Dsm has drastically our culture. Bipolar used to be rare. Now it is one of the most diagnosed mental health issues and the most broad. It is considered "lifetime". Before you might be considered depressed. Medicine was something you took to help you heal... The implication being you don't take it for life and you can heal. Now the implication is the bipolar brain is defective and needs a chemical fix forever. This shift is due to dsm. Either that or the cdc should be testing our water