The Fall of Psychiatry

Dr. Hannah Spier, psychiatrist, believes our medical field is over. “This is the end of psychiatry,” she noted in a recent video describing a new pattern of clinical failure spreading throughout the West. A new psychiatric diagnosis has emerged—AuDHD—that is being used almost exclusively with women. It marries two existing neurodevelopmental diagnoses, autism and ADHD, which are entirely unrelated, in an attempt to direct attention away from the epidemic of narcissistic and borderline personality disorders.

She makes a strong case. Women with ADHD cannot focus. Women with autism must focus. To pretend that the two conditions can co-exist in the typical patient doesn’t even pass the sniff test. She includes a video expose of a young woman who just received this diagnosis, a woman who acknowledges spending hours per day communicating with dozens of men over dating apps. She “connects” with them emotionally very quickly and finds them to be simply amazing. Later, though, as she learns more about them, she discovers that they don’t present themselves in the way they did initially, and she’s disappointed. She’s so disappointed, in fact, that she abruptly terminates communication with each of them.

Her psychiatrist ascribes her behavior to AuDHD. Apparently, this woman’s constant transfer of attention from one dating profile to another exemplifies ADHD, while her rumination over the disappointment she feels when further communication doesn’t meet her initial expectations reveals autism.

Except that it doesn’t. As Dr. Spier points out, this woman is behaving like a classic borderline. “She’s a spoiled, entitled brat.” She rapidly idealizes men, only to develop anxiety later when the fantasy she’s created doesn’t match reality. This provokes an equally powerful counter—a devaluation—that offloads accountability onto the men. She never takes stock of her role in the failure of the relationships to develop. The root problem is neither neurologic nor developmental: It's a personality disorder. And personality disorders, specifically borderline and narcissistic personality disorders, are exploding in young women today.