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	Mohrbooks Literary Agency Sebastian Ritscher
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Memoirs

PATHOLOGICAL

Sarah Fay

The True Story of Six Misdiagnoses

Sarah Fay's debut is a moving mix of memoir and investigative journalism, exploring the many ways we pathologize human experiences - starting with Sarah's story and her many (ultimately incorrect) diagnoses of mental illness.

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. Like the millions of people who'll receive DSM diagnoses in their lifetimes, she believed the DSM and its diagnoses were valid, only to discover that this revered manual has little scientific merit. Sarah Fay is an author and activist. Her writing appears in many publications, including Longreads, The New York Times, The Atlantic, Time Magazine, The New Republic, McSweeney's, The Believer, and The Paris Review, where she served as an advisory editor. She's the recipient of the Hopwood Award for Literature, as well as grants and fellowships from Yaddo, the Mellon Foundation, and the MacDowell Colony, among others. She's the founder of Pathological: The Movement (www.pathological.us.), a public awareness campaign devoted to making people aware of the unreliability and invalidity of DSM diagnoses and the dangers of identifying with an unproven mental illness.

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Book Published 2022-03-15 by HarperOne

Comments

We urgently need to think about our mental and emotional pain and distress in a more loving, nuanced, and intelligent way. Pathological will be a major contribution towards achieving that - a crucial and necessary book.

Sarah Fay has written one of the most compelling memoirs I have read in ages. Pathological is a must-read for anyone who has been through the roller coaster that is the mental illness industry in America. Fay creates a work of art that entertains as much as it informs; if this were a movie, it would be the sort of documentary that contains every mode from romantic comedy to art-house film to thriller in one. The prose is so electric, incisive, witty, irreverent, devastating, sparkling! Whether she is riffing on the mechanics of English grammar, confronting the DSM in full-on unapologetic manifesto-mode, or winding us through the ups and downs of a very fully-lived life, Sarah Fay has created a masterpiece that is a true original on every level.

Sharply personal and impeccably detailed, (Pathological) is bound to raise questions in the minds of readers diagnosed with any number of disorders about the validity of trying to cram individual experience into what Fay contends are essentially imaginary categories. A provocative and original examination of the flaws in mental health treatment.

In this memorable memoir, dedicated to "everyone who's been diagnosed and misdiagnosed and over-diagnosed with a mental illness," Fay shares her wisdom, such as how to avoid anxiety and stop worrying about the past and fearing the future, and may convince many to take her advice and pause before blindly accepting DSM diagnoses.

An utterly unique memoir written with rare immediacy about the consequences of the language of psychiatric diagnosis. In Pathological, Fay beautifully describes navigating the uncertainty of six mental health misdiagnoses and brilliantly unpacks the dangers of labeling with a mental illness in the face of the complexities of our mental and emotional lives. Brave, heartbreaking, and inspiring, Pathological is a necessary book.

The purpose of a comma is to clarify, Fay tells us, in this brilliant and excruciating memoir. Through careful reporting and exquisite analysis, Fay takes on the myriad ways in which women's minds, not simply our bodies, have become a marketplace for trendy and dangerous ideas about mental health. This book is a triumph of the spirit and the flesh for a woman who since the age of twelve has been fighting, against all odds, not only to survive, but to live.

In this brilliant and excruciating memoir, through careful reporting and exquisite analysis, Fay takes on the myriad ways in which women's minds, not simply our bodies, have become a marketplace for trendy and dangerous ideas about mental health. This book is a triumph of the spirit and the flesh for a woman who since the age of twelve has been fighting, against all odds, not only to survive, but to live.

Pathological is the best book I've read in many years. Masterfully written, distinctively researched, and deeply humane, it joins our finest literature on medicine and psychiatry and the eternal riddle we call our minds. Fay's artful work is pleasingly unclassifiable: call it medical memoir; mental health thriller; comic punctuation primer; DSM and Big Pharma smackdown. I'll just call it genius. It's also contrarian, controversial, and beautifully, validly angry. If you or anyone you love has spent time in the mental health industrial complex (or, cauldron) - buy this book now and read it.