311–320 of 382 posts
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If it comforts you to believe that depression always has a discernable cause that can be fixed without medication then go ahead and keep believing that. This particular comment about Churchill and your dismissal of the experience of many depressed people sounds pretty spiteful to me (to borrow your diagnosis). Maybe some self examination could help you
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They help me focus at work, but they aren't enjoyable.
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One should not question the seriousness of ADHD or the benefits of an appropriate treatment plan. One should question the rate of which it is diagnosed, and who is getting diagnosed.
One should ask if the benefits outweigh the costs regardless of arbitrary thresholds for diagnosis. ADHD medications are generally safe, and many objections to their use appear to stem more from normative objections to medicating attention and behaviour than from evidence-based concerns about patient welfare.
Just like methodone is considered safe, doesn't mean you'll become a clucky mess after doing it for two decades.
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Diagnosed with ADHD as an adult, and on stimulants (went through 3 kinds before we found one that seemed to help). What "high"? Our brain chemistry literally works differently than neurotypical people and the stimulants don't get us high. In fact they often have a calming effect. I had to fight not to fall asleep at my desk two days this week (Not entirely the medication's fault, lotta family stress wrecking my sleep…
Is this actually true? I see this repeated a lot. The one time I increased dosage of Adderall too quickly, I felt very calm and almost "normal" again, but I attributed this to a mild euphoria because euphoria is technically the effect one gets when high on these drugs. When I see people repeat what you said, I begin to question if that was just the drug working as intended. Sadly I ended up having to get off the drug shortly after this because A) I got too spooked about how nice it was and didn't want to chase this feeling and B) I noticed the "crash" phase resulted in deep suicidal ideation.
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I'm so sick of this moralistic attitude toward psychiatric drugs. "Happy pills"? Come on. There are ways to work around tolerance. Even if there aren't, what's so terrible about a temporary improvement? I'd wager most of us use some sort of vision correction. This does nothing to fix the underlying problem or even halt the progression, and most of the treatments leave us with a lifelong dependency on them. And yet no…
Is it temp though? ADHD is a list of symptoms with no verdict on the cause. What exactly is the plan beyond the amphetamines? A lot of people I see simultaneously want diagnosing but not curing. It's like the double think required to say not having a symptom can actually be having one. As in, "Despite what I can achieve, I still struggle, and that counts as not being able to do it at all". Why do people never mask a language delay for instance? If masking is something all AuDHD people do, why is it always faculties largely intact but they find stuff hard (harder than whatever you feel, despite not having such a great theory of mind they seem to be aware of how other minds work just fine)
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So, this is not supported by the data when people are asked. Sexual effects alone hit about 50–70% people. Then you could face nausea, insomnia, profuse sweating when you’re still, emotional blunting, and weight gain. I don’t want to discourage anyone, they can save lives. It is a net benefit for some people, but even then most people will experience side effects and wish they didn’t have to take them.
> The most common side effects reported by patients in the study by Hu et al1 of 401 outpatients taking SSRIs were drowsiness (38%), dry mouth (34%), and sexual dysfunction (34%) > which was conducted in 1999-2000, questioned patients about side effects via phone interviews within 75 to 105 days of starting antidepressant therapy. The side effects deemed most bothersome were sexual dysfunction (17%) It's no where nea…
“get inflated in anecdotes”
Just because one study has the number 34% in it, does not prove the numbers I gave were wrong and does not mean they are anecdotal.
This is something that’s been studied from many angles and there’s more than one number that’s defensible based on the context and dataset.
For example, even the study you cited says: “In a study of 344 patients by Montejo-Gonzalez et al, 58% of patients reported sexual dysfunction when physicians directly inquired”, and “14% with spontaneous reporting”.
In another example, a 1,000 patient study found 57.7–72.7% for common SSRIs. https://pubmed.ncbi.nlm.nih.gov/11229449/
The “scientific numbers” you allude to are not one value. It’s a body of research not one definitive number.
Taken a whole I don’t think anyone is being that mislead when it’s suggested more than half of people may experience these side effects.
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I wonder if you feel the same about drug-based treatments for multiple sclerosis or ALS. Or hormone replacement therapy. Or palliative end of life care. Sometimes treating symptoms is what we can do because we don’t have a cure.
Obviously not.
Own your opinion and state clearly that you don’t believe depression is real. Don’t argue silly tangents that serve only to obfuscate your actual point.