Sunday, December 9, 2018

Comments by WalterWhite

Showing 16 of 16 comments.

  • The doctors statement that “depression is a heterogeneous disorder” does go to the heart of things. Even drugs like sari’s that sound like they have a focused effect touch a lot of things directly or indirectly. I would disagree with him in that many of these drugs are just bad drugs, as in ineffective, or just transiently effective. As far as inflammation goes, its a lot more complicated than getting your ESR and c-reactive protein checked to find out if you’re depressed. I have a fulminating autoimmune disorder and there are a lot of flavors of influencing factors, cytokines etc. A lot of this comes down to a trade off. For some, benzos can help get them though rough patches better than anything else. They may pay later but nobody gets out of this alive anyway.

  • “I don’t care if someone takes my recommendation for an antidepressant or not” pretty much sums up psychiatry’s attitude, to me anyway. References to alternative therapies, other than common sense diet and life style changes always trigger the obvious question of if there were any truly effective alternative treatments out there, why would this conversation even be taking place? The one exception that I can think of is bright light, but that’s in the mainstream, kind of, it doesn’t kindle much interest, probably because its almost free.
    Benzos can help if used judiciously, especially to dampen the effects of a massive stressor, like a very serious health diagnosis, financial ruin, etc. Why sleep-aid benzo-family drugs aren’t discussed separately here I don’t know, I’m no expert in pharmacology. Seems like I’ve heard a lot more about their long term negative effects.
    Polypharmacy is kind of a red flag that nothing that you’re taking is working and the shrink is hoping for some kind of ping pong ball thrown in the mousetraps chain reaction effect, or, as noted above, doesn’t care.
    The collateral damage from endocrine disease such as Grave’s deserves more attention, as does why and how do autoimmune impostors like Lupus do what they do.
    Too bad that this stuff doesn’t all cook down to some whale songs, qigong, and adaptogens. Wouldn’t life be grand.

  • No words for this. Horrifying. Like The Noonday Demon to the …nth. This brings to mind the video of the Kelly Thomas police murder, and that’s about as bad as it gets. How lucky the abused and unfortunate are that there are people with enough courage and integrity to reach back for them. What a world.

  • Your post was the one that I naturally read first on finding this site and I have to admit that at first “genocide” and “cycle of abuse” made me twitch a little. But the more I thought about it, the more apt they became. People who have come, and continue to come, for help in good faith are being destroyed. Not only destroyed, but with a cynical, casual disregard. Words well chosen.

  • Very well put. Thank you. More emphasis on ‘actionable’ should be a priority. Accountability, especially financial, has a way of focusing the minds of even the most swaggering of bungling practitioners. Thanks to I forget what concoction i was on I almost bought a second house which would have literally have left me ruined. A cooler head prevailed and I put the pen down. I was being treated for cancer at the time and under enormous work-related stress. Needless to say I didn’t get help. I got the opposite. Just tossing things up here from my experience but before, or in parallel to, consulting a psychiatrist, anyone with an issue, any issue, should get a broad, insightful, physical workup for any signs of minimally autoimmune disease and, of course thyroid. Lupus is not known as ‘the great impostor’ for nothing. Same goes for other autoimmune disorders whose neurological features are being slowly but conclusively revealed. I’ve had Grave’s, and do have Sjogren’s, with severe neuropathy, so this is not idle chit chat. This is not a topic dear to psychiatrist’s hearts. Maybe it smacks too much of due diligence. Superimposing such conditions with a broad spectrum assault of psychoactive meds is malpractice with extreme prejudice.

  • Finding “attorneys disabled by psychiatry” and hearing their stories sounds like a very valuable exercise. I’ll look, but if you find any whose experiences and insights can be shared, please share. Thanks.

