{
  "name": "Shrinkopedia evidence ratings",
  "description": "The evidence-strength rating (Strong, Mixed or Limited) Shrinkopedia assigns to every published condition, symptom, treatment and term entry.",
  "report": "https://shrinkopedia.com/research/state-of-the-evidence/",
  "license": "https://creativecommons.org/licenses/by/4.0/",
  "attribution": "Shrinkopedia, medically reviewed by Shariq Refai, MD, MBA",
  "data_as_of": "2026-09-24",
  "totals": {
    "Strong": 69,
    "Mixed": 81,
    "Limited": 7,
    "total": 157
  },
  "rows": [
    {
      "collection": "conditions",
      "slug": "acute-stress-disorder",
      "title": "Acute stress disorder",
      "url": "https://shrinkopedia.com/conditions/acute-stress-disorder/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "adhd",
      "title": "ADHD",
      "url": "https://shrinkopedia.com/conditions/adhd/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Neurodevelopmental",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "adjustment-disorder",
      "title": "Adjustment disorder",
      "url": "https://shrinkopedia.com/conditions/adjustment-disorder/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Trauma and stress-related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "agoraphobia",
      "title": "Agoraphobia",
      "url": "https://shrinkopedia.com/conditions/agoraphobia/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "alcohol-use-disorder",
      "title": "Alcohol use disorder",
      "url": "https://shrinkopedia.com/conditions/alcohol-use-disorder/",
      "rating": "Strong",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 criteria, VA/DoD 2021 guidelines, APA 2018 guidelines, randomized trials of naltrexone, acamprosate, disulfiram, epidemiological data from NIAAA and NESARC-III",
      "cluster": "Substance use and addictive",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "anorexia-nervosa",
      "title": "Anorexia nervosa",
      "url": "https://shrinkopedia.com/conditions/anorexia-nervosa/",
      "rating": "Strong",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 criteria, NICE NG69 guideline, RCTs of family-based treatment and CBT-E, epidemiological cohort studies, genome-wide association studies",
      "cluster": "Eating and feeding",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "antisocial-personality-disorder",
      "title": "Antisocial personality disorder",
      "url": "https://shrinkopedia.com/conditions/antisocial-personality-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, cohort studies, forensic and clinical outcome research",
      "cluster": "Personality disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "updated": "2026-07-11"
    },
    {
      "collection": "conditions",
      "slug": "avoidant-restrictive-food-intake-disorder",
      "title": "ARFID (avoidant/restrictive food intake disorder)",
      "url": "https://shrinkopedia.com/conditions/avoidant-restrictive-food-intake-disorder/",
      "rating": "Limited",
      "evidenceBase": "DSM-5-TR criteria, clinical reviews, scoping review",
      "cluster": "Eating and feeding",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "autism-spectrum-disorder",
      "title": "Autism spectrum disorder",
      "url": "https://shrinkopedia.com/conditions/autism-spectrum-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Neurodevelopmental",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "avoidant-personality-disorder",
      "title": "Avoidant personality disorder",
      "url": "https://shrinkopedia.com/conditions/avoidant-personality-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 dimensional model, epidemiological cohort studies, randomized trials of schema therapy and CBT for personality disorders",
      "cluster": "Personality disorders",
      "published": "2026-05-24",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "binge-eating-disorder",
      "title": "Binge eating disorder",
      "url": "https://shrinkopedia.com/conditions/binge-eating-disorder/",
      "rating": "Strong",
      "evidenceBase": "DSM-5-TR criteria, clinical practice guidelines, randomized trials of CBT-E, IPT, and lisdexamfetamine",
      "cluster": "Eating and feeding",
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "updated": "2026-07-11"
    },
    {
      "collection": "conditions",
      "slug": "bipolar-disorder",
      "title": "Bipolar disorder",
      "url": "https://shrinkopedia.com/conditions/bipolar-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Depressive and mood disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "body-dysmorphic-disorder",
      "title": "Body dysmorphic disorder",
      "url": "https://shrinkopedia.com/conditions/body-dysmorphic-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Obsessive-compulsive and related",
      "published": "2026-05-24",
      "reviewed": "2026-06-23",
      "updated": "2026-06-23"
    },
    {
      "collection": "conditions",
      "slug": "borderline-personality-disorder",
      "title": "Borderline personality disorder",
