Mark Ruffalo, MSW, DPsa
Psychotherapist and assistant/adjunct professor of psychiatry with expertise in borderline personality disorder and psychiatric nosology; author of papers on diagnosis and co-developer of the PRISM instrument.
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Jan 14, 2026 • 55min
What Makes Something a Psychiatric Illness? Featuring Dr. Mark Ruffalo, MSW, DPsa
Mark Ruffalo, MSW, DPsa, a psychotherapist and psychiatry educator, challenges how we decide what counts as psychiatric illness. He critiques reliance on the DSM and explains diagnostic validators. He explores diagnostic hierarchy, risks of false comorbidity, debates around medication in borderline personality, and presents the PRISM tool for more parsimonious diagnosis.
