Can I Just Say #6 – A Note on Psychiatry

Operating SystemI am grateful for the work that medical science has done on depression. I am grateful (really!) for the medicine, which I’m taking and which is helping. But can I just say that I would appreciate some humility from the psychiatry crew?*

Your science is very young. You have no idea of the actual mechanism of most of your tools, and most of your interventions work only in the short and medium term. You don’t know my body better than me. You don’t know my mind better than me, and you don’t know which meds will work.

You ask me to track my symptoms and then ignore me when I say that it’s driving me crazy. (Are these thoughts worse than yesterday? These feelings? Oh. That was a bad one. Is this anger or anxiety…).

What’s the point of a bunch of painfully collected data if you can’t even begin to infer causality? Am I more anxious than a week ago because of the meds or is it because I just started a job at a call center where customers tell me to go fuck myself? Please stop acting like we have a counterfactual, an alternate Mfupi who didn’t start that job. Another Mfupi with my biology and history who’s not on the meds you recently switched me to. Just stop.

Also, there aren’t that many drugs for depression. You should be familiar with them.

I appreciate your help. I believe you have my best interests at heart, just have some humility. Please recognize that “everyone is different” means that you don’t actually know how to help me.

So don’t act like my doubts = noncompliance. This isn’t a relationship in which one person should comply. This is a partnership. You bring your imperfect understanding of my condition. I’ll bring my imperfect interpretations of my thoughts and feelings. And we’ll figure it out together.

Thanks.

 

*I’m a huge fan of psychology, where PhDs and other experts provide talk therapy. This post is about the medical field of psychiatry, which, for depression, mostly concerns itself with managing medication regimens.

Photo by Mark Anderson on Flickr

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