It’s been nearly 30 years since nursing school and Psych 101 taught us reorientation to reality was critical. I mean we wouldn’t give a anorexic weight-loss drugs, or do they do that now as well?
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The particular section in the DSM-5 that deals with such diagnoses was hijacked by a school of Psychology that won the internal turf war to be able to write and edit this section. It was talked about on Reddit a lot and much disappointment was registered when the DSM was published all those years ago.
Reddit was quite good in those days, before Conde Nast took them over.