      "url": "https://shrinkopedia.com/conditions/borderline-personality-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Personality disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "bulimia-nervosa",
      "title": "Bulimia nervosa",
      "url": "https://shrinkopedia.com/conditions/bulimia-nervosa/",
      "rating": "Strong",
      "evidenceBase": "DSM-5-TR criteria, clinical practice guidelines, randomized trials of CBT-E and IPT",
      "cluster": "Eating and feeding",
      "published": "2026-07-11",
      "reviewed": "2026-07-11",
      "updated": "2026-07-11"
    },
    {
      "collection": "conditions",
      "slug": "burnout",
      "title": "Burnout",
      "url": "https://shrinkopedia.com/conditions/burnout/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Grief, burnout, and other",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "cannabis-use-disorder",
      "title": "Cannabis use disorder",
      "url": "https://shrinkopedia.com/conditions/cannabis-use-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 cannabis dependence, cohort studies on high-potency cannabis and psychosis, CBT/motivational-enhancement trials, cannabinoid hyperemesis syndrome case series, adolescent brain research",
      "cluster": "Substance use and addictive",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "complex-ptsd",
      "title": "Complex PTSD",
      "url": "https://shrinkopedia.com/conditions/complex-ptsd/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Trauma and stress-related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "delirium",
      "title": "Delirium",
      "url": "https://shrinkopedia.com/conditions/delirium/",
      "rating": "Mixed",
      "evidenceBase": "Clinical guidelines (NICE CG103), meta-analyses, Cochrane review",
      "cluster": "Neurocognitive",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "delusional-disorder",
      "title": "Delusional disorder",
      "url": "https://shrinkopedia.com/conditions/delusional-disorder/",
      "rating": "Limited",
      "evidenceBase": "DSM-5-TR criteria, clinical descriptions, Cochrane review (one small trial)",
      "cluster": "Psychotic and related",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "dependent-personality-disorder",
      "title": "Dependent personality disorder",
      "url": "https://shrinkopedia.com/conditions/dependent-personality-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 negative affectivity domain, cohort studies, small treatment trials, Bornstein dependency research",
      "cluster": "Personality disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "depersonalization-derealization-disorder",
      "title": "Depersonalization-derealization disorder",
      "url": "https://shrinkopedia.com/conditions/depersonalization-derealization-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 depersonalization-derealization classification, functional imaging studies, cohort studies of trauma and panic populations, small pharmacological trials, CBT trial data",
      "cluster": "Dissociative disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "dissociative-amnesia",
      "title": "Dissociative amnesia",
      "url": "https://shrinkopedia.com/conditions/dissociative-amnesia/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 dissociative amnesia classification, cohort studies of trauma populations, functional imaging studies, iatrogenic-memory research, expert consensus on treatment",
      "cluster": "Dissociative disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "dissociative-identity-disorder",
      "title": "Dissociative identity disorder",
      "url": "https://shrinkopedia.com/conditions/dissociative-identity-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 criteria, ISSTD treatment guidelines, neuroimaging cohort studies, prospective outcome studies of phase-based trauma treatment",
      "cluster": "Dissociative disorders",
      "published": "2026-05-24",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "disruptive-mood-dysregulation-disorder",
      "title": "DMDD (disruptive mood dysregulation disorder)",
      "url": "https://shrinkopedia.com/conditions/disruptive-mood-dysregulation-disorder/",
      "rating": "Limited",
      "evidenceBase": "DSM-5-TR criteria, community epidemiology, small randomized trials",
      "cluster": "Depressive and mood disorders",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "eating-disorders",
      "title": "Eating disorders",
      "url": "https://shrinkopedia.com/conditions/eating-disorders/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Eating and feeding",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "gambling-disorder",
      "title": "Gambling disorder",
      "url": "https://shrinkopedia.com/conditions/gambling-disorder/",
      "rating": "Mixed",
      "evidenceBase": "Cochrane review, clinical review, DSM-5-TR criteria, NICE guideline",
      "cluster": "Substance use and addictive",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "generalized-anxiety-disorder",
      "title": "Generalized anxiety disorder",
