Comment by dofm
2 hours ago
I am "evaluating" him as someone who feels he has come unglued in a similarly severe but less public way and recognises a fellow traveller. I'm fully entitled to say this, am I not? It's just my opinion.
I am not "medicalising" it — not least because the medical profession does not recognise burnout as mental illness (because it gets it backward and assumes it is an occupational health issue).
I am saying he is, to me, evidently mentally ill in the way I feel I have been mentally ill. I wouldn't accept a doctor telling me my problems are work stress.
"His job performance was suffering and he appeared to be stressed" is IMO classic American-influenced minimisation of middle-aged male mental ill-health. I would be shocked if what is going on is in any meaningful way limited to his "job performance" and that apart from the job everything else is going fine.
I am only entreating you to be accurate about the terminology used. Due to its historical use by psychologists the term mental illness is generally thought to be synonymous with mental disorder, which is the modern term that refers to a specific illness classified in the DSM-IV which psychiatrists may diagnose. There are only so many of them, and they are defined, and they are diagnosed by name by doctors. To me it is not a matter of sensitivity, and certainly not one of underplaying, but of precision. If you want to diagnose Matt you need to tell us which DSM-IV disorder he is afflicted by and what your authority for the diagnosis is. It sounds like that was not your intent so it would be more clear if you referred to his psychological distress, or sure, "has come unglued"/"lost his mind," or just said he seemed mentally unwell. None of these imply that you're a doctor making a formal diagnosis. They also do not imply that the problem is somehow lessened -- you just aren't mapping it to a definition in the DSM (which ultimately implies some amount of endorsement for treatment, including specific therapies and drugs depending on what you diagnosed). There are unfortunately people out there who will read your comment and take it to mean that a doctor actually diagnosed Matt.
> I am saying he is, to me, evidently mentally ill in the way I feel I have been mentally ill. I wouldn't accept a doctor telling me my problems are work stress.
I'd find it far less acceptable if a doctor told me work stress was mental illness.
You don't know anything about this person, and your case seems to rest on "I know because I've been through it" which assumes your experience is the same as a total stranger's.
I think these responses show how much stigma is attached to mental illness, that people abhor someone placing the label on someone else. Despite the fact that, for anyone familiar with it themselves or in loved ones, it's a lot more prevalent and in many more shades and gradients than probably most people realize.