Posted by SLS on May 16, 2020, at 20:08:35
In reply to Re: New Nardil site with list of MAOI doctors, posted by linkadge on May 16, 2020, at 19:19:07
> Chemical hope was ok for 20 years. As I get older, I want something deeper. Something real.
I once went to a psychologist who worked alongside a psychiatrist that I saw 25 years ago. By the end of the first session, he said that with such severe depression, I couldn't think my way out of a paper bag. He advised me to allow the psychiatrist to get my depression under control first before proceeding with psychotherapy. His point was that the skewing and muting of my psyche that resulted from brain dysfunction left me unable to improve my mind and outlook very much. That doesn't mean that psychotherapy doesn't have value. I set goals and defined issues with the last therapist I saw. I made some progress, but told the therapist that her main job was to keep me alive.
The brain and the mind are often inextricable. With depression, I think that a sort of positive feedback loop might be at work. Regardless of how the condition is triggered, depressive biology leads to depressive psychology, which in turn makes the biology worse, which in turn makes the psychology worse...
There seems to be a continuum of relative contributions. For some people, a psychotherapeutic intervention breaks the cycle. For others, the cycle can only be broken using a somatic treatment. Combining the two modalities might be necessary for some people.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.The only thing necessary for the triumph of evil is that good men do nothing.
poster:SLS
thread:1110137
URL: http://www.dr-bob.org/babble/20200511/msgs/1110163.html