      "url": "https://shrinkopedia.com/conditions/generalized-anxiety-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "grief",
      "title": "Grief",
      "url": "https://shrinkopedia.com/conditions/grief/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Grief, burnout, and other",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "health-anxiety",
      "title": "Health anxiety",
      "url": "https://shrinkopedia.com/conditions/health-anxiety/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-06-23",
      "updated": "2026-06-23"
    },
    {
      "collection": "conditions",
      "slug": "histrionic-personality-disorder",
      "title": "Histrionic personality disorder",
      "url": "https://shrinkopedia.com/conditions/histrionic-personality-disorder/",
      "rating": "Limited",
      "evidenceBase": "DSM-5-TR criteria, epidemiological cohort studies, gender-bias research on the diagnosis, expert consensus on treatment, limited trial data",
      "cluster": "Personality disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "hoarding-disorder",
      "title": "Hoarding disorder",
      "url": "https://shrinkopedia.com/conditions/hoarding-disorder/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Obsessive-compulsive and related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "insomnia-disorder",
      "title": "Insomnia disorder",
      "url": "https://shrinkopedia.com/conditions/insomnia-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Sleep-wake disorders",
      "published": "2026-05-24",
      "reviewed": "2026-06-23",
      "updated": "2026-06-23"
    },
    {
      "collection": "conditions",
      "slug": "intellectual-disability",
      "title": "Intellectual disability",
      "url": "https://shrinkopedia.com/conditions/intellectual-disability/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria (adaptive functioning shift from IQ-only), ICD-11 disorders of intellectual development classification, AAIDD supports framework, epidemiology, etiology reviews",
      "cluster": "Neurodevelopmental",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "intermittent-explosive-disorder",
      "title": "Intermittent explosive disorder",
      "url": "https://shrinkopedia.com/conditions/intermittent-explosive-disorder/",
      "rating": "Limited",
      "evidenceBase": "Community epidemiology, small randomized trials, DSM-5-TR criteria",
      "cluster": "Disruptive, impulse-control, and conduct",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "learning-disorders",
      "title": "Learning disorders",
      "url": "https://shrinkopedia.com/conditions/learning-disorders/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR specific learning disorder criteria, IDEA definition of specific learning disability, reading intervention RCTs (Orton-Gillingham and structured literacy), neuroscience research on dyslexia, response to intervention evidence",
      "cluster": "Neurodevelopmental",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "major-depressive-disorder",
      "title": "Major depressive disorder",
      "url": "https://shrinkopedia.com/conditions/major-depressive-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Depressive and mood disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "narcissistic-personality-disorder",
      "title": "Narcissistic personality disorder",
      "url": "https://shrinkopedia.com/conditions/narcissistic-personality-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 dimensional model, cohort studies, expert consensus on psychotherapy outcomes, small randomized trials of transference-focused psychotherapy and schema therapy",
      "cluster": "Personality disorders",
      "published": "2026-05-24",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "narcolepsy",
      "title": "Narcolepsy",
      "url": "https://shrinkopedia.com/conditions/narcolepsy/",
      "rating": "Strong",
      "evidenceBase": "ICSD-3 diagnostic criteria, orexin/hypocretin neurobiology research, AASM practice guidelines, RCTs of modafinil, pitolisant, sodium oxybate, epidemiology",
      "cluster": "Sleep-wake disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "ocd",
      "title": "Obsessive-compulsive disorder",
      "url": "https://shrinkopedia.com/conditions/ocd/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Obsessive-compulsive and related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "obsessive-compulsive-personality-disorder",
      "title": "Obsessive-compulsive personality disorder",
      "url": "https://shrinkopedia.com/conditions/obsessive-compulsive-personality-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 dimensional model, cohort studies, trials of CBT targeting perfectionism, small trials of schema therapy for personality disorders",
      "cluster": "Obsessive-compulsive and related",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "obstructive-sleep-apnea",
      "title": "Obstructive sleep apnea",
      "url": "https://shrinkopedia.com/conditions/obstructive-sleep-apnea/",
      "rating": "Strong",
      "evidenceBase": "ICSD-3 diagnostic criteria, AASM practice guidelines, RCTs of CPAP for depression and cognition, epidemiological cohorts, hypoglossal nerve stimulation trials",
