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The Michael Shermer Show

The Michael Shermer Show

Mental Health: More Diagnoses, Fewer Answers?

Jan 10, 2026 · 1h 30m

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What if the way we approach mental health is quietly making things worse? Psychiatrist and psychotherapist Sami Timimi joins Michael Shermer to examine some of the core assumptions behind modern psychiatry. Why have diagnoses such as ADHD, autism, anxiety, and depression expanded so dramatically—and why hasn't increased access to treatment led to better outcomes at the population level? Timimi describes how diagnostic categories have broadened over time and questions whether psychiatric labels function in the same way as medical diagnoses elsewhere in healthcare. Without clear biological markers, he argues, definitions can expand to include forms of distress that were once considered part…