I’m sure some of them are. Also it depends on what you mean by “finding”. Lawnmower is referring to some extremely rare, difficult to diagnose medical conditions. No psychiatrist is going to be making that diagnosis, as we seem to all agree on. If you are talking about something like thyroid disease, I’d suspect most of them consider that kind of thing.
Obviously.
It’s #2. What I’m saying is that there’s a long tail of disorders (ranging from sort of rare to extremely rare) that they aren’t going to be very familiar with and for good reason. They also are not going to exclude all of those things before moving on to psychiatric diagnoses because that would be both ridiculously expensive and impossible. I wouldn’t say this a failure of psychiatrists to do their jobs, it’s just a difficult problem to solve in medicine.
No, in general.
I guess it depends on what you mean by “finding”. There is probably a way that you could define it such that “in general” is true.
meh what would I know?
I assume you’d be self-aware, but in case you aren’t, what you would know is probably heavily weighted toward emergent situations, which is probably a minority of psychiatric care dispensed in the country.
Hope that helps!
This is not a position I hold due to anecdotal experience. Carry on.
Well I did say “heavily weighted”. But I suppose it is possible that you are some sort of super-human who is immune to being biased in any way by their lived experience. That’s probably it.
hey, any update?
I’ve exhausted treatment options for chronic depression. even had genetic study done that claimed I am a hyper metabolizer of a ton of first line medications for it, so I’m trying to go a bit more homeopathic, because I’m spending multiple thousands a month already at this point on my health and nothing seems to ever improve.
eta: late to discussion but I have yet to have a good psychiatrist. there’s two types - dr feelgoods that shove medication at you without even a thought, or extremely gestapo ones that want drug testing 1x a week and surveys and graphs of your moods and crap and if you express any reluctance or doubt whatsoever in the treatment (mine’s usually - I tried this exact medication several times before) then they get upset.
I’ve had multiple diagnoses, the most persistent being autism spectrum disorder and/or ADHD, mixed depression/anxiety disorder (resistant to treatment). most of the time my depression presents as dhysthmia but never better than that, it’s 100% of the time.
I joined 2 different therapy groups and have 2 therapists + 1 psychiatrist now and a bewildered MD. dunno what else to do really. crux of the issue i think is a bit of existential depression - I don’t have many friends, my family’s all dead, very little interest in doing much other than tinkering on my tech and video game projects. I’m cutting out alcohol to see if it improves things at all but kinda doubtful.
golf!
this is part of the problem i forgot to mention - my therapist I’ve had for 5 years thinks I’m under considerable physical pain that I’m not completely aware of and that’s what is causing this. we realized last fall that I dissociate heavily (goes back to some early severe abuse i forgot about but came out in therapy) in certain situations and pain is one of them apparently. I get cuts, bruises all the time I cant explain because I dont feel them. my knee feels fine but my therapist tells me I show unconscious signs of severe pain but I’ll very seriously report I feel fine.
my knee has been in limbo for a fucking year as they wait for a donor for soft tissue and bone. i have osteochondritis that was supposed to have been corrected in 2013 but he botched it and now i basically have no soft tissue left in that knee. when i asked the ortho if i could still be active, he looked bewildered that I even asked that, which I didnt understand at the time but now I do. i almost certainly have to be in extreme pain but other than it buckling and me falling I genuinely dont notice.
anyway tldr thats why i dont golf often because of the mobility issue. after 1 day i’ll be severely limping for weeks
Have you looked into MDMA therapy?
I tried ketamine therapy earlier this year and it did… not go well. I felt like I had an out of body experience and felt what death was like, and honestly, that was not a good thing for me at that moment.
Ahhh that’s a shame.
I wouldn’t say I understand a whole lot about MDMA but I think its a different experience to ketamine - but given your circumstances it kinda seems like any drug-assisted approach is something that really needs to be entered into with a guide that knows a lot about what they are doing and how to assist with integration afterwards.
Absolutely not a recommendation or endorsement on my part, it’s just a point of curiosity for me and I have a bunch of different podcasts and reading I want to do on it before I make a decision for myself on whether I want to try it.
it is different and I’ve had it before, but the whole thing kinda turned me off to these kinds of alternative therapies. it feeled very hippyish and weird and annoying.
I went on a vacation that basically included no internet access for ten days. I was almost panicking the first two days and then leveled out. By the time I came back I was the calmest and most positive I’d ever remember being as an adult. Of course my normal habit back home unfortunately changed all of that.
Would yoy feel that shutting off all internet interaction would eliminate some of this stuff to a degree? - regardless of how mundane and boring it would be.
due to the nature of what I do I’m not sure this is really possible but I’m not sure. I’m pretty offline these days other than here and there
oh, one of the therapy groups I’m in is a service that’s very very beta at this moment but is called pace.group. The sessions are mostly peer-led, you do have a “counselor” but they’re not licensed due to legal restrictions and they don’t offer therapy per se, but it has been an absolutely wonderful space for sharing very personal things with peers that I don’t even feel comfortable talking to my therapist about, for fear of therapeutic judgment or whatever else. I also have been finding I have shocking amounts in common with people I never expected to and it’s given me quite a bit more empathy. Highly recommend.
I went to a therapist for a while and she gave me some tips. But she I found her pretty low quality.
She would misremember stuff I had told her. Or else just talk without listening. She was also a dick about me canceling an appointment even when she had done the same with me twice.
I think for me it’s all really practical stuff.
Sleep. Diet. Stress. Breathing. Avoiding too much drink and drugs. Exercise. Giving myself down time. Not leaning into being elevated. Managing my workload at uni to be more consistent, not peaks and troughs.
I do need to figure out coping strategies for being hypomanic at work though as it does NOT make for being an effective leader.
https://www.nature.com/articles/s41380-022-01661-0
The main areas of serotonin research provide no consistent evidence of there being an association between serotonin and depression, and no support for the hypothesis that depression is caused by lowered serotonin activity or concentrations.
This review suggests that the huge research effort based on the serotonin hypothesis has not produced convincing evidence of a biochemical basis to depression. This is consistent with research on many other biological markers. We suggest it is time to acknowledge that the serotonin theory of depression is not empirically substantiated.