But in truth, he has saved my life. More than once. I probably could have done it, had I not known what the effects would be.
Thank you kamineko for sharing your experiences with and thoughts on psychiatry and therapy. You covered a lot of what I was planning on saying so I'll just fill in a few gaps with my thoughts
What? I'm "dismissing" it because you guys told me these things didn't do anything - that one type isn't even a doctor and can't offer anything besides talking - and the other is just a prescription pad and can't offer real assistance. You guys told me that in this thread not a few pages back.
First of all, I never said that. Please show me where if you feel I did so I can clarify.
Therapists can have one of several qualifications (MD, PhD in Psych, LCSW, PsyD) all of which offer slightly different paths to therapy. Not just any quack can become a therapist. All four of those are intensive training programs on behavior and treatment methods. The different paths give them slightly different styles.
My current therapist is an MD, as was one of my past therapists. The one before that was PhD. Are those not real doctors?
Psychiatrists can offer lots of real assistance. More on that below.
I feel the way I feel because I have a number of mental illnesses - there is something physically wrong with my brain, they're not just "feelings" that will pass after a pow-wow with someone, they're permanent unless I find a fix.
This is only sort of true. There is a physiological component to mental illness - your brain signals certain senses and feelings to you. There is also a behavioral component - you receive these stimuli and based on your
behavioral patterns and
prior conditioning you respond in some way. This balance is slightly different for everyone. But both are
always a factor. You are not an exception to this.
For instance, for me, perception of others social judgments of me (behavioral) trigger an anxiety response in me (physiological) whose energy I often route into harshly criticizing myself (behavioral). I am on medication to lessen the strength of that anxiety response. I am in therapy in order to unlearn those behavioral triggers.
Does that make more sense?
Therapy treats the
behavioral component of mental illness.
Psychiatry treats the
physiological component.
Everything I've seen about medication has said that it's just a guessing game and that results are mostly negative. That was my experience with Zoloft like seven years ago: I felt just as bad, felt worse coming down at the end of the day, went from a 32 waist to a 38, and a ton of other terrible effects that did more to knock me off track. I'm finally just getting back to where I was before medication made things worse.
Isn't the rewiring what I need? I need the doctor that actually looks at the brain to figure out what's wrong with it. What's that doctor?
First of all, I'm sorry you had a bad experience with Zoloft.
Our understanding of the brain and its wiring is too basic for you to just hop on an imaging machine, a doctor to take a look and say "there! that's the problem spot!" and just poke it with forceps or something.
Even if we
did understand it that well, that would not fix the
behavioral aspects of mental illness, which, as I said, are present in everyone.
In the mean time, what we have is the psychiatric field, which, while far from perfect, is not the totally arbitrary guessing game you've reduced it to. Psychiatrists are trained medical professionals with an understanding of the things we
do know about the brain that they use in order to make educated attempts to treat patients. The guessing component of it, to be clear, is the patient's body's reaction to the medication. Any medication that is on the market in the US has been
demonstrated in testing to be significantly more effective than a placebo at treating the condition it targets. This is true of all medications for all conditions. That being said, your body may or may not react in the same way as anyone else's, and this is especially true when it comes to something as complex as the brain.
This is similar to the procedure used for
many illnesses. Doctor makes educated guess at best treatment. Patient reports back that treatment either worked (yay!) or didn't work. If treatment didn't work, doctor uses additional information gained from first attempt at treatment to inform second treatment. A few years ago I had a mysterious very serious illness come on suddenly -
very high fever, stiff neck (!!), aches and pains, serious heartburn. I went to the doctor. They tested for the most serious illness (meningitis), it came back negative, so they took a guess at what medicine would relieve my symptoms and sent me home with it. Told me if it didn't work to come back. It didn't, my body did not respond well to it, so I got different medication. That medication worked. Boom, science.
In my experience, roughly 1 in 3 of the psychiatric medications I've tried in my lifetime have worked well or very well at alleviating my symptoms. If things continue at that rate - which they shouldn't, they've actually been getting much
better as I learn more about how I react to things and what I need to treat - but for the sake of argument let's say that if things continue at that rate, and it takes me roughly 3 months to demo a medication - which it doesn't, it takes maybe 2 at most, but let's say 3 - at the rate of every third medication helping me and it taking three months to demo a medication I am likely to find something that works within a year.
I've been told by nearly every doctor I've seen that my body reacts abnormally to medication and I've had an above-average number of complications from medication. In other words, it is
more difficult than average for me to find a medication that works for me.
Is that not a chance worth taking?
The medications that are commonly prescribed these days usually have mild side effects. They are not the first generation MAOIs or anti psychotics of the 50s and 60s. I know you said you had a bad experience with Zoloft, and I'm sorry, but that's information you could take to a doctor and it would
help him or her in choosing a next step. "Oh, that didn't work for you and a, b, c happened when you took it? Well that means we shouldn't try x or y but we can try z."
Yes, there are some doctors out there who won't take the time and care to think about it like that, but you're looking for one who clicks with you enough that they will. I think kamineko said it perfectly:
The greatest challenge to all of this (besides the frustration of experimenting with various medications) lies in finding professionals that "click" with you. These are well-educated professionals, sure, but they may or may not "get" you as well as you would like. It has, over the years, hardly seemed worth trying at times, but at the end of the day everybody has to decide for themselves whether they wish to address these problems or not.
The biggest challenge is finding someone who you feel comfortable with.
You didn't talk about what happened in therapy, you vividly described the super powers you walked out of therapy with but glossed over how they were obtained. Are there magic words that the therapist says to make things better or something? I don't understand how you walk into a place, someone talks to you for an hour a few times and you walk out cured of illness. That sounds.... crazy.
Is relearning behavior a super power? If so yes, yes I am slowly learning super powers.
And no, I am far from cured. My anxiety and my despair are part of who I am. Without them I wouldn't have my thoughtfulness, my attention to detail, my compassion. I'd rather not cure those.
Yes and that's why a doctor guessing what medication I should be taking doesn't seem scientific at all. Same for therapy. What magic words could you say to cure a person of their cancer? Everything I've read suggests that this stuff is just as useless and pseudo-science as those cleanse things, herbal medicine and prayer. When I question how these various things helped a few times and in every instance, instead of answering, I was given a list of results.
First of all, what are you reading? Can you link me to it? Because many methods of talk therapy have been
repeatedly scientifically proven to be effective in lessening symptoms of a whole wide variety of mental health issues.
Second of all, it's not magic. What magic pixels show up on your computer screen that make you happy? What magic noise do we hear that makes us cry at a dramatic play or movie? The point isn't the words, it's the meaning they confer.
And, as kamineko said, it's about
learning about your behavioral patterns and, with the guidance and instruction of a therapist,
learning to change them. I didn't gain superpowers from therapy, I just learned a bunch of new ways to react to and interface with the feelings I have.
Medication (psychiatry) has lessened my awful emotions enough that I can reasonably develop behavioral methods (therapy) for dealing with them. Does that make sense?
And the only way I could be more specific about what happens in therapy is to describe an appointment of mine, but that would be of no use to anyone but me. My experience in therapy is completely personalized to my needs. A therapist doesn't just quack out the same quips of life advice to every patient, he or she takes the time to get to know his patient and gives specific instructions on how to relearn the behavioral patterns that contribute to your feeling the way you feel.
Surely you cannot deny understanding how relearning behavior works unless you refuse the entire premise of behavioral patterns being an aspect of mental illness?
I hope this was illuminating for you. Let me know if you have any questions.
<3