
Pathological
The True Story of Six Misdiagnoses
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Narrated by:
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Gabra Zackman
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By:
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Sarah Fay
About this listen
AN APPLE BOOKS PICK OF THE MONTH
“Masterfully written, distinctively researched, deeply humane . . . Genius.”—ANTHONY SWOFFORD, author of Jarhead
“A major contribution . . . A necessary book.”—JOHANN HARI, author of Lost Connections
“This book is a triumph of the spirit and the flesh.”—ELIZA GRISWOLD, Pulitzer Prize–winning author of Amity and Prosperity
In this stunning debut—both a memoir and a work of investigative journalism—writer Sarah Fay explores the ways we pathologize human experiences.
Over thirty years, doctors diagnosed Sarah Fay with six different mental illnesses—anorexia, major depressive disorder (MDD), anxiety disorder, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and bipolar disorder.
Pathological is the gripping story of what it was like to live with those diagnoses, and the crippling impact each had on her life. It is also a rigorous investigation into the Diagnostic and Statistical Manual of Mental Disorders (DSM)—psychiatry’s “bible,” the manual from which all mental illness diagnoses come. Yet as Fay found out, some of our most prominent psychiatrists have been trying to warn us that the DSM is fiction sold to the public as fact.
In Pathological, former advisory editor at The Paris Review and award-winning writer Fay calls for a new conversation about mental health diagnosis, one based on rigorous transparency. With exquisite detail and a precise presentation of fact, she digs up her own life at the root to finally ask, Is a diagnosis a lifeline or a self-fulfilling prophecy?
Powerful, mesmerizing, and unputdownable, Pathological sits alongside the other brave and inspiring classics of our time that explore a more intelligent, forgiving, and nuanced approach to human suffering.
©2022 Sarah Fay (P)2022 HarperCollins PublishersListeners also enjoyed...
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Candace Pert stood at the dawn of three revolutions: the women’s movement, integrative health, and psychopharmacology. A scientific prodigy, she was 30 years ahead of her time, preaching a holistic, interdisciplinary approach to healthcare and medicine long before yoga hit the mainstream and “wellness” took root in our vernacular. Her bestselling book Molecules of Emotion made her the mother of the Mind/Body Revolution, launching a paradigm shift in medicine. Deepak Chopra credits her with creating his career, and he said as much in his eulogy at her funeral.
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Fascinating and important story!
- By Suzanne Duvalsaint on 11-16-23
By: Pamela Ryckman
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More than I Imagined
- What a Black Man Discovered About the White Mother He Never Knew
- By: John Blake
- Narrated by: John Blake
- Length: 6 hrs and 38 mins
- Unabridged
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John Blake grew up in a Black neighborhood in inner-city Baltimore that became the setting for the HBO series The Wire. There he became a self-described “closeted biracial person,” hostile toward white people while hiding the truth of his mother’s race. The son of a Black man and a white woman who met when interracial marriage was still illegal, Blake knew this much about his mother: She vanished from his life not long after his birth, and her family rejected him because of his race. But at the age of seventeen, Blake had a surprise encounter that uncovered a disturbing family secret.
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Should be required reading!
- By Karen Campbell on 05-15-23
By: John Blake
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Nervous
- Essays on Heritage and Healing
- By: Jen Soriano
- Narrated by: Jensen Olaya
- Length: 9 hrs and 56 mins
- Unabridged
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Activist Jen Soriano brings to light the lingering impacts of transgenerational trauma and uses science, history, and family stories to flow toward transformation in this powerful collection that brings together the lyric storytelling, cultural exploration, and thoughtful analysis of The Argonauts, The Woman Warrior, What My Bones Know, and Minor Feelings.
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Trauma Wisdom
- By Anonymous User on 01-22-24
By: Jen Soriano
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They Called Us Exceptional
- And Other Lies That Raised Us
- By: Prachi Gupta
- Narrated by: Prachi Gupta
- Length: 9 hrs and 30 mins
- Unabridged
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Family defined the cultural identity of Prachi and her brother, Yush, connecting them to a larger Indian American community amid white suburbia. But their belonging was predicated on a powerful myth: the idea that Asian Americans, and Indian Americans in particular, have perfected the alchemy of middle-class life, raising tight-knit, high-achieving families that are immune to hardship. Molding oneself to fit this image often comes at a steep, but hidden, cost.
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Good good
- By Wild on 08-29-23
By: Prachi Gupta
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Unraveling
- What I Learned About Life While Shearing Sheep, Dyeing Wool, and Making the World’s Ugliest Sweater
- By: Peggy Orenstein
- Narrated by: Peggy Orenstein
- Length: 5 hrs and 52 mins
- Unabridged
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The COVID pandemic propelled many people to change their lives in ways large and small. Some adopted puppies. Others stress-baked. Peggy Orenstein, a lifelong knitter, went just a little further. To keep herself engaged and cope with a series of seismic shifts in family life, she set out to make a garment from the ground up: learning to shear sheep, spin and dye yarn, then knitting herself a sweater.
