What is depression? Is it a mood? Is it a disease? Is it a disease of mood?
What do you do about it? Take medicine? Use willpower? Get therapy?
Depression is a common and debilitating affliction amongst humans, which makes it tragic that we know so little about it. We know that depression can arrive seemingly out of nowhere. We know that it can be driven by hormone shifts or brain injury or nutrient deficiencies. We know that medicine really does very little to help it, despite the millions of people taking such medicines. What do we know that is helpful to you when you feel depressed?
On one level, I admit we know next to nothing about depression. It is one thing to try medications, perform brain scans, and test your blood. It is quite another to really understand the human condition called depression.
I like things simple. I like the utter simplicity of Rational Emotive Therapy, for example. I also like simple explanations for human problems. What follows is my very simple, though speculative, explanation.
First the obvious: Humans are mammals. We have more complex brains and more complex emotions. We can think. Thinking is a great advancement in the evolution of animal life. It is also a burden. Humans are uniquely able to think themselves into a tailspin in the light of uncomfortable realities. So how do these facts fit together for me when I treat depression?
What if depression is a defense mechanism? Powerful animals such as bears hibernate in the deep of winter to stay safe from the elements. They fatten up first. Their vital signs depress, and they basically sleep off the inhospitable conditions, consuming all that stored fat.
Hibernation saves the lives of mammals. It is a healthy defense against the rigors of winter.
Dr. Carol B. Low, licensed clinical psychologist
offers useful self-help tips, advice, and comment
on the world from a psychological point of view.
Individual psychotherapy,
video-chat, and intensive therapy.
Now open in Ashland, OR | 916-936-2325
Showing posts with label anti-depressants. Show all posts
Showing posts with label anti-depressants. Show all posts
Wednesday, April 9, 2014
Saturday, July 10, 2010
Anti?-Depressants Again
One can never overstate the danger of relying heavily upon anti-depressant medication as the first line of defense for every psychological complaint and a goodly number of physical complaints as well. Anxious? take Zoloft. Can't sleep? Try Paxil. Stressed? Take Effexor. Pain? Take Celexa. Smoking? Take Wellbutrin. IBS? Take more Wellbutrin.
The way I learned it in school, non-psychiatric MDs should NEVER prescribe psychotropic medications, because 1) they are not trained to diagnose psychiatric issues and 2) they are not versed in any other approach to such problems. I also learned how to do psychotherapy in school, which MDs do not. And it turns out that study after study demonstrates that psychiatric problems are responsive to good psychotherapy, but rarely to drugs. It also turns out that a good number of medical problems are more responsive to good psychotherapy than to drugs. Hypnosis works better for IBS and WARTS (yes, you read right) than anything else out there!
The following references will help you get over the drug-company driven belief that anti-depressants are so great we should put them in our drinking water!
Oh, and it is important to note that the side effects as well as the withdrawal effects from various antidepressants include anxiety and insomnia!
Be a skeptical consumer.
Efficacy and Effectiveness of Antidepressants: Current Status of Research.
H. Edmund Pigott, Allan M. Leventhal, Gregory S. Alter, John J. Boren,
NeuroAdvantage, LLC, Clarksville, Md. , Department of Psychology, American University,
Washington, D.C. , USA
"Meta-analyses of FDA trials suggest that antidepressants are only marginally efficacious compared to placebos and document profound publication bias that inflates their apparent efficacy."
http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ArtikelNr=318293&Ausgabe=254424&ProduktNr=223864&filename=318293.pdf
STAR*D Wars:
Friday, 30 June 2006, 12:33 pm
Opinion: Bruce E. Levine
"While the FDA’s trust of flawed and fraudulent pharmaceutical company data has long been a problem, NIMH’s STAR*D study is a kind of “boot on the face” for Americans. In STAR*D, U.S. taxpayers paid for a methodologically substandard study done by drug-company connected researchers, who drew unjustifiably positive conclusions about antidepressants. "
http://www.scoop.co.nz/stories/HL0606/S00351.htm#a
The way I learned it in school, non-psychiatric MDs should NEVER prescribe psychotropic medications, because 1) they are not trained to diagnose psychiatric issues and 2) they are not versed in any other approach to such problems. I also learned how to do psychotherapy in school, which MDs do not. And it turns out that study after study demonstrates that psychiatric problems are responsive to good psychotherapy, but rarely to drugs. It also turns out that a good number of medical problems are more responsive to good psychotherapy than to drugs. Hypnosis works better for IBS and WARTS (yes, you read right) than anything else out there!
The following references will help you get over the drug-company driven belief that anti-depressants are so great we should put them in our drinking water!
Oh, and it is important to note that the side effects as well as the withdrawal effects from various antidepressants include anxiety and insomnia!
Be a skeptical consumer.
Efficacy and Effectiveness of Antidepressants: Current Status of Research.
H. Edmund Pigott, Allan M. Leventhal, Gregory S. Alter, John J. Boren,
NeuroAdvantage, LLC, Clarksville, Md. , Department of Psychology, American University,
Washington, D.C. , USA
"Meta-analyses of FDA trials suggest that antidepressants are only marginally efficacious compared to placebos and document profound publication bias that inflates their apparent efficacy."
http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ArtikelNr=318293&Ausgabe=254424&ProduktNr=223864&filename=318293.pdf
STAR*D Wars:
The Corruption of the National Institute of Mental Health and the Failure of Antidepressants
Friday, 30 June 2006, 12:33 pmOpinion: Bruce E. Levine
"While the FDA’s trust of flawed and fraudulent pharmaceutical company data has long been a problem, NIMH’s STAR*D study is a kind of “boot on the face” for Americans. In STAR*D, U.S. taxpayers paid for a methodologically substandard study done by drug-company connected researchers, who drew unjustifiably positive conclusions about antidepressants. "
http://www.scoop.co.nz/stories/HL0606/S00351.htm#a
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