Quotes from Joel Paris

The main reason why clinicians may not diagnose personality disorders is that they think that doing so supports therapeutic pessimism. Recent research has shown this is not true; most patients get better, either with time or with treatment, that the prognosis is actually better than in many patients with severe mood and anxiety disorders.

For now, it would be a better bet to retain diagnostic categories in psychiatry but to make assessment more nuanced by adding transdiagnostic measures.

treatment based on drugs alone allows patients to take a passive role toward their treatment.

One should never change one's practice based on a single journal article.

The good news about Cochrane is that most of their conclusions are conservative. Even when data is sufficient for meta-analyses, they often hold back on making recommendations.

Psychiatrists have enough work to do without expanding the boundaries of the disorders into the world of the "worried well" or of people going through a "bad patch.

Diagnostic fads simply relabel patients that psychiatrists have always seen.

Psychiatric diagnosis is at best a common language, and current categories should not be treated as "real.

the absence of clear boundaries between schizophrenia and bipolar disorders has led some clinicians to prefer the term "psychosis,

Transdiagnostic approaches are one way of avoiding a process of differential diagnosis that assumes a specificity that does not exist.

affective instability, emotional dysregulation, and interpersonal sensitivity has little resemblance to classical depression. It is also the key feature of BPD