and great things.”
Edges and High Places
He looked out over the water for along time before he answered. “It’s an edge,” he said at last. “It is a high place with a chance of falling. Things are more easily seen from edges. Danger rouses the sleeping mind. It makes some things clear. Seeing things is a part of being a namer.
Few would fault you if you couldn’t place the above quote. For as much as The KingKiller Chronicles has achieved a cult like following among those of us who love the fantasy genre of literature, its still a good deal away from piercing the barrier into pop culture. (Although Lin Manuel Maranda did nearly adapt the source material into a TV show a few years back, though it eventually fell apart before prouduction).
The passage of note features the hero of the story, Kvothe, receiving one last lesson from his enigmatic, eccentric, mischievous, and wise mentor figure Elodin, before he departs on his next adventure. Elodin invites him to sit next to him on the lip of a stone bridge and dangle his feet over a 100 foot drop to the river below. Sitting on the edge of the bridge, in that high place, Elodin gives Kvothe some parting words he, as with the rest of us, need to hear.
Edges and high places make things clear for us. In case you’re tempted to disregard this as merely an attempt at poetic musings written for nerdy fantasy readers. I’d like to draw your attention to this meta-analysis published in the Journal Frontiers in Public Health: Is altitude a determinant of the health benefits of nature exposure?
After reviewing 27 peer-reviewed published studies, the authors declare, “Overall, we found that altitude was significantly associated with alleviation of negative emotions and increase in physiological relaxation. Regarding negative emotions, anxiety, depression, confusion, and fatigue had a significant positive quadratic association with altitude, which implied that the alleviation of negative emotion concurrently increased” (Kim et al. 2022; p. 21).
So what is it about gazing into a vast landscape from a high place that is so helpful? In the book, Elodin calls the place they’re sitting an edge, and for us I think this word can be looked at both literally and metaphorically. When we take ourselves to the edge of a cliff, or a look out point, or in the case of the book: a bridge, we are also brought to the edge of safety, the edge of earth, the edge of the mundane. Our fear of the height is distinct from our anxieties that incapacitate our ability to think and decide, and it rouses our sleeping minds to wake up and to see our circumstances in proper perspective.
We as humans have been writing about this experience of being in high places for thousands of years. In the collection of Jewish literature known as the Nevi’im, the poet/prophet Habakkuk writes, “Make my feet like hinds feet, set me on high places.” Yet in modernity with all our comforts we risk losing this connection to edges, when the mind quiets as the wind hums past us. Danger whispers truths we ignore in comfort— and reminds us that we are capable of standing steady even at the brink.
So maybe there’s a high place with an edge waiting for you nearby. It could be a naturally occurring edge like a hillside, a pleateau, or a cliff. Or maybe like Elodin and Kvothe its something manmade like a bridge or a skyscraper. If you happen to find yourself in some form or fashion lost or confused and in need of clarity or perspective, consider taking yourself to an edge at a high place, above the fog of petty distractions. You might just find what you need to step back down into your life with steadier footing and a wider perspective.