Friday, February 3, 2023

Comments by Femme-MSW-CADC

Showing 5 of 5 comments.

  • You are 100% correct. The first part of de-pathologizing depression is recognizing that it is your environment that is causing the issues which can indeed create feelings of powerlessness. Mental health workers need to work on finding ways to create community instead of just treating people individually. Without community support that creates solidarity and promotes action against the toxic environment causing the problems, it can definitely feel hopeless. I really, really hope things are moving in that direction. I’m seeing more of it but definitely not enough.

  • The fundamental error of the DSM is that it was created as a way to submit insurance claims for reimbursements.

    I think that there can actually be some power in grouping people together that have the same things “wrong” with them because solidarity and connection is important, especially when isolation in the feeling of powerlessness is a primary contributor to depression. From a liberation psychology standpoint, solidarity is a major part of de-pathologizing symptoms that are completely valid and not in any way biological, and then working together to push back against the societal and systemic reasons that they are experiencing. What we’re missing is collective action. How amazing would it be of mental health professionals started organizing people for the purposes of self-liberation? It would be powerful to those suffering.

  • Social workers “put people in jail” are often required to because there are no places for those who are having a mental health crisis. The problem is systemic. Social workers that give urine analysis are almost always required to by law. Again, this problem is systemic. It’s treated like parole work because that’s the job description. Personally, I would never ever take a job working in any legal focused social work – like CYS or DHS – because it is the laws that govern these agencies and the job descriptions themselves that put social workers in the positions where they have to do these things. I definitely don’t doubt that some social workers believe that they actually are doing the right thing which is unfortunate. I have known a handful of those. But I think a lot of them feel trapped inside of a system that is stacked against them and their clients And they are doing what they can to mitigate the impacts it has on the people they’re trying to help. Harm reduction philosophy is real and those rooted in that kind of philosophy are trying to make changes but…

    It is indeed a lot like police work – You think that once you get into a position you can change the system but once you’re in, you feel trapped and powerless because the problems are so deep and written into the very laws that govern your available actions. All this to say that if you’re a social worker, you also have to be involved in direct action, actively working to upend the laws and policies you are governed by. If you’re not, you’re complicit.

  • There are “mental health workers” that advise against exercise?? Yikes, never met one but I’m sure they exist. Exercise is definitely not any kind of criteria for mania either so that’s even more frightening.

    I actually think a lot of people are recommended to exercise but many people, thanks to capitalism, don’t have the time or energy to invest in exercise. Our society is not set up in a way that makes exercise easy for a lot of people. When you’re working long hours or multiple jobs, having time to actually do self-care like exercise can be hard and many times people can’t cut their hours or else that means not eating or having a place to live.

    I think the biggest problem with mental health workers is that for a long time, they have placed pathology on the person with the symptoms instead of the culture that they live in. How could people not be depressed when they work 60 hours a week and still struggle to eat while and have a safe place to live? That has nothing to do with them but the world in which they live. It’s just a lot harder to treat that than it is to treat a single person’s symptoms. We need more mental health workers to be focused on action on a systemic basis because without that, there’s no hope for resolving the majority of mental health issues.

  • I want to believe that our minds are fully controllable but I’m going to need to see more research on how this idea applies to people with substance use disorders, especially ones that started in their teens, and complex childhood trauma. The “wiring” of your brain can indeed be altered and yes, neuroplasticity is also a thing but how do we teach people who has spent formative years of their lives, both behaviorally/developmentally and neurally speaking, regulating their brains with substances how to just not do that anymore. This just seems so overly simplistic. Most of these people are in situations that will probably never get significantly better because of systemic injustice – such as previous criminal records that keep them from getting jobs resulting in economic oppression with little to no hope of getting out of it. Is it really possible to teach people in these situations to “rise above”?

    I’m not saying that medication is the answer either (let’s face it, it starts with ending poverty) but I am saying that you can understand why some people need to numb rather than exercise their emotional regulation muscles because it might actually not be possible being that the level of treatment that a person would need is just not available. Maybe if we had inpatient facilities that did real therapy for a year It would give some people the space to actually exercise those muscles but most people in these situations are not living in a bubble where they get to just distance themselves from their hardships, both internal and external. Sometimes The numbness the medication provides them helps them to function because they have no space to build those skills. I guess when I’m trying to say here is that all that stuff above sounds great if you actually have access to real therapy. But most people don’t so I don’t really know how useful this is for the large majority of people in this country.