      "cluster": "Sleep-wake disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "opioid-use-disorder",
      "title": "Opioid use disorder",
      "url": "https://shrinkopedia.com/conditions/opioid-use-disorder/",
      "rating": "Strong",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 opioid dependence classification, Cochrane systematic reviews of medications for OUD, CDC and SAMHSA guidelines, large observational studies on mortality, fentanyl epidemiology",
      "cluster": "Substance use and addictive",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "oppositional-defiant-disorder",
      "title": "Oppositional defiant disorder",
      "url": "https://shrinkopedia.com/conditions/oppositional-defiant-disorder/",
      "rating": "Strong",
      "evidenceBase": "Cochrane review of parent training, NICE guideline, clinical reviews",
      "cluster": "Disruptive, impulse-control, and conduct",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "panic-disorder",
      "title": "Panic disorder",
      "url": "https://shrinkopedia.com/conditions/panic-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "paranoid-personality-disorder",
      "title": "Paranoid personality disorder",
      "url": "https://shrinkopedia.com/conditions/paranoid-personality-disorder/",
      "rating": "Limited",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 negative-affectivity and dissociality trait domains, epidemiological cohort studies, expert consensus on treatment, limited trial data",
      "cluster": "Personality disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "parasomnias",
      "title": "Parasomnias",
      "url": "https://shrinkopedia.com/conditions/parasomnias/",
      "rating": "Mixed",
      "evidenceBase": "ICSD-3 diagnostic criteria, alpha-synucleinopathy longitudinal cohort studies (RBD to Parkinson's/DLB), pharmacotherapy trial data (clonazepam, melatonin), sleep hygiene evidence",
      "cluster": "Sleep-wake disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "perinatal-anxiety",
      "title": "Perinatal anxiety",
      "url": "https://shrinkopedia.com/conditions/perinatal-anxiety/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR anxiety disorder criteria applied to pregnancy/postpartum, prevalence meta-analyses, CBT RCTs, SSRI reproductive safety cohort studies, ACOG/APA/NICE guidelines",
      "cluster": "Perinatal mental health",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "perinatal-ocd",
      "title": "Perinatal OCD",
      "url": "https://shrinkopedia.com/conditions/perinatal-ocd/",
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      "evidenceBase": "DSM-5-TR OCD criteria applied to perinatal context, prevalence cohort studies, ERP treatment trials, SSRI safety data, expert consensus on intrusive-thoughts phenomenology",
      "cluster": "Obsessive-compulsive and related",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
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    {
      "collection": "conditions",
      "slug": "persistent-depressive-disorder",
      "title": "Persistent depressive disorder",
      "url": "https://shrinkopedia.com/conditions/persistent-depressive-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Depressive and mood disorders",
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      "reviewed": "2026-06-23",
      "updated": "2026-06-23"
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    {
      "collection": "conditions",
      "slug": "post-traumatic-stress-disorder",
      "title": "Post-traumatic stress disorder",
      "url": "https://shrinkopedia.com/conditions/post-traumatic-stress-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Trauma and stress-related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "postpartum-depression",
      "title": "Postpartum depression",
      "url": "https://shrinkopedia.com/conditions/postpartum-depression/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Depressive and mood disorders",
      "published": "2026-05-24",
      "reviewed": "2026-06-23",
      "updated": "2026-06-23"
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    {
      "collection": "conditions",
      "slug": "postpartum-psychosis",
      "title": "Postpartum psychosis",
      "url": "https://shrinkopedia.com/conditions/postpartum-psychosis/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR peripartum specifier, ICD-11 mental disorders associated with pregnancy, cohort studies, bipolar-spectrum genetic and clinical evidence, treatment case series and small trials, safety outcome data",
      "cluster": "Psychotic and related",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "pmdd",
      "title": "Premenstrual dysphoric disorder",
      "url": "https://shrinkopedia.com/conditions/pmdd/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Depressive and mood disorders",
      "published": "2026-05-24",
      "reviewed": "2026-06-23",
      "updated": "2026-06-23"
    },
    {
      "collection": "conditions",
