Author Topic: Interesting Article on Misdiagnoses in Pyschiatry  (Read 8577 times)

Hopalong

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Interesting Article on Misdiagnoses in Pyschiatry
« on: June 26, 2006, 12:11:51 AM »
Thought I'd share this...

http://www.slate.com/id/2144123/?nav=tap3

Maybe this is partly why it can be such a struggle at times to measure what we're dealing with...?

Hops
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moonlight52

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #1 on: June 26, 2006, 12:28:33 AM »
Hops ,  This article is very interesting .

All the labels ,the behaviors ,the duel disorders I do not believe on this board we should be diagnosing one another or any kind of negative labeling .

I see your point here maybe we all need shamans really good ones . :D
Moon

Healing&Hopeful

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #2 on: June 26, 2006, 03:08:11 AM »
Thanks for this (((((((Hoppy))))))))

I found it really interesting.  With so many disorders, it must be very hard to diagnose what it really is.  But then I suppose it's the same with doctors and misdiagnosing.  One of the worst ones was a friend of a friend recently, who went to the doctors with a swollen tummy.  She was diagnosed with Irritable bowel syndrome, and five months later she was at the hospital again, in labour.  Both her and her boyfriend were very shocked, but she does have a beautiful gorgeous healthy baby, who was a healthy weight.  The impact of the doctors misdiagnosis was huge though, the shock for themselves and family and friends.  She rented a house with my friend, so had to find alternative accommodation and move in with her boyfriend.  For my friend, she lost the income having her renting with her, so is struggling financially.  All these things could have been prevented.

H&H xx
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mountainspring

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #3 on: June 26, 2006, 02:37:38 PM »
Interesting article.. if psychiatrists get it wrong, I wonder about those that give diagnosis's that aren't psychiatrists.. like counselors or social workers .... food for thought.. 

Stormchild

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #4 on: June 26, 2006, 05:43:04 PM »
I'll tell you a little secret about psychiatrists.

They're rarely if ever taught any real psychology. If anything, they are often taught to look down upon it...

There is, for some obscure reason [obscure to me - historically it might date back all the way to the rift between Freud and Jung] a tendency on the part of many if not most schools of psychiatry not to train their students beyond initial diagnosis and treatment. They are rarely taught how to actually work with a client over the long term. This they learn, if they learn it at all, during their residency, and quite often they learn it as much from their own patients as from their attendings...

Try this on for perspective. Consider the possibility that the LCSWs, the Psy.D.s, the pastoral counselors, etc. are the ones who actually have the greatest amount of relevant training in the areas they most need to draw on, and the psychiatrists have the least; their specialty is an 'add-on' late in med school or starting with internship, and has little or no relevance to much if not most of what they studied prior to taking the MD.

The price tag relates only to the letters behind the name, not to anything the letters actually represent. Except for the ability to prescribe. And if you've followed developments in that area, you know that there's a movement in many places to allow psychologists and LCSWs with additional training to write scrips; and you know just how bitterly the psychiatric establishment is opposing this.

This does not mean there aren't phenomenally good psychiatrists - of course there are. But they're phenomenally good, in my professional experience, despite their training; not because of it. The good ones are the ones who 'get it' in terms of the overwhelming importance of psychology, who understand that the mind is really not a machine, that the soul is not a chemical, that the pills and the sessions provide stability and a framework, but that the healing is done through love.
« Last Edit: June 26, 2006, 05:58:35 PM by Stormchild »
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mountainspring

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #5 on: June 26, 2006, 06:01:21 PM »
Hi Stormy…  I read somewhere that there are chemical differences in the brains of people who have PD’s.  Is this true?  If so, can those differences be changed if the person is working toward change, or is that part damaged for good.

Stormchild

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #6 on: June 26, 2006, 06:38:59 PM »
It's true, and there are some preliminary studies that suggest they can... but it takes a lot of time, a lot of support, and a lot of attention. There was a recent article in the Washington Post - maybe not so recent, about the time the film "A Beautiful Mind" was released - that described the way schizophrenics in India can often achieve total remission of their illness - due to a combination of allopathic medicine [i.e. western drugs] and extensive familial and professional support [family and therapists working together]. For instance, the family is welcomed into the therapeutic relationship. There is a presumed right of family members to inform the doc if they see side effects, etc. and the docs take this information seriously. It's much more holistic, and people not only get better, but they quite often stay better.

I was reading a couple months ago about PTSD - the 'cortisol bath' that stress causes can actually rewire our brains. And there is now some evidence that this 'rewiring' can also be reversed... but a combination of meds and social support seems to work better than meds alone or support alone...

And MedScape has been posting links to studies that suggest similar progress may be possible for people with borderline personality disorder. Yes, people with that. Small studies, long duration of treatment, but encouraging.

