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drnick -> RE: Mental Health Debate - One Stop Thread (1/15/2007 1:10:55 PM)
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The problem is that the "chemical imbalance in the brain" theory to explain away all depression, bipolar, psychosis etc, is that it removes all responsability from the patient/the environment/parents etc. For example: My wife has depression, and is on Citalopram. Diagnosed in September. She was found to have breast cancer nearly 2 years ago, had 2 ops, chemo, radio, and now has lymphoedema in her arm. We also recently had a fire, and spent a month in temporary accomodation while the house was fixed (all family safe). Now I'm sure if you checked her brain out, you'd find a chemical imbalance. But clearly she's experienced a lousy 2 years, and depression is a fairly predictable reaction (I've thought she's been depressed for months, but couldn't persuade her to see her doc - I don't count![8|]) Similarly, a friend has had problems with depression for years, to the point she's had ECT. First started when at university, recurred after her second child. Her dad's a church elder, who's renown as a "fixer" for struggling churches, and is a superb councellor, especially with marital issues. Fantastic family all round. So probably "endogenous" depression (ie primary brain disorder). Except she's finally admitted to issues with inadequacy that go back to chldhood (youngest of 3, felt she didn't measure up to older siblings, plus a legalistic streak to her parenting) which she's never brough tup before. probably impossible to assess exactly how much this contributed, but may be significant. Personally I suspect some people are more succeptable to mental illness than others, but I'd wager there is usually if not always an external element too. Trouble is, having a mental illness tends to create an environment that reinforces the problem. Eg. people with schizophrenic, bi-polar and psychotic tendencies have a fairly high substance abuse incidence. Which almost certainly makes their mental problems worse. And most drug users have identifiable mental health issues other than addiction. But which came first? And just because there is an extrernal influence(s) doesn't mean that it ever comes to light. Interesting that psychiatrists have the highest suicide rate of all branches of medicine.
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