      "slug": "restless-legs-syndrome",
      "title": "Restless legs syndrome",
      "url": "https://shrinkopedia.com/conditions/restless-legs-syndrome/",
      "rating": "Mixed",
      "evidenceBase": "IRLSSG diagnostic criteria, iron and dopamine physiology, AAN and AASM practice guidelines, alpha-2-delta ligand trials, dopamine agonist trials with augmentation data",
      "cluster": "Sleep-wake disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
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    {
      "collection": "conditions",
      "slug": "schizoaffective-disorder",
      "title": "Schizoaffective disorder",
      "url": "https://shrinkopedia.com/conditions/schizoaffective-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria (revised in DSM-5), ICD-11 classification, epidemiological cohort studies, treatment RCTs adapted from schizophrenia and bipolar research, prognosis literature",
      "cluster": "Psychotic and related",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
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    {
      "collection": "conditions",
      "slug": "schizoid-personality-disorder",
      "title": "Schizoid personality disorder",
      "url": "https://shrinkopedia.com/conditions/schizoid-personality-disorder/",
      "rating": "Limited",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 detachment domain, small case series, limited treatment trials, related trait research",
      "cluster": "Personality disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-09-24"
    },
    {
      "collection": "conditions",
      "slug": "schizophrenia",
      "title": "Schizophrenia",
      "url": "https://shrinkopedia.com/conditions/schizophrenia/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Psychotic and related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "conditions",
      "slug": "schizotypal-personality-disorder",
      "title": "Schizotypal personality disorder",
      "url": "https://shrinkopedia.com/conditions/schizotypal-personality-disorder/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 schizotypal disorder classification, family and genetic studies, limited treatment trials, cohort studies",
      "cluster": "Personality disorders",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
    },
    {
      "collection": "conditions",
      "slug": "seasonal-affective-disorder",
      "title": "Seasonal affective disorder",
      "url": "https://shrinkopedia.com/conditions/seasonal-affective-disorder/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Depressive and mood disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "social-anxiety-disorder",
      "title": "Social anxiety disorder",
      "url": "https://shrinkopedia.com/conditions/social-anxiety-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "somatic-symptom-disorder",
      "title": "Somatic symptom disorder",
      "url": "https://shrinkopedia.com/conditions/somatic-symptom-disorder/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "Somatic symptom and related",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "specific-phobia",
      "title": "Specific phobia",
      "url": "https://shrinkopedia.com/conditions/specific-phobia/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Anxiety and related disorders",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "conditions",
      "slug": "substance-use-disorder",
      "title": "Substance use disorder",
      "url": "https://shrinkopedia.com/conditions/substance-use-disorder/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "Substance use and addictive",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "conditions",
      "slug": "tourette-syndrome",
      "title": "Tourette syndrome",
      "url": "https://shrinkopedia.com/conditions/tourette-syndrome/",
      "rating": "Mixed",
      "evidenceBase": "DSM-5-TR criteria, ICD-11 tic disorder classification, CBIT (Comprehensive Behavioral Intervention for Tics) RCTs, antipsychotic and alpha-agonist trials, natural history cohort studies",
      "cluster": "Neurodevelopmental",
      "published": "2026-07-11",
      "reviewed": "2026-07-13",
      "updated": "2026-07-13"
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    {
      "collection": "conditions",
      "slug": "trichotillomania",
      "title": "Trichotillomania (hair-pulling disorder)",
      "url": "https://shrinkopedia.com/conditions/trichotillomania/",
      "rating": "Mixed",
      "evidenceBase": "Meta-analysis of randomized trials, randomized trial, clinical review",
      "cluster": "Obsessive-compulsive and related",
      "published": "2026-09-24",
      "reviewed": "2026-09-24",
      "updated": "2026-09-24"
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      "collection": "symptoms",
      "slug": "anger",
      "title": "Anger",
      "url": "https://shrinkopedia.com/symptoms/anger/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "anhedonia",
      "title": "Anhedonia",
      "url": "https://shrinkopedia.com/symptoms/anhedonia/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "avoidance",
