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Medicalising everyday life doesn't help anyone's mental health

theguardian.com

21–30 of 70 posts

Re: Medicalising everyday life doesn't help anyone's mental health

#21

Could it be that people aren't _just_ becoming more sensitive, but that aspects of modern society are _causing_ mental health issues to appear at higher rates? I won't say 'capitalism is making everyone mentally ill', but it does seem that a large blind-spot in most discourse around mental health is environment. In this sense, 'medicalising' everyday does, in fact, provide a useful lens to examine mental illness. Jus…

Over the last 3 yrs I think I have discovered my supposed (very real and intense) hayfever started when I started 'real' school ( 12 yrs+ ), worsened when I attended uni and started 'working'.

Couple of years ago I started to go outside for long periods of time, at the start of the season, all season. Biking and laying about at the waterside with my nose in the grass. First year, first months, I had symptoms. But after like 2 months of exposure I started to become free of symptoms.

Up to my 'real' school we played outside extensively and I never had symptoms.

When I was about 15 years I was prescribed pills and whatnot.

If I go outside 'enough', I consider myself 'cured'.

Not mental, but I felt it was related.

Re: Medicalising everyday life doesn't help anyone's mental health

#22
post #11

A friend of mine is affected by this, combined with her innate hypochondriac tendencies it makes her life very difficult and her sense of self-worth and confidence very low. However, I am at a loss as to how to approach her to help her. Trying to convey this to her would sound more like an accusation of hypochondria.

This sounds very much like my ex. I thought I could help them. For a long time, I did... think I was helping. When a sequence of tragedies struck, I found myself needing help. We deteriorated quickly, as their self-worth was propped upon mine, which was defined in large part by my ability to help. We didn't have external support and we both crumbled.

I wish I could tell you how to help your friend. What my spouse needed was therapy from a professional, who could maintain appropriate boundaries -- I wasn't, and couldn't.

The awful thing I learned about 'hypochondria' is that psychosomatic effects, and stress, can have real physical consequences. I never did learn how to navigate that conversation without causing distress

Re: Medicalising everyday life doesn't help anyone's mental health

#23
post #5

I wonder about this as well. I see lists of anxiety symptoms shared and I meet every one of them, but I don't consider myself to have anxiety. Isn't it normal to be anxious in stressful situations or to be depressed when things are going poorly. Then I do some reading about it and I wonder maybe its not normal, maybe I'm not supposed to feel this way. I'm sure there are people with mental health conditions that do ne…

Well, first of all, only certain professionals are licensed to administer those tests, and for good reason, because otherwise people would self-diagnose too much or too little. > […] I don't consider myself to have anxiety. Everyone has anxiety. Some people have anxiety disorders. > Isn't it normal to be anxious in stressful situations […] People with anxiety disorders are anxious in normal, non-stressful situations.…

I don't think this was intended as a general purpose argument against ever treating mood disorders. Rather, the parent comment is describing the fact that anxiety and depression are conflated with their corresponding disorders too often.

I can somewhat relate from experience: I went to a doctor for terrible trouble sleeping, to the point that it was affecting my physical health, that we assumed was caused by anxiety/depression[1]. I was pretty shocked at the rapidity with which she suggested going on antidepressants, particularly considering the tapering periods and the seriousness of the dependency and side effects that they cause.

I pushed back a little but it turns out that my doctor's cavalier attitude towards antidepressants isn't out of the norm: they're considered a "try it and see what happens" first line of defense, without trying to get a better sense of the patient's specific issues and whether therapy or other interventions, sans medication, would be a better fit (though I should note that the doctor recommended that I go to therapy if possible in conjunction).

Tangentially, this fits with a larger disillusionment I have with the medical system: a combination of screwy incentives, bad lines of communication between generalists and specialists, and a serious institutional/cultural case of a God complex leading to a lack of critical thinking means that I'm at the point where I pretty much keep anything a doctor tells me as just another unreliable information source, weighted more heavily perhaps than my layman's understanding of the research but on categorically the same level.

Ive seen the same disillusionment kick in among my doctor family members: in our conversations over the years, my sister and her husband have gone from a central case of said God complex to as much as telling me not to take doctors' advice without a heavy dose of skepticism.

I should note that I don't actually consider this a criticism of any individual physicians as much as the realities of the system. One of the biggest factors is that the average person showing up at the doctor is simultaneously incredibly dumb and incredibly confident in their understanding of the medical problem. It makes sense for doctors to be a somewhat heavy-handed and reductive, and once you build those habits into your institutions and pedagogy, it's hard to turn it off.

