psychiatric proctologist 

Medical specialist who helps people get their heads out of their asses

Dipshit, you are a fool; you require a psychiatric proctologist to help you get your head out of your ass.

psychiatric proctologist by Herbos, a prince June 8, 2021

Psychiatric Sophism

The use of psychiatric labels and authority to dismiss, control, or silence those who challenge power or convention. Psychiatric Sophism turns diagnosis into social control: political dissent becomes "paranoia"; resistance to injustice becomes "oppositional defiant disorder"; grief becomes "depression" that needs medication. It's sophistry in medical clothing: using the authority of psychiatry to pathologize the inconvenient.

"He protested injustice. They called him delusional. Psychiatric Sophism: using diagnosis as dismissal, psychiatry as policing. The label wasn't clinical; it was political. Psychiatry became a tool for silencing, not healing."

Psychiatric Sophism by Abzugal Nammugal Enkigal March 7, 2026

Psychiatric Moralism

A form of moralism where psychiatric diagnoses and categories are used to judge, condemn, and exclude those whose behavior or beliefs deviate from approved norms. The psychiatric moralist treats mental illness not as suffering to be alleviated but as moral failing to be condemned, using diagnostic labels as weapons rather than tools for care. Political dissenters are "crazy," social deviants are "disordered," those who won't conform are "mentally ill." The moralism lies in using the authority of psychiatry to pathologize difference, treating those who don't fit as sick rather than simply different, and deploying diagnostic language as a form of social control rather than healing.

Example: "He dismissed her completely different worldview as 'delusional'—not a clinical judgment, just a way of saying she was wrong. Psychiatric Moralism: using the language of illness to avoid engaging with difference."

Psychiatric Moralism by Abzugal Nammugal Enkigal March 14, 2026

Psychiatric Puritanism

A purity culture within communities that elevate psychiatric diagnosis as the primary framework for understanding human difference and distress, where proper diagnostic thinking becomes a test of virtue and belonging. Psychiatric puritanism demands that true members understand all human variation through diagnostic categories, treat non-psychiatric frameworks as naive or unscientific, and maintain the purity of diagnostic boundaries against contamination by alternative approaches. Members compete to demonstrate their diagnostic sophistication, their ability to spot pathology everywhere, their commitment to the medical model against all challenges. The result is a community that claims to help the suffering while pathologizing all human variation and dismissing any approach that doesn't fit diagnostic categories.

Example: "They diagnosed everyone who disagreed with them—not clinically, just as a way of dismissing difference. Psychiatric Puritanism: using the language of diagnosis to police the boundaries of acceptable humanity."

Psychiatric Puritanism by Abzugal Nammugal Enkigal March 14, 2026

Psychiatric Orthodoxy

The established, institutionalized set of beliefs and practices that define mainstream psychiatry—the often-unexamined assumptions about mental illness, diagnosis, treatment, and the role of psychiatry in society. Psychiatric orthodoxy includes commitments: that mental disorders are brain disorders, that diagnosis is objective, that DSM categories name real diseases, that medication is often the best treatment, that psychiatric authority is legitimate, that the current psychiatric system is basically sound, that critics are anti-science or anti-treatment. Like all orthodoxies, it provides frameworks for understanding and treating mental distress, but it functions as institutional power—determining who gets diagnosed with what, what treatments are covered, who counts as mentally ill, and what alternatives are marginalized. Psychiatric orthodoxy shapes not just how we treat mental distress but what we think mental distress is, making particular conceptions of illness seem natural and alternatives (social, psychological, spiritual) seem insufficient.

Example: "She suggested that some distress might be social rather than medical—and was accused of denying mental illness. Psychiatric orthodoxy had made its framework feel like the only way to take suffering seriously."

Psychiatric Orthodoxy by Dumu The Void March 17, 2026

Psychiatric Bigotry

The practice of attributing religious, spiritual, metaphysical, or otherwise non‑scientific beliefs to mental illness—such as “delusion,” “schizophrenia,” or “needs therapy”—as a means of humiliation, discrimination, or silencing. Psychiatric bigotry weaponizes clinical language to stigmatize people whose worldviews differ from secular materialism, often ignoring that such beliefs are normative in many cultures and not indicative of pathology. It is common in online debates where calling someone “delusional” serves as a quick dismissal, but it also appears in clinical settings where cultural competence is lacking.

Example: “When she spoke of her spiritual experiences, he told her she needed to see a psychiatrist—Psychiatric Bigotry, using mental health labels to dismiss legitimate cultural and personal beliefs.”

Psychiatric Bigotry by Dumu The Void March 25, 2026

non-psychiatric illness

An illness where the doctors could find a tangible cause through modern methods of divination (such as blood tests and x-rays) and therefore feel confident that potions, cutting, and the application of poisons with powerful paradoxical mojo will surely work and not be wasted. Such illnesses are called "structural", the opposite of which is "functional." When divination methods fail or produce ambiguous results, the patient is said to have a functional or psychiatric illness and is given specific time periods to bitch and moan about imaginary problems. This is not considered respectable because it fails to promote the position and power of the medical profession.

-You know how that weirdo Craig acts like such a psycho, crying all the time, yelling, making no sense, frothing at the mouth and all kinds of other scary shit?
-Oh yeah, I told the dude straight up that he needs professional help.
-OMG, dude! Turns out they did an x-ray on his head. It's all kinds of messed up in there. Turns out Craig has a non-psychiatric illness.
-No way! That is so weird. Well, anyone who acts like that needs professional help anyway, IMHO.

non-psychiatric illness by KeepItSweet November 17, 2022