Hi Burt, I don't know what a "DSM" is. I have never even been to a mental health practitioner. I have been diagnosed by a regular MD as being depressed and was given anti-depressants. And that led to Serotonin Syndrome and was told not to take anti-depressants. So that is why I deal with my difficulties on my own. I have done a lot of research and, by trial and error come up with something that works for me. I find the world of natural medicine to be very interesting and more forgiving to trial and error than prescription medications. There are some people who cannot take them. I am always open to learning new things.