Despite some of the internal ambiguities in the ad—“it is a real medical condition” yet “the cause is not known”—it captures a sufferer’s experience well and suggests the cause and cure of the malady is biological. Realize that the assumption of an ultimate biological cause for psychiatric problems is enshrined in our culture even if it is not viewed as a slam-dunk in academic and research-oriented psychiatry, which has a much more nuanced view involving both nature and nurture. Even the way we use