[1] Turns out it was the other way around: consistently not sleeping causes some pretty crappy psychological problems

Re: Medicalising everyday life doesn't help anyone's mental health

#24
I don't know how much he knows about mental health or how it's practice in the US. But in the US there are things that are classified as clinical and those that aren't. The DSM-V is a guidebook to those issues and people who make those determinations has to go through a graduate program (Masters, Ph.D. etc) with a certain period of training akin to residency (these requirements do vary from state to state but in California it is fairly extensive and strict). I can't speak to what's going on in the UK but one can't simply show up to a therapist or psychiatrist because one's having a bad day and start getting drugs or some long term therapy program.

Re: Medicalising everyday life doesn't help anyone's mental health

#25

> One of the things that is most protective to mental health is not to spend too much of our lives consciously obsessing about it. That last statement is rather asinine and seems at odds with the rest of the article. I think it's fair to say negative emotions aren't the same as mental illness, but ignoring those negative emotions and keeping a "stiff upper lip" can lead to much bigger emotional problems down the road…

> ignoring those negative emotions and keeping a "stiff upper lip" can lead to much bigger emotional problems down the road To me, keeping a "stiff upper lip" isn't so much about ignoring negative emotions, but more about behaving in the right way even when emotions pull you the wrong way. In my experience, exercising that skill doesn't create emotional problems, but solves them.

This is what I feel is meant by stiff upper lip:

Be like a rocky promontory against which the restless surf continuously pounds; it stands fast while the churning sea is lulled to sleep at its feet. I hear you say, "How unlucky that this should happen to me!" Not at all! Say instead, "How lucky I am that I am not broken by what has happened and am not afraid of what is about to happen. The same blow might have struck any one, but not many would have absorbed it without capitulation and complaint."

Re: Medicalising everyday life doesn't help anyone's mental health

#26
post #10

Could it be that people aren't _just_ becoming more sensitive, but that aspects of modern society are _causing_ mental health issues to appear at higher rates? I won't say 'capitalism is making everyone mentally ill', but it does seem that a large blind-spot in most discourse around mental health is environment. In this sense, 'medicalising' everyday does, in fact, provide a useful lens to examine mental illness. Jus…

I would bet that the higher rates are about mental health issues becoming more widely known and less stigmatized.

Would you tend to feel that mental health issues are a result of nature, and not nurture then?

Re: Medicalising everyday life doesn't help anyone's mental health

#27
Reminds of this paragraph of Mark Fisher in Capitalist Realism:

"I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of tress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill? The 'mental health plague' in capitalist societies would suggest that, instead of being the only social system that works, capitalism is inherently dysfunctional, and that the cost of it appearing to work is very high".

Re: Medicalising everyday life doesn't help anyone's mental health

#28
post #5

I wonder about this as well. I see lists of anxiety symptoms shared and I meet every one of them, but I don't consider myself to have anxiety. Isn't it normal to be anxious in stressful situations or to be depressed when things are going poorly. Then I do some reading about it and I wonder maybe its not normal, maybe I'm not supposed to feel this way. I'm sure there are people with mental health conditions that do ne…

Well, first of all, only certain professionals are licensed to administer those tests, and for good reason, because otherwise people would self-diagnose too much or too little. > […] I don't consider myself to have anxiety. Everyone has anxiety. Some people have anxiety disorders. > Isn't it normal to be anxious in stressful situations […] People with anxiety disorders are anxious in normal, non-stressful situations.…

What is the penalty for mistakes for those "certain professionals"? What are the incentives when they make decisions?

Re: Medicalising everyday life doesn't help anyone's mental health

#29
post #17

I couldn't get a vitamin B12 injection, the materials cost of which is less than £1 with no negative side effects, more often than every 12 weeks from my doctor. Despite feeling awful at 8 weeks onwards, to the point of not being able to work, and better again every time I had the injection. I didn't care if it was placebo (although why it would be placebo at 8 weeks but deemed not a placebo at 12 weeks I struggle to…

There is some evidence high serum levels of b12 are a risk for cancer.

http://sciencenordic.com/high-levels-vitamin-b12-can-increas...

Re: Medicalising everyday life doesn't help anyone's mental health

#30
post #17

I couldn't get a vitamin B12 injection, the materials cost of which is less than £1 with no negative side effects, more often than every 12 weeks from my doctor. Despite feeling awful at 8 weeks onwards, to the point of not being able to work, and better again every time I had the injection. I didn't care if it was placebo (although why it would be placebo at 8 weeks but deemed not a placebo at 12 weeks I struggle to…

> although why it would be placebo at 8 weeks but deemed not a placebo at 12 weeks I struggle to understand

Because the placebo effect fades over time. The doctor has concluded that you'd be safely clear of it at 12 weeks.

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