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A third of Americans now show signs of clinical anxiety or depression

washingtonpost.com

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Re: A third of Americans now show signs of clinical anxiety or depression

#111
post #32

Earlier quoted context omitted.

It's comparing 0.4% and 0.2% but not mentioning infectiousness (covid-19 appears more transmissible). 0.4% of a very large number will be considerably more people than 0.2% of a much smaller number. It says we do precisely nothing for flu and that's incorrect. We have internationally coordinated programmes of vaccine development and we have annual programmes to vaccinate as many vulnerable people and healthcare worke…

This is proving not to be an issue in Sweden or any of the places that have already opened up their economies. Flattening the curve was a myth potentially.

The very high death rate in Sweden suggests otherwise.

Re: A third of Americans now show signs of clinical anxiety or depression

#112
Before this incident (I've been through a few disasters and violent incidents), I was already on my 13th antidepressant (vilazodone) which doesn't appear to be working. Also on propranolol, clonidine, atomoxetine, carbamazepine, baclofen, gabapentin, and 40 mg/day of CBD. I buy CBD isolate (pure CBD) in bulk and make my own sublingual tincture using a precisely-measured ratio of ingredients comprising:

- Organic coconut oil

- Vitamin E T50

- Grape seed / citrus extract

- CBD

in a dark glass container filled into sterile saline spray bottles for use.

If you don't do this, then you're probably either being cheated or don't know what you're taking.

Anyhow, so far this new antidepressant doesn't seem to be working so the dose is getting upped. If this doesn't work, it's back to mirtazapine and weight gain. The only other options involve anticholinergics, extrapyramidal issues, electricity, magnets, and/or brain surgery.

I also have gradually, over the past few years, developed some sort of neurological decline vaguely reminiscent of vascular, frontotemporal, or Lewy body dementia or chronic traumatic encephalopathy (I was born cyanotic over several hours because of incompetent Kaiser Permanente doctors and was hit in the head extremely hard as a teenager twice and didn't receive proper medical care).

I can barely speak, I stutter a lot, my memory is disappearing, and my level of consciousness and clarity is declining. I can't code in any language anymore and I used to work in Rust, Haskell, C, Crystal, and so on. My sleep is a mess... one or a few hours here and there at all times of the day. I use every bit of concentration to write this. If it's an incurable condition, I will go somewhere very, very remote in Montana or Wyoming and breathe nitrogen.

Re: A third of Americans now show signs of clinical anxiety or depression

#113
post #69
post #12

I've dealt with depression and anxiety for many years. I just want to tell anyone who happens to read this: it's ok to ask for help, it's ok to go to therapy, it's ok to use antidepressants. Find the tools that work for you and keep asking for help when you need it. (Believe me, I know how hard it is.)

I'm always ignored when I ask for help. Being a person who "takes it like a man" in a sense, as in absorbs these problems for greater overall execution, I'm always ignored when I bring up my problems. "Tough shit" is the general attitude. Unless I'm highly expressive or emotional nobody takes it seriously. But if I'm being that emotional it's already too late.

Not knowing your environment, trying to find other doctors could help.

A lot of practicians have surprisingly little knowledge or very old views on depression. Some will very strongly argue against medication for instance, while others try multiple simultaneous approach. Some will throw the same medication every time they hear "depression" and call it a day, while there is a variety of drugs on the market and a regular follow-up on the situation can help find ones that effectively work.

Re: A third of Americans now show signs of clinical anxiety or depression

#114
post #98

Earlier quoted context omitted.

I would caution against using any sort of chemicals, try to exhaust all other options first. You don't want the sort of problem where you feel unlike your own self without some substance, not to mention that most of them basically reduce you to a zombie. Sleepwalking through life isn't my idea of living.

