Print

Please login or register.
1 Hour 1 Day 1 Week 1 Month Forever
Login with username, password and session length

[Il Palazzo]

If a patient benefits from antidepressants, that means that they need antidepressants - they only work if you have chemical imbalances. The same is true of anti-anxiety medication and pretty much any other psychiatrist-prescribed medication. You're literally spouting the same pseudoscientific nonsense as "ban the drugs and send them to the farm" RFK is.

He did not literally said that, did he. Saying that >maybe< >sometimes< drugs are not the most important intervention in treatment of depression, or that removal of stressors can be more beneficial, is as far from pseudoscience or from banning drugs as you can get.

[Loud Whispers]

I sometimes can't help but wonder if a lot of so called patients that are under perscription of antidepressants, anti-anxiety meds and whatever more psychiatrists push nowadays wouldn't be helped to cope with their life much more if the money spent on the psychiatric consults and medication would be added to their monthly income instead. Poverty stress is the underlying cause of so many afflictions of both body and mind.

I agree and disagree. There has long been a philosophical line of approach in psychiatry to always be wary of pathologising normal facets of human behaviour; these are tough times, so it doesn't make sense to medicate people for responding unwell to unwell environments. In such cases removing them from the unwell environment would do wonders. But as Lord Shonus points out there are lots of people for whom it is a matter of chemical imbalances, stress responses triggering to ordinary stimuli. I've had a few patients where going off meds could cause them to be paralysed with anxiety, showing up for appointments days early crying even though they knew they had done nothing wrong, but were overwhelmed with the feeling they had. This is basically the same line of thinking as "instead of spending so much on treating people for diseases caused be sedentary lifestyles, we should allow people to have the free time to engage in leisure sports." Ideally we'd have both systems, encouraging people to stay healthy, and helping them when they fall ill anyways :]

[Eric Blank]

I would certainly be a lot less depressed and anxious if my financial needs could be taken care of. But I'd still be on the medication too. Maybe if my needs were met enough I could actually get a job that supports myself. Because retail sure as fuck will never be enough unless minimum wage at least doubles and minimum hours are set and enforced.

[Great Order]

I mean my anxiety could do with therapy I suspect, considering as best as I can tell nowadays it might actually be more trauma-based than genetic.

Unfortunately, CBT seems to be all that's on offer and historically that's not done much of anything for me.

[Loud Whispers]

Also it's not cheap. It's a bit of a meme where you get a lot of politicians who are all "we should stop paying for all these meds and pay for therapy instead!"

"Okay. Let's start funding people's therapy"

"No"

Mental health version of "why are we paying for all these foreigners when we aren't even helping our own homeless people?"

"Okay. Let's start helping our homeless people"

"No"

[martinuzz]

If a patient benefits from antidepressants, that means that they need antidepressants - they only work if you have chemical imbalances.

That's a non-argument.

MDMA makess you REALLY happy. Does this mean that you need MDMA to be really happy?

Hey - if someone feels better on meds, I won't take them away.

But when saying 'If a patient benefits from antidepressants, that means that they need antidepressants', I am missing the important question.
Why does this person need antidepresssants? The chemical inbalance thing is not very scientific. It's a best guess at bests (hey it works don't ask us why but it does).
Look into ' anti-psychiatry'. No, this is not some kind of radical action group. It is research group of psychiatrist who have worked the field most of their lives that argue that psychiatry should not use meds, only as a last resort. The argue that society is moving towards a state where normal feelings are medicalized. You mad bro? Here, take some anti-mad pills.

Why is there a chemical imbalance in the first place? Is it just nature? Or does nurture play a large part? I am not against meds per se. But I do think perscription of mind altering, addictive hard drugs (which most psychotherapeutic drugs are) is done way too soon.

I've had a few patients where going off meds could cause them to be paralysed with anxiety, showing up for appointments days early crying even though they knew they had done nothing wrong, but were overwhelmed with the feeling they had.

These patients either have paralysing anxiety, or they are suffering from withdrawal symptoms from the drugs they were hooked on and will tell you what you need to hear to get more meds. Unreliable witnesses / unreliable test susbject.
The question is raised too, was their anxiety ever THAT severe before they were put on meds and then stopped them? Did the meds actually make it worse in their un-medicated state?

For this, let's get back to MDMA. It makes you REALLY happy. Long term use however, and then quitting it makes people clinically depressed. The brain has become too used to extra serotonine being released to it artificially instead of producing it for itself.

[McTraveller]

Wow, massive earthquake in Myanmar/Thailand.

Destructive floods all over the place.

People just can't get a break.

[boredestry]

I don't know if this counts as today rather than a daily struggle, but my PTSD (DIAGNOSED) makes every day harder. I always feel like i need to be in fight or flight, and everything being a constant reminder of my past makes everything much worse.

[Loud Whispers]

I don't know if this counts as today rather than a daily struggle, but my PTSD (DIAGNOSED) makes every day harder. I always feel like i need to be in fight or flight, and everything being a constant reminder of my past makes everything much worse.

I hope you manage to pull through it, however long it takes. It really sucks that it's a chicken and egg situation, where you got to retrain your mind to stop triggering fight or flight response from normal stimuli, but you do that by not reacting. But you can't not react, because the fight or flight response is being triggered. It is a bruh syndrome

[JoshuaFH]

-

[Frumple]

Got news my last grandparent passed a few days ago. Trying to not feel fucking terrible about not taking the time to see them in the last couple years, not sure it's working

[Great Order]

https://old.reddit.com/r/cats/comments/1k0pgc7/this_letter_from_a_child_surrendering_their_cat/

[femmelf]

I might delete this post. I don't know. I'm scared. I have every reason to be and it terrifies me. I'm not putting anything bad but with everything going on, I just don't know.

I can't cry. Like I know I need to but I can't. I've tried to in private and I can't make myself cry by myself to feel better.

I might lose my job through no fault of my own. Even though I somehow made it through all the job cuts. I'm disabled but I do it well. I don't cause issues. I just shut up and work from home.

My doctor has written notes and now they just need newer ones, even though the latest is only 3 months old. Ok...?
The person looking over the notes initially said my last note was a year old and seemed to imply they did not have the new one that was only 3 months old.

They got the new note but said an old note would not suffice. They also said the new note from my doctor needed to answer their 8 questions. The fact that I've had notes multiple years and done well with this means...? What?

I'm thinking either: 

A.) They got someone up top saying they just need a new note in this format or

B.) They just aren't going to grant anything because they're not allowed?

If it's A, then I'm alright. I can get an updated note, and the format is weird but OK. If it's B, I'm just screwed.

My boss(es) have always supported my RAs to work from home. I know I have my problems but I keep them to myself and I get stuff done well.

I keep telling myself it can't end this way, but it can.... It's probably not legal for someone to do that to a person with disabilities but that doesn't mean they can't. I fought for years successfully through all the crap in my life. I did nothing wrong. I might have to take a pay cut in whatever job I can manage to get, if I can get one. I didn't do anything wrong. The job market is horrible right now.

I just want my job and I need to work at home to do it. It can work and it has worked. It's too painful otherwise.

I don't know what to say to myself. I'm scared.

[nenjin]

Going to hope for A for you. The questions might help give you an idea what has changed in terms of management's tolerance for WFH and disability policies, and what they might be expecting you to prove to maintain your position.