Let’s avoid talk of ‘chemical imbalance’: it’s people in distress

There are a lot of ways to think about the differences between machines and people. One very simple one is that machines typically function in only a very limited subset of the space of their available degrees of freedom and small deviations are usually catastrophic. Biological systems don't usually have this property.

Another way to think about it is that machines show evidence of design, which you might characterize as a certain economy of ideas. Two clocks in a computer a much more likely to be identical or to share major conceptual underpinnings than two clocks in a biological system, for example.

I used to have your view of things and then I read Deacon's "Incomplete Nature," a book whose thesis fails to land but is never the less a comprehensive analysis of the properties of living organisms in a unified if rickety system which encompasses the basic laws of physics. It really convinced me that the analogy between brain and machine is poor.

The question of what a mind is and how it relates to the brain is not settled science or philosophy, at any rate. It doesn't do anyone any good to pretend it is.

(footnote): This is a reasonable assumption to make but its hardly widely believed by the general public nor settled scientific fact. Luminaries like Penrose still assert a fundamental disjunction between what brains do and what machines do and he isn't alone among physicists, to say nothing of the broader philosophical community or the lumpen mass of human opinion.

Prior to allergy testing I got really obsessed and into probiotics, lifehacking etc just to make myself feel better and I feel like nothing really helped my GI problems which always feel like they're sapping the energy out of my entire body. Turns out a huge portion of my problems were food allergies.

I haven't gone full FODMAPS but I eat much more keto/paleo nowadays when I can (I've been loose since quarantine) and feel so much better when I do. Meat and lettuce is my prime meal now.

I agree, and this is pretty much unavoidable when the current clinical term is vague enough to be used as a generic insult.

The general pattern I see

1. A vague term is used to describe symptoms of an issue we have a poor understanding of.

2. That term becomes associated with the symptoms, but is vague enough to be used as a generic insult (ex: playground school children yelling it at each other)

3. That term develops a stigma as an insult, and becomes more and more controversial

4. That term is replaced with a new term, rinse and repeat.

We've seen this before ex: Moron, Imbecile, and Retard all once had vague clinical meanings.

Then we went to mentally challenged, special needs, etc. Now even those are fairly loaded terms.

In all of these cases, the word/phrase describes something that people would rather not have or be, but it does it without clarity.

It will develop a stigma.

I find the folks who constantly advocate for changing these names well-intentioned, but basically a waste of time.

My personal opinion having talked to doctors, therapists, and other depression sufferers is that the medical industry's treatment of depression is basically just throwing darts and hoping. They only kinda have a rough idea of how to treat some of the symptoms of depression and care not for any potential underlying causes. The "chemical imbalance" language, in my considered opinion, really does enforce this world view that depression is something you just throw drugs at until you're fixed, and I don't think that's helpful.

I've had a lot of mild/moderate anxiety and depression since early in life, and whilst it's never been severe enough for me to be at risk of doing harm to myself or others, it has been a major complication in achieving good outcomes (i.e., always showed some promise and early success at intellectual, sporting and social pursuits, but could never hold it together enough emotionally to get sustained results.)

At times of particular seriousness, medication provided some relief; mostly SSRIs (sertraline/Zoloft), which I've taken in low doses for a total of about 3 years, and occasional valium for acute anxiety. But whilst these medicines made life more bearable, they never made life feel "normal" or felt like any kind of complete solution.

Part of the issue I guess was that I had a really strong feeling that what I was experiencing wasn't a biological malfunction or predetermined trait. I guess I knew that from the fact that I'd been able to do quite well at things, and feel quite happy, at least some of the time, throughout my life. It didn't make sense that I'd be biologically programmed to be well-functioning some of the time, but not at others.

After a long search I discovered deep subconscious emotional healing techniques, that enabled me to connect with the programmed reactions and beliefs that I'd picked up from some unpleasant early life experiences, that had snowballed as I progressed through life.

I've been undertaking various forms of these kinds of practices for about 8 years now, and bit by bit the anxiety and depression has dissipated, and my life outcomes (career/finances, friendships/relationships and physiological health) have steadily improved and are now doing so at an accelerating rate (though of course there are still ups and downs, with or without macro events like pandemics).

As I look around at all the unrest and widespread mental "illness" in the world, I can easily see links to the distress that so many people feel for all kinds of different specific reasons, but that often boil down to similar patterns: difficulties in childhood (feeling unsafe/unloved/undernourished at home), leading to difficulties getting good social and/or academic outcomes in school, leading to difficulties as people progress into adulthood and try to establish careers, social networks and romantic relationships in a world that can be very hostile to people who don't tick certain boxes.

I'm now quite convinced that the mainstream psychopharmacology industry is a failing effort to paper over the gaping hole in modern society's ability to provide people with the nurturing, confidence and agency needed to build satisfying lives.

From my own experience I'm sure things can be much better, but it will take a major rethink about much of the way we go about supporting people on their life journeys.