  • Re your comment “I myself believe that there are some kinds of mental distress that have physical causes”, I concur, absolutely. I’ve talked to people that have endured and continue to endure true Bipolar I and were realistic about it. Without their maintenance therapy, usually lithium, their lives plain fell apart. I met them in DBSA meetings when I was “in the system”. No duplicity in that population. Too much at stake. No experience with schizophrenics other than street interaction with the unfortunates in San Francisco and other places. One girlfriend, a very bright woman, had a schizophrenic brother and she gave me some insight. Yes, they need treatment as well, clearly. Maybe its less about anti-psychiatry and more about anti-biological-psychiatry-gone-wild. The use of powerful psychoactive drugs as diagnostic probes is not acceptable, especially considering that they may cause the symptoms of the illness that they are ostensibly treating. This is more like psychological vivisection than it is about compassionate care and needs to stop. I remember the words of this GP I saw after I moved here some 6 months ago, where I was guided to a consult (mentioned in another post). Having concluded that I was bipolar from reading my medical cliff notes, and by my checking ‘depressed’ on their questionnaire, he wanted to “see how I was” on a big load of his triple med solution. So I was to go away for several months and experience this avalanche of chemicals and return for my 15 minutes so he could “see how I was”. Amazing. So, I totally agree that it is absolutely true that there are people who need meds. They are a band aid but they let them get through life without too much suffering. But there is also a need to completely reform how psychiatry is practiced, diagnosis and treatment. For the grace of God most of us do not live at the extremes. We may have issues at times, and some help might be in order. But, the bias must be in favor of educated, insightful evaluation, and first doing no harm. I enjoyed your post. Thanks.

  • Absolutely, and please don’t be sorry. I flew over the Cuckoo’s nest. I had another problem right after I move here to the Portland area, again with a GP. It was important to me to establish contacts with a GP and a rheumatologist so I could continue getting a handful of medications that I thought that I needed, among them several medications to treat my “bipolar II depression”. On the patient questionnaire there were the usual questions about whether you were experiencing depression, anxiety, insomnia, etc. ‘Yes’ and ‘often to all so I was shunted into a consult with a GP with credentials in psychiatry. We spoke for about 10 minutes and he added and adjusted, all way up, several medications simultaneously while lowering my thyroid replacement (without any testing). The one medication that he denied was the only one that really helped. Arrogance, again. I declined all of the changes except something for sleep expressed my amazement at his recommendations. Among the drugs that he wanted to doubled the dose of, immediately, was one that I had had a severe dermatological reaction to when titrated too quickly. Dangerous, dangerous guy. All of the meds are gone now, except for pain and sleep. Obviously he is gone as well. Beware the questionnaire, and your own earnestness. Thanks for your time. Finding this forum is fortifying. How best to make us of it, and be useful to it, will take time.

  • Thanks. I appreciate it. One thing troubling to me was that, while I have enough fight left in me to push back on these ignorant practitioners, what happens to those who are so beaten down that they believe that their only recourse is passivity in the face of condescension and possibly even worse treatment? I suspect that they are just ground into dust. There needs to be sufficient access to motivated litigators to give these doctors pause. We’re talking massive egos here in many cases, and compliance will just encourage more bullying in whatever form. What worried and worries me is there does not seem to be any there, there legal resource-wise. I hope that I’m wrong.

  • I very recently had an experience with GP very much like the one you describe re getting you sinus infection treated. I pushed back hard on my routine pain prescription getting botched completely by him and the pain clinic. I subsequently received an email where he suggested that I come in to his office to discuss medications since he thought that I was “going into a manic episode”. I was stunned and still feel threatened. I have been diagnosed in the past with bipolars I, II, III…nth after revealing that I had several hypomanic episodes but only when being given antidepressants. So, like you and many others, I have been barcoded and am fair game for buffoons like this guy. I went looking for attorney referrals and other sources of backup at all of the right places and the landscape is disturbingly barren. Attorneys I can understand. No real money in it. But the sites that I found espousing great dedication to the cause were also almost completely unresponsive. Got a call eventually from a NAMI lawyer who told me to join my local NAMI group and had to run. The loud silence of support has made me aware that mental health is the Flying Dutchman of causes apparently. My first post here so please excuse the digression.