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Schizophrenia: The new etiological synthesis

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Re: Schizophrenia: The new etiological synthesis

#121

Earlier quoted context omitted.

Schizophrenia is a degenerative condition where positive symptoms start to be replaced by negative symptoms over the course of years. I've worked in acute adult mental health, and did a few shifts in the long term wards and the difference between people earlier on in the course of their illness versus the end stages are stark.

I'm not fully convinced here, I bet those long term patients were on antipsychotics nearly all of which have extrapyramidal side effects, pretty identical to negative symptoms.

It was always my observation that the extrapyrimidal side effects of the meds didn't help but that the negative symptoms - burning out if you like - is also a real thing.

Re: Schizophrenia: The new etiological synthesis

#122

Earlier quoted context omitted.

Not exactly. More like a solo first time trip on 5 acid tabs going horribly wrong. It wasn’t meant to be a solo trip, but my ‘friends’ abandoned me. I tried to go outside because I was absolutely freaking out walking around a busy town, thinking I could distract myself. Then shit hit the fan even worse. It was a terrible trip, put it that way. So more like an extreme long lasting panic attack on top of visual halluci…

That scene (the matrix mirror) sounds more entertaining than my pulp fiction reenactment (the OD scene - I died and then sat up just as they were gonna stick me with the atropine).

I would prefer yours for sure. Back from the dead… that is out there!

Re: Schizophrenia: The new etiological synthesis

#123
post #76

Earlier quoted context omitted.

It's a neurological disorder and is more complicated than a one off bit, especially when it involved the entire CNS because it's associated with the brain. Many of these issues can't be cured as easy as flipping a bit.

I mean if it is an unrecoverable loss of glial cells during puberty (AFAIK most diagnoses start during that time) then nobody would be able to "flip the bit" back anyway. As glial cells feed and protect neurons, their lack will likely have unrepairable consequences, unless the remaining ones are somewhat boosted to partially cover the functionality of the missing ones. I am interested in this topic because a cousin h…

Most diagnoses for schizophrenia are in the early twenties for men and late twenties for women, so not really in puberty/teenage years. I don't believe anyone can be diagnosed before adulthood if they're not exhibiting exceptionally extreme symptoms either.

Re: Schizophrenia: The new etiological synthesis

#125

Earlier quoted context omitted.

I'm not fully convinced here, I bet those long term patients were on antipsychotics nearly all of which have extrapyramidal side effects, pretty identical to negative symptoms.

It’s worth mentioning here that antipsychotics have come a long way since lithium. (Posting from the US with our unfortunate (relative to the developed world) healthcare system.) There’s a handful of antipsychotics and mood stabilizers that have been developed in the last couple of decades that have had unprecedented success with Schizophrenia and Bipolar Disorder. They typically cost $20,000.00 per year before insur…

Do you enjoy being on a dopamine antagonist? Are you happy?

Re: Schizophrenia: The new etiological synthesis

#126

Earlier quoted context omitted.

It’s worth mentioning here that antipsychotics have come a long way since lithium. (Posting from the US with our unfortunate (relative to the developed world) healthcare system.) There’s a handful of antipsychotics and mood stabilizers that have been developed in the last couple of decades that have had unprecedented success with Schizophrenia and Bipolar Disorder. They typically cost $20,000.00 per year before insur…

> Please forgive the Lisp-ish parentheses. I figure it’s halfway acceptable on HN. Haha it did make me wander if there was an Emacs HN client with paren mode. > It’s worth mentioning here that antipsychotics have come a long way since lithium. It's not really related to your comment which is interesting and useful to hear in of its self. But Lithium is not a antipsychotic it's a mood stabiliser and remains to this da…

Putting people on drugs that disable their cognition and brain function and calling it progressively effective is nothing but a crime to me. Have a good day sir.

Re: Schizophrenia: The new etiological synthesis

#127

Earlier quoted context omitted.

It’s worth mentioning here that antipsychotics have come a long way since lithium. (Posting from the US with our unfortunate (relative to the developed world) healthcare system.) There’s a handful of antipsychotics and mood stabilizers that have been developed in the last couple of decades that have had unprecedented success with Schizophrenia and Bipolar Disorder. They typically cost $20,000.00 per year before insur…

> Please forgive the Lisp-ish parentheses. I figure it’s halfway acceptable on HN. Haha it did make me wander if there was an Emacs HN client with paren mode. > It’s worth mentioning here that antipsychotics have come a long way since lithium. It's not really related to your comment which is interesting and useful to hear in of its self. But Lithium is not a antipsychotic it's a mood stabiliser and remains to this da…

Isn't TAAR1 related to some of amphetamine's mechanism of action?

Re: Schizophrenia: The new etiological synthesis

#128

I'm reminded of the story I've head (I believe via a podcast, though I cannot presently find the source) on syphilis as a mental-health issue. The upshot is that cases of syphilitic psychopathy were treated as psychiatric illnesses, that is, strictly disorders of the brain, and there was a substantial network of mental health asylums for housing and treatment of patients. Successful treatment of the infectious diseas…

For the benefit of Future Readers (most likely Future Me), I've tracked down the episode.

It was the 28 October 2019 CBC Ideas episode "What Psychiatrists Still Don't Know About Mental Illness", in which Anne Harrington discusses her book, Mind Fixers. The case of syphilitic psychosis, "general paralysis of the insane", is discussed in chapter 1.

Podcast: https://www.cbc.ca/radio/ideas/what-psychiatrists-still-don-...>

Book: https://bookshop.org/p/books/mind-fixers-psychiatry-s-troubl...> https://libgen.rs/book/index.php?md5=A04307D5ABF5A467E9B1D1F...>

There are of course many other authors discussing syphilus and mental health, including Thomas Insell, Healing: Our Path from Mental Illness to Mental Health, discussed on the Ezra Klein podcast (and elsewhere).

Podcast/Transcript: https://www.nytimes.com/2022/07/22/podcasts/transcript-ezra-...>

Book: https://bookshop.org/p/books/healing-our-path-from-mental-il...>

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