I think this is an unfair characterization and borderline misinformation. Medication can be net positive given severe symptoms. Every person is different, and medication for psychological issues should not be a first line of defense, but it can be helpful and potentially life saving. When you make a blanket statement like “medication will turn you into a zombie”, not only are you wrong, but you could be turning peopl…

I qualified that statement with "most of", and if anything comments like yours promote laissez faire attitude towards pharmaceuticals, the consequences of which are disastrous - as can be seen by the opioid epidemic etc.

Look, drugs work. They work incredibly well for some people. You absolutely should avoid them if you can help it. Makes sense, no?

Re: A third of Americans now show signs of clinical anxiety or depression

#115
post #69
post #12

I've dealt with depression and anxiety for many years. I just want to tell anyone who happens to read this: it's ok to ask for help, it's ok to go to therapy, it's ok to use antidepressants. Find the tools that work for you and keep asking for help when you need it. (Believe me, I know how hard it is.)

I'm always ignored when I ask for help. Being a person who "takes it like a man" in a sense, as in absorbs these problems for greater overall execution, I'm always ignored when I bring up my problems. "Tough shit" is the general attitude. Unless I'm highly expressive or emotional nobody takes it seriously. But if I'm being that emotional it's already too late.

I have the same issue for physical problems. I don't like to complain and I'm not really expressive. Physical appearance may also play a role (I'm 1.95m/95kg.) I had a double hernia with sciatic nerve inflammation go undiagnosed for quite some time before I took my wife with me to the doc and she complained in my stead. In any case, I've been postponing going to a psychologist for exactly this reason: I'm convinced I won't be taken seriously.

Re: A third of Americans now show signs of clinical anxiety or depression

#116

Earlier quoted context omitted.

I want to emphasize especially that it's okay to take medication. It's not "cheating", you're not going to get graded at the end on how you beat the depressive episode. They're far from perfect and you may have to try multiple times to find one that's working for you. I know how uncomfortable it can be to get off of SSRIs (brain zaps aren't fun at all!), but imho even considering them as part of the package, it still…

I would be very hesitant to recommend someone experiencing depression or anxiety as a result of our current state of affairs to seek pharmaceutical medications. Certainly, there is no shame in it. Indeed, I'd actively support the pursuit of medication for anyone experiencing persistent suicidal ideations, have become psychologically incapable of performing day-to-day activities still required of them, or have begun a…

> If you're living through hard times, it's natural to exhibit symptoms of depression for a week, a month, or two.

Absolutely! But that's also not what I'd suggest medication for (well, maybe I'd suggest recreational drugs, but not anti-depressants), because it's not depression.

In my opinion, there's quite the difference between depression on the one side and feeling overpowered and broken because of external circumstances on the other, and I wouldn't suggest trying to fix the latter by pretending it's the former and medicating accordingly.

It's hard to tell the two apart from your own perspective, especially because they can both be true, you can be depressed and go through shitty times at the same time. At the very least if it does persist, don't settle for "my life is just shit, this is just a normal reaction to that shit", go see a doctor. And at the absolute very least, if friends suggest that it may be depression, consider that they may have a better view of you-six-months-ago vs you-today, because they don't see you every second of every day.

Depression clouds your judgement, and in my opinion, you're not gaining anything from suffering through it. It's not a great challenge that's been put in your way and when you finally beat it, you're a stronger person. In retrospect, at least for me, but some friends have shared similar opinions with me, it's just time you've lost, where you cannot remember anything from other than feeling terrible, thinking about suicide, possibly harming yourself and silently hoping that a bus will jump out from nowhere and end your suffering. There's no medal at the end, having gone through it once does not make you immune, and it can take years to get better, and maybe you never do.

I don't know whether I would've listened to anyone if they had told me to go see a doctor, but I wish somebody would've tried, and I hadn't spent the better part of my twenties just suffering for no reason. I'm diagnosed as bi-polar, but with much less pronounced manias, and now when I sense that I'm sliding down, I'm very active about stopping that slide, and if it doesn't stop quickly, I've made it a habit to go see a doctor before I think I need to, because I've learned that I might not be able to make that call if I'm past a certain point.

