We examine the hopelessly subjective and highly contentious (one could perhaps say psychotic) process by which the Diagnostic and Statistical Manual of Mental Disorders, the so-called bible of psychiatric disorders, has been constructed. Relying heavily on Gary Greenberg's The Book of Woe: The DSM and the Unmaking of Psychiatry,  we also discuss the consequences the DSM has both for individuals who accept its narratives about the nature of their suffering and for the prospects for social transformation. Somewhere along the way, we talk about secret societies that exert control through claims to exclusive knowledge in traditional cultures, optical illusions that only occur among industrialized people, and the ways captive animals go insane.