Sunday, October 2, 2022

Comments by JoelHassman

Showing 5 of 5 comments.

  • Perhaps per the length of this post by Dr B I might have misinterpreted some things, but I think this paragraph in his post makes a point for me to read it as moreso an indictment than just a misunderstanding:

    “Let me emphasize that antidepressants do not fix the sadomasochistic war. Instead they allow the destructive process to deepen, while the patient may temporarily feel better. Second and even more important, the extra serotonin specifically explains why people act on their suicidal and homicidal impulses. In the context of emotional numbness, hardening and drug-induced cruelty, people are less conflicted about murdering themselves or others. This explains the rash of horrendous mass murders committed almost exclusively by people on antidepressants. These kind of events were unheard of until antidepressants came on the scene.”

    Rash of horrendous mass murders? Come on Steve, even you have to read that sentence alone and step back to ask, “a bit extreme, perhaps”.

    Sorry I won’t be back to debate further, I have already noted my termination at this thread in just prior comment above.

    Let others debate in the manner they are comfortable participating.

    Joel Hassman, MD

  • I have been dealing with the BPDTs for several years now at sites like this, and won’t get dragged into the folly that is the agenda of the extremist antipsychiatry folk that this site is well known for, hence why so few psychiatrists end up at these threads who are moderate and want to dialogue, not have to endure the soapbox tirades the authors of MIA inevitably allow.

    But, for the sake of trying to answer another who seems to want a perspective and not just platitudes or mistaken efforts at debate, Krystn below asks, I assume to me, the difference between the suffering vs the pain of depression?

    I honestly don’t understand the definitions you are expecting with those terms, aren’t pain and suffering synonymous? But, you allude you ended up on medication or some other biological intervention, and found relief? If so, I am glad for you, and hope those who are or did treat you continued the process and modulated your needs as time progressed, as did your health.

    Again, Dr B seems to confuse those who worship at the alter of rigidity and inflexibility of the mistaken “biochemical imbalance” model, to be similar to those like me who see illness as multidimensional, or biopsychosocial.

    Well, as my last comment here at this thread, to both MIA staff and your readers, illness is multifactorial or dimensional, and so is treatment, so I hope your crusade to try to end any medication interventions, if truly well intended and benefits the sizeable majority of the populace, plays out well.

    It is easy to be critical and label, but as I have written endlessly to those who want answers and progress, watch out you are not in the crossfire of the extremists of both sides of this polluted aisle of “my way or no way”. Rigid and inflexible people do not serve the people, but just expect to be served.

    This is not a personal attack, but an interpretation of what I have read in my travels with those who expect persecution and extermination at the end of the day. It is how MIA comes across to many who have read here, and then wisely chose to not comment.

    Sadly, I was compelled to comment to what Dr B has written at the post, and realize once again, I am not an invited guest to debate, but either be repentant or repulsed. It is what it is folks, meds are part of the equation that is mental health disorders.

    Be safe, be well, and be wise!

    Joel Hassman, MD

  • I would not consider you the first person to rebut me, BPDT. Your rhetoric from past experiences does not consistently speak volumes for moderation and genuine interest for debate, but, my interpretation.

    Hey, your point of starting out less invasive is certainly correct, therapy is the mainstay of mental health care, but, are you going to reply further that honest and true severe Major Depression is going to be fully and completely impacted with talk therapy alone?

    Just falling back to the disingenuous statement that there is no reliability or validity of psychiatric diagnosis is your projection of the straw man’s argument, BPDT. If you are going to dismiss the people I think I have had a genuine, effective, and safe impact in helping, well, tell them their outcomes were a sham and I should be indicted by the masses for being a fraud and not being a responsible service to the community.

    Good luck with that path if you are considering it…

    I have posted about this at my blog today per this post by Dr B, and if the folks who read there can provide legitimate, defensible examples of where I am wrong, then they will be printed and noted.

    Been at this proposition before, lots of blank space in the comment sections of posts prior that asked for the same rebuttal………..

    Again, I am genuinely sorry psychiatry either failed you or just abused you, but, psychiatry as a whole is not the enemy.


    Joel H Hassman, MD

  • Again, if Mad In America wants to be a legitimate and effective voice in honest and concerning struggles in mental health care problems, publish articles that debate issues of general validity, not extremist and rigid attitudes and rare examples that dumb down true benefits as much as note the occasional risks.

    Um, antibiotics can cause serious anaphylatic reactions, and cause bacterial resistance, but, is MIA going to call for the dissolution of antibiotic use in this country? Opiates can cause paradoxical reactions, but, let’s deny people with post op pain or broken bones access to meds that will responsibly impact on reducing terrible anguish.

    In fact, let’s just make either all meds OTC or go on a campaign to claim that chemical interventions should be last ditch treatment options. After all, the world is black or white, the Force is either light or dark, and psychiatrists, well, we don’t even have a good side in the profession, hmm?

    Again, I defy readers and the editors of this blog to tell us all, what do you offer for treatment for people who seem to have the signs and symptoms of Major Depression, who are suicidal, not eating or sleeping, can’t function at their jobs, and create anguish in their loved ones watching the depressed person wither away.

    Still haven’t read anything of real substance from anyone associated with this site.

    To finish back to this post, yes, antidepressants have a dark side, but, it starts with poor diagnostic assessment, excess prescribing, and not reinforcing outside supports besides medication use. Debate those points, and you might be seen as a contributor to the dialogue that can elevate MIA as a legitimate accuser of psychiatric misconduct.

    Joel Hassman, MD
    Board Certified Psychiatrist

  • Um, sorry to have to write this, but saying you voted for him twice and then would offer to do it again and THEN be critical of this pathetically politically partisan agenda of blaming the easiest people to scapegoat, because the mentally ill as a demographic are the least likely to vote, well, a bit disingenuous at least?

    Besides, as long as both providers and too many alleged spokespersons for the mentally ill want to include antisocial personality disorder as mental health disorders, well, then you give ammunition, both figuratively and literally to these clueless folks.

    Hey, what do I know, just practicing psychiatry for 20+ years, and watching the same lame dialogue every election cycle. Look up George Carlin’s summary in his 1996 show “Back in Town”, the last 5 minutes, to know who really is to blame for poor political representation.

    Joel Hassman, MD