Re: A third of Americans now show signs of clinical anxiety or depression

#117
post #114

Earlier quoted context omitted.

I think this is an unfair characterization and borderline misinformation. Medication can be net positive given severe symptoms. Every person is different, and medication for psychological issues should not be a first line of defense, but it can be helpful and potentially life saving. When you make a blanket statement like “medication will turn you into a zombie”, not only are you wrong, but you could be turning peopl…

I qualified that statement with "most of", and if anything comments like yours promote laissez faire attitude towards pharmaceuticals, the consequences of which are disastrous - as can be seen by the opioid epidemic etc. Look, drugs work. They work incredibly well for some people. You absolutely should avoid them if you can help it. Makes sense, no?

Your qualifier “most of” makes little difference. It’s wrong and you couldn’t possibly know that anyway. I don’t care to share my own personal anecdotes about my experiences with various psychotropic medications but I will say that being a “zombie” has seldom been a side effect of them.

Bringing up opiates in a thread about psychiatric medication is either a deliberate red herring or a clear indicator of your ignorance on this subject. Either way you should not be putting out misinformation in a topic about potentially life-threatening medical disorders.

> Look, drugs work. They work incredibly well for some people. You absolutely should avoid them if you can help it. Makes sense, no?

I agree with this, but it’s a different statement that what I was reacting to. Your previous statement was wrong, and it’s still wrong after you tried to dig in further.

Re: A third of Americans now show signs of clinical anxiety or depression

#118
post #61

Earlier quoted context omitted.

If you compare Sweden to the other Scandinavian countries (which is the most suitable comparison considering population distribution and habits) the light measures actually seem to have resulted in a much higher prevalence. https://www.bloomberg.com/news/articles/2020-05-14/sweden-co...

If you compare Sweden to other countries with full and absolute total lockdowns like Belgium the UK and Spain and Italy....they actually have lower incidences of infections fatalities and higher incidences of recoveries. Sweden is the control group in all of this for how effective lockdowns are and it's showing that they're potentially not as effective as we think they are.

You can't compare Sweden to those countries. Not the same density, not the same hubs, not hit at the same time, not the same social comportments.

Even compared to France they have advantages and they have pretty close numbers (+30% excess death vs + 33%).

Re: A third of Americans now show signs of clinical anxiety or depression

#119
post #87

Earlier quoted context omitted.

In Sweden a lot of people were self-isolating and being cautious without the need of a formal lockdown. They still have the most deaths per capita in Europe.

Schools were open. A million kids went to crowded classrooms every day for the past two months and death rate is still not even close to England, Belgium, Italy or New York.

The number of deaths per capita is higher than England, Belgium, and Italy however the total number is lower (they have a smaller population). They also have a low population density, a lot of single households, and as a population have less issues with diabetes, obesity, and chronic heart conditions compared to other countries.

It is not black and white :)

Re: A third of Americans now show signs of clinical anxiety or depression

#120
post #114

Earlier quoted context omitted.

I qualified that statement with "most of", and if anything comments like yours promote laissez faire attitude towards pharmaceuticals, the consequences of which are disastrous - as can be seen by the opioid epidemic etc. Look, drugs work. They work incredibly well for some people. You absolutely should avoid them if you can help it. Makes sense, no?

Your qualifier “most of” makes little difference. It’s wrong and you couldn’t possibly know that anyway. I don’t care to share my own personal anecdotes about my experiences with various psychotropic medications but I will say that being a “zombie” has seldom been a side effect of them. Bringing up opiates in a thread about psychiatric medication is either a deliberate red herring or a clear indicator of your ignoran…

You agree pharmaceuticals should be administered judiciously and yet find the energy to disagree on... what exactly? Throwing around terms like "misinformation" in an attempt to discredit what amounts to essentially a common sense conclusion is baffling and borders on vitriol.

If you have personal history with mental disorders and anti-depressants, I in no way mean to diminish your experience, and hope things turn out ok for you - whatever the path you choose to take.

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