Personal take: I think medicine has historically been about categorizing symptoms, patterns etc into diseases (adhd for example). I'm not condoning or encouraging or saying "go do heroin if it works for you" etc but... a problem for you may not be a problem for me - and its all relative to the individual. I've lived in Boston and Wisconsin and I couldn't stop laughing when I read how many drinks/week are considered to be alcoholic considering how ritual it is for a lot of folks in those areas.
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