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Nailed it!
- By Miss Effie on 02-19-23
By: Peggy Orenstein
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A Few Days Full of Trouble
- Revelations on the Journey to Justice for My Cousin and Best Friend, Emmett Till
- By: Reverend Wheeler Parker Jr., Christopher Benson
- Narrated by: JD Jackson
- Length: 14 hrs and 26 mins
- Unabridged
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In 1955, fourteen-year-old Emmett Till was lynched. That remains an undisputed fact of the case that ignited a flame within the Civil Rights Movement that has yet to be extinguished. Yet the rest of the details surrounding the event remain distorted by time and too many tellings. What does justice mean in the resolution of a cold case spanning nearly seven decades?
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Different perspective
- By Anonymous User on 01-25-23
By: Reverend Wheeler Parker Jr., and others
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Quietly Hostile
- Essays
- By: Samantha Irby
- Narrated by: Samantha Irby
- Length: 9 hrs and 31 mins
- Unabridged
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Samantha Irby’s career has taken her to new heights. She dodges calls from Hollywood and flop sweats on the red carpet at premieres (well, one premiere). But nothing is ever as it seems online, where she can crop out all the ugly parts. Irby got a lot of weird emails about Carrie Bradshaw, and not only is there diarrhea to avoid, but now—anaphylactic shock. She is turned away from restaurants for being inappropriately dressed and looks for the best ways to cope, i.e., reveling in the offerings of QVC and adopting a deranged pandemic dog.
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Extremely disappointed
- By Diana in Michigan on 07-20-23
By: Samantha Irby
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My Dream Time
- A Memoir of Tennis & Teamwork
- By: Ashleigh Barty
- Narrated by: Miranda Tapsell
- Length: 9 hrs and 13 mins
- Unabridged
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I’m only in my mid-twenties, and some might think that’s young to write a memoir. Who does that, right? But for me and my team it’s always been important to reflect on every part of the journey, especially the end. In that context, the timing is perfect to share my story, from the first time I picked up a racquet as a 5-year-old girl to the night I packed up my tennis bag after winning the 2022 Australian Open.
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Relentless
- By Bing Eastburn on 08-27-23
By: Ashleigh Barty
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Return
- A Journey Back to Living Wild
- By: Lynx Vilden
- Narrated by: Lynx Vilden
- Length: 9 hrs and 9 mins
- Unabridged
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In this stunning memoir, beloved internationally acclaimed earth advocate chronicles her journey to reconnect with the earth, offering a model for how we all can nurture the wild around and inside ourselves.
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Finding tribe
- By Jessica M Berry on 03-18-24
By: Lynx Vilden
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Wildflower
- A Memoir
- By: Aurora James
- Narrated by: Aurora James
- Length: 7 hrs and 9 mins
- Unabridged
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Aurora James’s life is a great American “success story”—precisely because it looks so different from others we’ve seen. Scouted as a teen model, James struggled with body image and became disenchanted by the industry’s objectification of women and commodification of race. After she’d hit rock bottom, dropping out of high school and being arrested for street racing, she was forced to reshape her life. A slew of fashion-related jobs led James to discover the power of the runway, and she started her own business in a flea market.
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Mesmerizing!
- By Julie on 05-15-23
By: Aurora James
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How She Did It
- Stories, Advice, and Secrets to Success from Fifty Legendary Distance Runners
- By: Molly Huddle, Sara Slattery
- Narrated by: Molly Huddle, Sara Slattery, Gisela Chipe, and others
- Length: 8 hrs and 57 mins
- Unabridged
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The road from a high school track to an Olympic starting line is long and sometimes shadowy. Obstacles like chronic injuries, under-fueled nutrition, and coercive coaching can threaten to derail careers before they’ve even begun. Frustrated by seeing young talent burn out before reaching their potential, professional distance runner Molly Huddle and college coach Sara Slattery have teamed up with trailblazing running legends and sports medicine professionals to create an essential guide to reach your running potential.
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Buy the paper copy
- By Kara Abshire on 07-20-24
By: Molly Huddle, and others
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Good Grief
- On Loving Pets, Here and Hereafter
- By: E.B. Bartels
- Narrated by: Eileen Stevens
- Length: 5 hrs and 47 mins
- Unabridged
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An unexpected, poignant, and personal account of loving and losing pets, exploring the singular bonds we have with our companion animals, and how to grieve them once they’ve passed.
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Much needed reflections.
