gone from a strict criteria set of, "Has this person ever been hospitalized for mania?" to a spectrum graph of manic and depressive cycles, where in some cases the depressive episodes outweigh the manic episodes by far.
http://psycheducation.org/ And it's a bloody good thing too because after being told by a psychiatrist in the early 90s (before the change) that there was no way I could be bipolar, I finally got the help I needed in 2006 when a psychiatrist said it was very clear that I'm bipolar 2.
I do believe that big pharma jacks up prices and and is trying to create new clientele where there probably shouldn't be any, and that better oversight of med usage is needed, but there are times when the meds are worth it. I wish they cost less, but they are lifesavers for me nonetheless.
As for the upswing of mental illnesses in kids, I have two thoughts. We've changed how we parent and punish them. Has that made a change in how kids behave, and are we therefore labeling them as ill because this is not how kids behaved in the past? Also, god only knows what the various pollutants do to developing fetuses and children. I have two "special" kids. One is Aspergerish and the other one is ADHD and likely to have inherited my bipolar issues. The older one doesn't need meds, just therapy to teach him coping methods, but I think the younger one might need them if the bipolar kicks in. I'm not excited about him being on meds, but having lived through the hell of life without them it would be the better of two frustrating choices.