Just for funsies, let me share my own little secret. Several months back, I decided to look into the biochemistry of a 'benign' blood disorder I was born with, that was diagnosed when I was 22 - so almost 30 years ago. I was told then that it was benign, nothing could be done about it, but that I couldn't donate blood because of it. [This seemed a little contradictory to me: if benign, why blood donation not OK? But I digress.] I hadn't thought about it for years.

Well... the Human Genome Project had been plugging merrily along, and so had a bunch of researchers in Europe and Japan. And guess what? That 'benign' condition of mine is an enzyme deficiency - genetic - comes in several varieties with varying degrees of severity - and has major effects on the metabolism of a whole variety of drugs, so much so that one particular cancer treatment carries a specific warning NOT to give it to people with my condition! Because it can kill us. And so can - of all things - acetaminophen (Tylenol), if we take too much of it; and too much, for us, is a lot less than too much for most other folks.

Imagine my surprise to discover that a great deal of my listlessness, the 'just-enough-energy-for-a-full-time-job-but-not-enough-for-a-life-on-top-of-that', my food preferences [massive cravings for broccoli, cauliflower, onions, garlic, brussels sprouts, cabbage, eggs, meat], my drug sensitivities [I usually need about half the recommended dose of most meds, and I refuse to take acetaminophen, it always makes me feel rotten] - even my lifelong problem with migraine headaches - are apparently directly related to this 'benign' condition - and that, in my case, something as simple as drinking green tea, taking a few simple supplements, and consuming more of the foods I crave [broccoli, cabbage] can stimulate my liver to make more of the enzyme I need!

It was like someone turned on a light in a dim room. I'm still Stormchild, but I'm Stormchild energized. I've emerged from years of mild dysthymia and not so mild periodic depressions, I've become much more able to integrate and apply the insights I've attained. Reality doesn't look much different to me, I was always perfectly lucid and there were real and solid reasons for me to be less than thrilled with life - but it no longer overwhelms me. I can stand up and spit in its eye now, if I have to, but even better, I can stand up, flip it off, and move to a better seat.

This is biochemistry at its best - lived! Breathed! Understood and deeply used to heal... and my T, who is a clinical psychologist but with a lot of biochem in his background too, has been jumping up and down and cheering for me. While we continue to work on extricating my heart from the old patterns of learned pain, we rejoice that I may now have the energy I need to not only escape those patterns, but create new and better ones in their place.

Sorry, dear MS - I'm passionate about these things. I hope it comes across as the best kind of passion, the healing, strengthening kind. The answer to your question is yes, yes, yes they can, and tomorrow they may be able to even more, and the day after that --

we move, we dwell, in the midst of miracles.
« Last Edit: June 26, 2006, 06:45:51 PM by Stormchild »
The only way out is through, and the only way to win is not to play.

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mountainspring

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #7 on: June 26, 2006, 07:42:30 PM »
Quote
I'm passionate about these things. I hope it comes across as the best kind of passion, the healing, strengthening kind.


It does Stormy...  I've read your post 5 times.  So encouraging.... 

Quote
it no longer overwhelms me. I can stand up and spit in its eye now, if I have to, but even better, I can stand up, flip it off, and move to a better seat.

You said green tea and supplements... this is very helpful Storm, I'm tired alot and down more than I care to admit.  What supplements? 

Sela

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #8 on: June 26, 2006, 07:48:56 PM »
Hi Hops:

Great info, thanks for posting.  The "algorithm" is promising eh?  And the genetic stuff?  Wow!  Hopefully there will be more scientific tools available to prevent or at least decrease the incidence of misdiagnoses.  Nothing like having a label slapped on a person that doesn't fit.   And really, really, really tough to shed, once it's written on paper.  That is not only unfair but could be really dangerous to their health (re medicating inappropriately, etc).

Warning - while you were reading 3 new replies have been posted.  You may wish to review your post.

Holey Moley!  :shock:  I better go read.  

 :D Sela

Sela

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #9 on: June 26, 2006, 08:02:23 PM »
Hiya Stormy:

That's truly amazing!!  How did you ever discover all of the holistic stuff (was it just something you became interested in or did something/someone lead you to investigate?).

I've always thought that our medical field is a bit .....lax.....by it's (up until recently and hopefully this is changing)....complete disreagard for the wealth of information other cultures have (eg.  the Chinese have been using herbs and substances for well over 3000 years and our system totally ignors that, as it does so much so many other cultures have in aquired knowledge of plants etc to treat illness or maintain health).

It's such a shame and a waste.  Makes me wonder if there are real cures out there being dismissed.

Sela

Stormchild

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #10 on: June 26, 2006, 08:45:44 PM »
Hi Sela

I was fascinated by the chemistry of medicine and fascinated by biochemistry, and then about 20 years ago I got pneumonia... over and over... and a very sweet and hairy guy who played a wicked bass guitar showed up on my doorstep with a bottle of echinacea and told me that if I took it, along with my erythromycin, I'd get better and stay better, and if I didn't get better, he'd clean my bathroom - more than once. To my standards of cleanliness, no less!

