It’s a disease because it has a large negative impact on the patient’s life.
The “chemical imbalances” thing isn’t baseless, but it’s not as complete a picture as people like to imply it is.
I’m not sure why people are so insistent on the chemical imbalance idea. Maybe it’s because they’re worried people won’t perceive it as a “real illness”, maybe it’s because it lets them pretend that exercise and eating well wouldn’t help.
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