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Abstract: In May 2013 one of the most profoundly influential books of the late twentieth and early twenty‐first century was released in its fifth edition. Yet, it is not unreasonable to speculate that this newest edition will pass largely unnoticed, even as new diagnoses (and the loss of current ones) seep into the everyday. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5) will undoubtedly be influential in education – defining and re‐defining student maladies. Its list of extensive categories provides, so it is argued, a means to uniformly identify mental disorders. Applied in educational contexts, children and young people can thus be categorized by clinical experts and teachers able to identify an individual's problems, and in theory, respond appropriately. Criticism of the DSM includes debate over its application in cross‐cultural contexts as well as the ways that socio‐economic differences are, to put it bluntly, diagnosed differently. Although these issues of diagnosis do get attention, historical contexts can remain bereft in commentary. In this paper we consider the value that historical perspectives can bring to an analysis of the contemporary effects of DSM‐inspired readings of education and disadvantage. The paper also draws on two projects, one with young people, the other with parents of young children, both of whom experienced disadvantage and precarious relationships with education. In these excluded contexts, people are more likely to come into contact with diagnostic repertoires that originate from the DSM. Drawing on Georges Canguilhem's analysis the ‘concept' as well as Michel Foucault's discussion of Canguilhem's work, this paper considers how attention to school problems is important for disengaging with education's appetite for psychiatric disorders. [ABSTRACT FROM AUTHOR]