Have you seen any interesting articles or videos or images online pertaining to mental health, psychology, psychiatry or neuroscience that you’d like to open up discussion about here?
Submit here and we can get talking about them!
Just a heads up, because I’ve been getting a lot of asks lately on the topic: I am not a doctor, and even if I was, it would deeply negligent of me to advise about medications via the internet. I’m sorry but I just can’t help in that capacity.
I won’t publish your question because I can’t put a trigger warning before it.
What terrifies you about antidepressants? What kind of therapy did you try? Therapy is not an instant fix: it won’t work within 2 sessions… it requires perseverance, which I know is hard, but it sounds like you might have a good support system to help?
“Schizophrenia,” Elyn Saks writes, “rolls in like a fog, becoming imperceptibly thicker as time goes on.” Saks is a professor of law, psychology and psychiatry and the behavioral sciences, and she’s written widely on mental health and the law. But her knowledge of schizophrenia is deep and personal. Though many of her colleagues and students are just now learning it, Saks herself suffers from the disease. It emerged when she was in college and strengthened in graduate school. She suffered serious episodes of delusions and paranoia, at times mumbling to herself in hallways and forgetting to eat and bathe. Remarkably, despite several hospitalizations, Saks managed to graduate as class valedictorian at Vanderbilt and complete studies at Oxford and Yale law school. She’s told her story in a new memoir. It’s called “The Center Cannot Hold: My Journey Through Madness.”…
“You know, I had a bunch of symptoms when I was growing up. I think a lot of them were within normal limits. You know, I was fearful. I had some phobias. I had some obsessions. I had some kind of intense fears that, in retrospect, might have been a kind of beginning of the almost poking through, but the first real clear sign of it was when I was 15 or 16, and I was sort of walking home from school precipitously. I left, I just suddenly got up and walked home, and I felt as if the houses were sending me messages and getting all weird and frightening, and I was terrified… a psychosis is not like an on-off button but a kind of a dimmer switch; it ranges in degrees of intensity. And by this time I know my illness fairly well and it’s not uncommon for me to have a kind of transient psychotic thought and say, `Oh, that’s just my illness acting up.’ And one thing that’s stood me in good stead is, even when it gets worse, when I am really, really believing the crazy things, I always know that other people will think they’re crazy, and I’m motivated to not appear crazy so I’m able to kind of make my way in the world in that way. And then occasions where it’s just so intense and so profound, I just know not to be around people. Because I, you know, I don’t know what I’ll say. So for the most part I can control what I say even though I really can’t control what I think…”
The Negative “A’s”
Psychiatrists have four terms, all beginning with the letter “A,” that they use to describe negative symptoms:
Alogia refers to difficulty communicating; people with alogia don’t speak much.
Affective flattening, also known as blunted affect, reflects a lack of emotional expression displayed by many people suffering from schizophrenia.
Avolition is a medical term used to describe the inability to form or initiate plans and to motivate oneself. It is pretty much the same as apathy.
Anhedonia describes an impaired ability to enjoy life and find pleasure in previously interesting activities. While it is not part of the definition of the disorder, it is an important associated feature of it.
These occur aside the “positive” symptoms of schizophrenia most people are more familiar with, such as visual/auditory hallucinations.
but, ultimately, therapy is a process that must respect the individual.” —Paul Gilbert