I'm certainly no psych, but I think the proper way forward is to stop bothering with psych diagnosing entirely. Mental health simply doesn't work in a neat taxonomy of conditions like other medical issues do. Rather than trying to split hairs to satisfy insurance companies and gatekeepers, or worrying about labels, we focus on, for example, @FinalOverdrive is having a rough time with life. How can we help xim live a better life? Therapy? Lifestyle adjustments? Accomodations? Meds? All of the above? There's no need to get so focused on formalized systems of labels - just focus on how to help people be their best selves.