regarding the cause or causes of the person’s struggle. Let’s be honest about what we know and don’t know. Let’s not be reductionistic and assume that the biological piece is primary and ultimate in the diagnosis and treatment for all categories of psychiatric disorders. As noted earlier, the DSM does not claim to know the causes of each of the entities it describes. In light of the DSM’s honest admission of ignorance regarding the “whys” behind struggle, you may be thinking, “Aren’t you just throwing