One line of criticism holds that the DSM focuses too much on superficial symptoms of mental disorders, ignoring underlying dynamics. Instead of focusing on and naming clinical syndromes, critics say, the manual (and the field) ought to target the specific, disordered cognitive processes that underlie labels.
My whole life, I was called a picky eater, but I was always assured that I would grow out of it. My parents had both been "picky" (according to my grandparents), but like most children, they had grown out of it. As a kid, I believed that eventually, that would happen for me too. Until it just didn't.
Because ketamine has FDA approval, it can be prescribed legally by any physician. In fact, there are multiple private clinics advertising ketamine infusions, for a fee. But ketamine is still in an early stage of development for depression and OCD. I have my concerns and we need more evidence for its safe use in individuals suffering from these mental illnesses.
OCD afflicts Girls main character Hannah, who has been in remission for the better part of a decade. When it returns, we see a full blown relapse in all its eerie "glory." Hannah's first bout officially appeared in high school. We imagine her as a neurotic over-achiever with dreams of being a writer, who went overboard, as she became out of control with her desire to be in control.
This is exactly how my OCD often plays out. I spend a great deal of time trying to anticipate and avoid situations that might trigger strong obsessive-compulsive cycles. When I return to awareness and realize that I've failed to keep watch, I become terrified that something awful has happened in the interim.