Hi Paula – Thx for weighing in. ICD as a WHO publication is available online for free. In my country, Denmark, the ICD is not sold by the WHO – it is sold in a versioned, Danish copy of chapter V which has been adjusted by a danish working group. It is then published by ‘Munksgaard’ – a Danish publisher who publishes lots of different genres. There must, I agree, be some financial incentives in this whole process. I’m not sure WHO are responsible for registering harms from psych-drugs. In Denmark it is the national health authorities who are responsible for this. In Denmark you can file a report online. This is in Danish, but this details the how reports of harm are handled: https://laegemiddelstyrelsen.dk/da/bivirkninger/bivirkninger-ved-medicin/registrering-og-overvaagning# It says that the company, not the authorities are responsible that the medicine works as advertised – nevertheless the authorities do some weighing of evidence, e.g. harm-reports, reports from companies when making recommendations. This process seems somewhat opaque. It is a interesting that there is not the same kind of attention to interests and money flows involved with the ICD compared to the DSM where literature on this is readily available. Perhaps it has to do with the nationalization of how ICD is used. The areas are much smaller – and e.g. European psychiatry does not have the same impact as US psychiatry. As I understand it there is probably also a major impact due to the different ways the American vs. most European health systems are funded, how medicine can be advertised, how reimbursement and legal questions are handled and so forth. When I trained as a psychologist, the DSM was considered more precise (particular for research purposes) than ICD. But today attempts are more often made to distance the use of ICD from that of DSM. That does signal some change, I think.