Congratulations On Your Diagnosis
A welcome letter
By Dr. Roger McFillin | Radically Genuine | January 12, 2026
Dear Valued Patient,
Welcome.
We’re so pleased you found us. Or rather, that we found you, though you may not remember exactly how it happened. Perhaps you mentioned sadness that lasted more than two weeks. Perhaps you admitted to worry. Perhaps a teacher noticed your child had too much energy, or not enough, or the wrong kind at the wrong time. No matter. You’re here now. That’s what counts.
First, let us assure you: this is not your fault. You have a condition. A real, medical condition, confirmed by a checklist, validated by a billing code, and now officially part of your permanent record. You’re not weak. You’re not broken. You’re sick. Doesn’t that feel better already?
We know you may have once believed that your suffering had meaning. That grief was love’s receipt. That anxiety was wisdom trying to speak. That your child’s wildness was life itself looking for room to move. We’ve heard all of this before. We’ve noted it in your file. It falls under “Resistance to Treatment” and “Poor Insight,” both of which, interestingly, are also symptoms. But here’s what science has discovered: feelings that persist are symptoms. Experiences that disrupt are disorders. And the body’s ancient signaling system, the one that kept your ancestors alive long enough to produce you? A chemical error. Fortunately, we now have chemicals to fix the chemicals. You’re welcome.
What You’ve Gained
As a member of our industry, you now have access to:
- A name for what’s wrong with you (selected from our current catalog)
- Medications clinically proven to reduce the intensity of being alive
- A support team who will monitor your progress toward feeling less
- Periodic check-ins to adjust dosage based on how much of yourself remains
You may notice some changes. Colors may seem less vivid. Music may stop reaching you the way it once did. Orgasms may become a memory you’re not sure you’re remembering correctly. These are signs the treatment is working. Please do not confuse returning aliveness for wellness. That feeling you had before, the one that brought you here, that was the disease.
Frequently Asked Questions
How long will I need treatment? Most patients require lifelong management. Think of it like insulin, except for your soul.
What if I feel worse? This is common. It means we haven’t found the right combination yet. Stay the course. There are many options. We can always add more.
What if I want to stop? We’d ask you to examine that impulse carefully. The desire to feel your feelings again is often a sign of relapse. Your brain has been corrected. Going back now would be like choosing disease.
Can I ever be cured? We don’t use that word. But with compliance, you can achieve something even better: symptom management with minimal breakthrough emotion.
Share Your Journey
Now that you have a diagnosis, it’s time to tell the world.
Post it. Pin it to your bio. Add it to your Instagram highlights. Change your Twitter handle. You are no longer just a person with a name. You are a person with a condition, and conditions deserve visibility.
Use the hashtags. Join the communities. Find your tribe. You’ll discover thousands of others just like you, sharing their medication selfies, their symptom lists, their before-and-after stories. You will be seen. You will be validated. Strangers will leave heart emojis beneath your pain. Isn’t that what healing looks like?
Don’t be shy. Vulnerability is currency now. The more you share, the more you belong. And if anyone questions your diagnosis, remember: that’s stigma. Block them. They are part of the problem.
Your disorder is your story. Your story is your brand. Your brand is your identity. And your identity, as we’ve discussed, is permanent.
So go ahead. Tell everyone. We’ll be here when you get back.
A Note on Gratitude
You’re lucky, you know. In another era, you might have been told to sit with it. To feel your way through. To let grief crack you open. To treat your anxiety as a messenger rather than a malfunction. You might have been surrounded by people instead of professionals. You might have been asked what happened to you rather than what’s wrong with you.
But you live now. And we have built an entire world to catch you. Billboards. Commercials. Sponsored content. Quizzes that always confirm what you already suspected. Doctors with ten minutes and a prescription pad. Pharmacies on every corner. A pipeline so smooth you’ll barely notice you’re inside it.
We’ve made it so easy. Your insurance covers it. Your employer encourages it. Your friends will understand. And someday, when you’re sitting in a room, feeling very little, wondering if something got lost along the way, you can comfort yourself with this: at least you weren’t difficult.
Welcome to the industry.
We’re so glad you’re ours.
Warmly,
The Psychiatric Industry
P.S. If this letter has stirred any strong feelings, please contact your provider immediately.
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The Manual Behind the Mandates
An Essay on Paul Offit’s Bad Faith
Lies are Unbekoming | July 14, 2026
In June and October 1998, Paul Offit sat on the CDC’s Advisory Committee on Immunization Practices and voted twice in favor of Wyeth-Lederle’s RotaShield rotavirus vaccine: on June 25 to recommend it for routine childhood use, and on October 22 to add it to the federal Vaccines for Children Program.¹ Offit’s own rotavirus vaccine, developed at the Children’s Hospital of Philadelphia in partnership with Merck, was under development at the time. On October 22, 1999, exactly a year after his second vote, ACIP rescinded the RotaShield recommendation after CDC identified an elevated rate of intussusception in vaccinated infants. Intussusception is a bowel condition in which one segment of intestine telescopes into another and cuts off its own blood supply; without emergency intervention, it kills. The surveillance data at the point of withdrawal included hospitalizations and infant deaths. Offit abstained from the withdrawal vote.² Seven years later, Merck’s RotaTeq, which Offit co-invented, received ACIP recommendation for the same schedule slot. The patent sale netted him at least six million dollars by his own account, with other public estimates running higher.³
In June 2000, the United States House Committee on Government Reform published Conflicts of Interest in Vaccine Policy Making. The report named Offit specifically. It concluded that “conflict of interest rules employed by the FDA and the CDC have been weak, enforcement has been lax, and committee members with substantial ties to pharmaceutical companies have been given waivers to participate in committee proceedings.”⁴
In March 2015, Basic Books published Offit’s Bad Faith: When Religious Belief Undermines Modern Medicine. The book accuses religious parents of moral failure. It calls for the elimination of religious exemption from vaccination law. It endorses criminal prosecution of parents who withhold pharmaceutical products from their children on religious grounds, including, under the Oregon sentencing guidelines Offit presents as a model, terms of up to twenty-five years in prison.⁵ … continue
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