- By Stephanie Joens on 11-07-24
By: E.B. Bartels
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By All Means Available
- Memoirs of a Life in Intelligence, Special Operations, and Strategy
- By: Michael G. Vickers
- Narrated by: Michael G. Vickers
- Length: 20 hrs and 39 mins
- Unabridged
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In 1984, Michael Vickers took charge of the CIA’s secret war against the Soviets in Afghanistan. After inheriting a strategy aimed at imposing costs on the Soviets for their invasion and occupation of Afghanistan, Vickers transformed the covert campaign into an all-out effort to help the Afghan resistance win their war. More than any other American, he was responsible for the outcome in Afghanistan that led to the end of the Cold War. In By All Means Available, Vickers recounts his remarkable career.
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Great listen, interesting information
- By Amazon Customer on 08-02-23
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The Rigor of Angels
- Borges, Heisenberg, Kant, and the Ultimate Nature of Reality
- By: William Egginton
- Narrated by: David Glass
- Length: 10 hrs and 14 mins
- Unabridged
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Argentine poet Jorge Luis Borges was madly in love when his life was shattered by painful heartbreak. But the breakdown that followed illuminated an incontrovertible truth—that love is necessarily imbued with loss, that the one doesn’t exist without the other. German physicist Werner Heisenberg was fighting with the scientific establishment on the meaning of the quantum realm’s absurdity when he had his own epiphany—that there is no such thing as a complete, perfect description of reality.
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The most ridiculous narration
- By Anonymous User on 03-07-24
By: William Egginton
What listeners say about Pathological
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- Ann S
- 10-09-22
very interesting
I appreciated all the information as well as the personal experience of the author.
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- Anonymous
- 08-26-22
Psych PhD's opinion!
Loved it. I get how mental health professionals use the DSM as a "bible" without questioning it and dismiss patients perception. I also get how mental health professionals are overworked and sometimes make crazy decisions or don't keep up with the literature. Some need more intellectual humility and compassion. The author understands this and gives a balanced account. Her personal story makes it better because the story is her LIFE and this is what's important, not the diagnosis. I differ from other reviews that the story is scattered....that's usually how patients and pretty much everyone tells a story. This makes it more authentic. Also it helps by not making this book a textbook about the dsm.
The chapter on solitude was my favorite hands down. The extrovert world always has a negative opinion on solitude unless you're a monk.
The narration is PERFECT.
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- bosco
- 06-08-24
Really wild ride
I was curious about this book because of the mental health issues that have troubled my niece for years. In the case of the author, I wonder why she wound up going down the path of drug treatment by psychiatrists and medical doctors rather than a more talk based treatment by psychologists. I would want to exhaust all the talk and behavior therapy options with a drug free and clean mind first before I resorted to therapy that used mind altering drugs and the side effects. The book was very insightful.
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- Cristy
- 07-13-24
Incisive and fascinating
Though I don’t agree with every point the author makes about diagnoses (since my ADHD med has precluded the need for any other meds) I appreciate her exploration of the lack of validity of the DSM versions. There is a lot of work to be done in this area.
The story was well told. I especially appreciate the author’s willingness to disclose this journey despite the threat of stigma.
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- Desiree Gonzalez
- 10-20-22
Excelente historia
Creo que la historia se extendió más que lo que debería, sin embargo es un excelente libro. Me abrió los ojos acerca de la medicina en el mundo de la psiquatría. Es impresionante y triste saber que el estado actual de ese sistema es tan deficiente y con bases tan mal estructuradas.
Sarah pasó de ser una persona que creía en todo lo que sus médicos decían, a cuestionarse e investigar, que es algo que todos deberíamos aprender a hacer. Sin embargo, considero que aún faltó más información científica en el libro,
En general me gustó y sí lo recomiendo ya que no estamos excentos a estar en este tipo de situaciones, y es mejor conocer cómo funciona esta línea de la medicina.
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- Me
- 12-21-23
Thank you
Thank you for sharing your story and breaking the stigma! Will have to learn punctuation another time :)
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- Cynthia Scott
- 04-10-22
good book leaving me furious
if you're "bipolar" think again and READ this and try not to kill your "Dr"
wow!
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11 people found this helpful
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- MRO30
- 11-17-22
Love it
Well written. The story cautivated me.
An inside view on how little we know about mental illnesses and how the "business" focus of the pharmaceutical industry don't help. Everytime there is more and more medication prescription without learning more about the root cause and other solutions.
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- J. T. Conn
- 07-09-22
Balanced perspective
As one who has seen the unscientific assignment of symptoms into categories that every person could fall into, I found Pathological a great book. Psychiatry and psychology are important fields. The DSM has a beneficial purpose. But as is true for most things, it is also a tool that has been used for much gain.
I truly appreciated the journey of Sarah And her openness about the problems with the DSM.
Hopefully, this book will help people make informed decisions about their mental health. Highly recommend
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25 people found this helpful
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- Jonathan I. Rosenblatt
- 09-16-22
Shattering and important
Carefully researched and cleverly structured. The trope of exploring the history of punctuation adds a lyrical dimension. This book is a gut punch to the pathologizing mental health complex. If I were the DSM, I’d make sure my résumé was up to date. One of those books that turns the lights on! I’ll
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