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The problem is that psychiatry is an absolute zoo. Ive heard that if you go to 10 doctors you'll get 10 different opinions based on the docs personal experience

by fny 19d ago

The problem is that psychiatry is an absolute zoo. Ive heard that if you go to 10 doctors you'll get 10 different opinions based on the docs personal experience. Even if there are trials for these medications, the field is not quantitative in practice. "Standard of care" is a myth.

trentnix 19d ago
The one thing they will all agree on is that you need pills of one sort or another.
- stronglikedan 19d ago
  Of course, because prescribing pills is the sole job of a psychiatrist. Go to a phycologist or therapist of you want to try to talk it out. If talking doesn't work, they'll send you to a psychiatrist for medication.
krupan 19d ago
Definitely prefer psychologists and therapists over psychiatrists, but don't discount how much something like an SSRI can help
- hirvi74 19d ago
  But how does one know? According to some studies, spontaneous remission happens in about half the cases of depression in a given year. It's happened to me plenty of times. That's why I refuse to medications. All I have to do is just wait it out. I am not claiming no one gets any benefits, rather how can one be certain the benefits are actually not from something else? If the goal is to improve, then I suppose it does not truly matter. But I just like to understand things when I can.
  - com2kid 19d ago
    Part of diagnostic criteria is how long something lasts. If you have a really good week you aren't going to get diagnosed with mania. If you have a really good month where you quit your job, move to Italy, and try to start a new job carving marble statues (and you've never carved stone in your life), well those will all be factors in any diagnoses given. On the other hand, if you feel sad because your dog died, no one should be writing you a script for anything. But if your dog died and you can't even function enough to go to work for a month, yeah it is probably temporary, but maybe some help is warranted, be that therapy or meds.
  - nuancebydefault 19d ago
    I regularly had a depression for years without even knowing it was a depression. Until a neurologist told me, after examination of brain imaging, it's best to take this pill for at least a week. Only after feeling its effect, I knew it was really depression causing the symptoms, even though I did not feel depressed! I felt exhausted and stressed and had several physical side effects like dizzyness and stomach ache.

by fny 19d ago

trentnix 19d ago

The one thing they will all agree on is that you need pills of one sort or another.

stronglikedan 19d ago
Of course, because prescribing pills is the sole job of a psychiatrist. Go to a phycologist or therapist of you want to try to talk it out. If talking doesn't work, they'll send you to a psychiatrist for medication.

krupan 19d ago

Definitely prefer psychologists and therapists over psychiatrists, but don't discount how much something like an SSRI can help

hirvi74 19d ago
But how does one know? According to some studies, spontaneous remission happens in about half the cases of depression in a given year. It's happened to me plenty of times. That's why I refuse to medications. All I have to do is just wait it out. I am not claiming no one gets any benefits, rather how can one be certain the benefits are actually not from something else? If the goal is to improve, then I suppose it does not truly matter. But I just like to understand things when I can.
- com2kid 19d ago
  Part of diagnostic criteria is how long something lasts. If you have a really good week you aren't going to get diagnosed with mania. If you have a really good month where you quit your job, move to Italy, and try to start a new job carving marble statues (and you've never carved stone in your life), well those will all be factors in any diagnoses given. On the other hand, if you feel sad because your dog died, no one should be writing you a script for anything. But if your dog died and you can't even function enough to go to work for a month, yeah it is probably temporary, but maybe some help is warranted, be that therapy or meds.
- nuancebydefault 19d ago
  I regularly had a depression for years without even knowing it was a depression. Until a neurologist told me, after examination of brain imaging, it's best to take this pill for at least a week. Only after feeling its effect, I knew it was really depression causing the symptoms, even though I did not feel depressed! I felt exhausted and stressed and had several physical side effects like dizzyness and stomach ache.