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It’s about time.
I agree with you about the etiology of many distressful emotions coming from social determinants but when I read articles such as yours, I am always left with the feeling, why does it have to be either or?
Examining and correcting issues in society is long overdue, but to ignore biology would not be correct either. I think of things like syphilis, ergot fungus, nutritional deficiencies, and illicit substances as examples of things that can cause symptoms of mental illness.
I hear that all sorts of medical problems are ruled out prior to a mental health diagnosis, but I doubt this is true. However, say it is, then think of all of the things we don’t know yet that could being causing these symptoms.
While unknown physical causes may not be ignored as much psychosocial issues, they are still being ignored and I would hate to see a return to everything being blamed on your mother or some ego/id struggle or even poverty if someone is in fact physically ill.
“The problem comes when the idea that 20 percent of Americans have a “mental illness” and are prescribed “medications” becomes normalized. What the hell happened there?”
Take a look at our society. I surprised the numbers aren’t higher of people just trying to cope with the nightmare that is the modern workplace not to mention elsewhere.
I can really relate to these comments. As someone that had hypertension and fatigue at too young of an age, I had to “convince” my doctor to refer me to a sleep center. The snoring part is what finally made him agree. A sleep study showed that I had severe sleep apnea with no symptoms of depression like too much or early onset REM.
I was fine with the CPAP and 100% compliant; it even felt better to be able to breathe with it on. However, it did nothing for my fatigue, and I resented being asked to live with the machine and pay for parts for the rest of my life. So
this meant that I had to hunt down a ENT to remove my chronically swollen tonsils. Every doctor, including the ENT, tried to dissuade me from the surgery, saying that it usually doesn’t cure anything Yet, they were so enlarged and had been for decades, that I was certain it would help. At least the ENT agreed to it, and the surgery (and avoiding gluten) did cure me.
Now, I am still looking for an answer to my fatigue. I am almost positive it is under treatment of hypothyroidism and I see an endocrinologist next month. Still, through all of this I have to stave off recommendations from my GP for an antidepressant. I am half tempted to take one, so I can demonstrate that it is not the answer, yet I am scared of the side effects and trying to get off of it.
This was rather long-winded and I didn’t mean it to be. The point I want to make is that you have to do the work to figure out what is wrong with you, and how to get it treated, even when you feel like garbage. I do wish doctors were your advocates instead of living vending machines for ADs.
I wouldn’t call you arrogant. Maybe expert is not the correct word, yet I think I would do myself a disservice if I did not consult with those trained in medicine. Doctors are another resource for us, even if they only show us what not to do, and some of them are very good at what they do. Note that this is written by someone that has to beat off antidepressant Rx’s with a stick. It is all they want to give me even after multiple psychologists say I am not depressed.