Hello
I am a junior psychiatrist and I find peoples comments on here very interesting. I am quite worried at the amount of stigma.
As you can imagine, Ive seen loads of people usually very soon after a suicide attempt. And thats the main point - they are normal people, its less of a them and us. I think in bad circumstances, everyone has a tipping point (different for different people, like height for example) where they become unwell mentally. It is hard to imagine what that would feel like if you havn't been there.
A difficulty with patients in psychiatry is that they don't always seek to get better in the same way that people with other illnesses might and their normal communication may be disrupted. Also they may abuse drugs/alcohol which others feel they should be able to control. This means that they are more likely to be blamed for being ill than people with other conditions that are easier to understand.
There is chemistry behind it too - changes in chemical levels in the brain on post-mortem, changes in brain activity on scans. 50% of depressed people have abnormally raised stress hormone on testing. Disturbance in sleep rhythms and appetite can be there. Its a proper illness, we are just a bit behind on the blood tests compared to diabetes. I think its a continuum from normal to unwell that a lot of people are on (with the same for schizophrenia, addictions, bipolar, other conditions that have increased risk of suicide).
Not that I think it can't be helped (otherwise why would I be doing this job!). There are chemical and psychological therapies that do help in a lot of people. Yes, that includes psychological therapies that improve coping techniques and cognitive restructuring. That changes brain chemistry too (part of the mystery of being human).
Just what I feel from what I know so far.
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