      "title": "Avoidance",
      "url": "https://shrinkopedia.com/symptoms/avoidance/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "brain-fog",
      "title": "Brain fog",
      "url": "https://shrinkopedia.com/symptoms/brain-fog/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "catastrophizing",
      "title": "Catastrophizing",
      "url": "https://shrinkopedia.com/symptoms/catastrophizing/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "chest-tightness",
      "title": "Chest tightness",
      "url": "https://shrinkopedia.com/symptoms/chest-tightness/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "depersonalization",
      "title": "Depersonalization",
      "url": "https://shrinkopedia.com/symptoms/depersonalization/",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "derealization",
      "title": "Derealization",
      "url": "https://shrinkopedia.com/symptoms/derealization/",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "dizziness",
      "title": "Dizziness",
      "url": "https://shrinkopedia.com/symptoms/dizziness/",
      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "dread",
      "title": "Dread",
      "url": "https://shrinkopedia.com/symptoms/dread/",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "emotional-numbness",
      "title": "Emotional numbness",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "fatigue",
      "title": "Fatigue",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "flashbacks",
      "title": "Flashbacks",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "guilt",
      "title": "Guilt",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "hallucinations",
      "title": "Hallucinations",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "hopelessness",
      "title": "Hopelessness",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "hyperarousal",
      "title": "Hyperarousal",
      "url": "https://shrinkopedia.com/symptoms/hyperarousal/",
      "rating": "Strong",
      "evidenceBase": "Clinical practice guidelines, randomized controlled trials, large epidemiological surveys",
      "cluster": "",
      "published": "2026-07-05",
      "reviewed": "2026-07-05",
      "updated": "2026-07-05"
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    {
      "collection": "symptoms",
      "slug": "intrusive-thoughts",
      "title": "Intrusive thoughts",
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      "evidenceBase": "Observational studies, clinical trials, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
      "slug": "irritability",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "loneliness",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
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      "title": "Low self-esteem",
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      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "mania",
      "title": "Mania",
      "url": "https://shrinkopedia.com/symptoms/mania/",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
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      "title": "Mood swings",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "nightmares",
      "title": "Nightmares",
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      "rating": "Mixed",
      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "overwhelm",
      "title": "Overwhelm",
      "url": "https://shrinkopedia.com/symptoms/overwhelm/",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "panic-attack",
      "title": "Panic attack",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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    {
      "collection": "symptoms",
      "slug": "paranoia",
      "title": "Paranoia",
      "url": "https://shrinkopedia.com/symptoms/paranoia/",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
    },
    {
      "collection": "symptoms",
      "slug": "procrastination",
      "title": "Procrastination",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
      "published": "2026-05-24",
      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
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      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
      "slug": "reassurance-seeking",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
      "slug": "restlessness",
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      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
      "slug": "self-harm",
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      "evidenceBase": "Clinical descriptions, observational studies, expert consensus",
      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
      "slug": "sleep-trouble",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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      "collection": "symptoms",
      "slug": "worry",
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      "cluster": "",
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      "reviewed": "2026-05-24",
      "updated": "2026-05-24"
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}