You know how much guys like to clean bathrooms, right? This was a serious bet!

Anyway, he won, I got better, and we ended up nuts about each other... for a while. Sadly, we parted ways long ago, when I moved overseas, but he opened my mind and changed my life. And in Europe there is much more acceptance of herbal and other alternative medicines, so it was like dying and going to heaven. I've had a strong interest in it ever since, but never had the chance to train, it's just a passionate interest.

But you should see my kitchen... and my library... and my filing cabinet... and my plans for if I ever get to take early retirement!!!!!!!

Rev 22:2: In the midst of the street of it, and on either side of the river, [was there] the tree of life, which bare twelve [manner of] fruits, [and] yielded her fruit every month: and the leaves of the tree [were] for the healing of the nations.
« Last Edit: June 26, 2006, 09:11:52 PM by Stormchild »
The only way out is through, and the only way to win is not to play.

"... truth is all I can stand to live with." -- Moonlight52

http://galewarnings.blogspot.com

http://strangemercy.blogspot.com

http://potemkinsoffice.blogspot.com

Stormchild

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #11 on: June 26, 2006, 09:03:43 PM »
And MS.... :oops: thanks! :oops:
The only way out is through, and the only way to win is not to play.

"... truth is all I can stand to live with." -- Moonlight52

http://galewarnings.blogspot.com

http://strangemercy.blogspot.com

http://potemkinsoffice.blogspot.com

Hopalong

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #12 on: June 26, 2006, 09:35:37 PM »
Cool, VERY cool.
In Germany, the "Commission E Monographs" on herbal supplements summarize the best research available on herbs. The tricky thing about taking herbs prescribed (or provided) by anyone who claims to be "an herbalist" or "an expert" is that there is no standardization or inspection of ingredients in most brands. Herbs from dicey companies have been found to contain ranges from none of the listed ingredient to a combination of things including toxins of various sorts (even mercury). So do learn about alternative medicines, but proceed with care as to suppliers, brands, etc.

(I did some research and writing for www.wholehealthmd.com and for the Duke Center for Integrative Medicine on alternative remedies. They were quite conservative about what sources to trust, and one they recommended was www.naturalstandard.com, as well as the Commission E Monographs).

Prevention Magazine also does a pretty good job of vetting what they publish about alternative remedies, as does Dr. Andrew Weil.

I heard that fish oil supplements taken 3x/day serve as a natural antidepressant, but the big bottle I got at a warehouse club made me suspicious...I think they went rancid and made me ill. And some gingko biloba I bought went off-color. So I've decided for stable things like calcium citronate and Vit. C, I can buy large quantities, but for anything less processed...I'd better buy small quantities from a well-known mfr.

I'm still determined to do the fish oil thing, those Omega 3s are antiinflammatory magic!

Sorry, ranting, but it's a fascinating subject to me too.

Live long and prosper!  :)

Hops
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Hopalong

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #13 on: June 26, 2006, 10:02:04 PM »
This simplifies things if you're starting with the basics about supplements. If the expense is a concern you can take the information from the recommendations for you, and buy your own. (For me, it comes out Omega 3s for everything!)

http://www.drweilvitaminadvisor.com

Hops
"That'll do, pig, that'll do."

Sela

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Re: Interesting Article on Misdiagnoses in Pyschiatry
« Reply #14 on: June 26, 2006, 10:09:45 PM »
Hi again Storm:

Wow again!  What a fine hairy fella he was!  Sorry it didn't work out.  :(

So now I'm wondering if you make your own "potions"?

I did once.  A person I knew had a "cold" that lasted for eons and I was deep into reading about all kinds of "natural" healing stuff so I gave him a list of some "spices" I thought he might have in his kitchen and told him to mix up a batch with hot water and honk it back and then jump into a bed loaded with mega blankets.

He said it tasted sooo bad and made him sweat (or all the blankets did) so profusely and he woke up the next day....feeling almost...."cured". :shock:

I think it probably didn't work as miraculously fast as all that but the idea of having to consume my "potion" nightly until feeling better may have speeded up the process a bit eh? (  :mrgreen:).  Plus, there were useful ingredients in there that were supposed to have a thermogenic and synergetic effect....so who knows?

I'm a real echinacea fan too.  I find it works well if I start taking it soon enough.

That green tea thing is fascinating.   If you feel like saying, what enzyme is it and what supps do you take?  
Especially interesting in relation to migranes.  Does the tea help with these, do you think?

For me meds effect me really weird but opposite to what you describe in that often ..there is no effect and I need a really large dose).  It's gotta be metabolism eh?  I do avoid prescrip meds, to be honest, mostly 'cause I think that's gotta be tough on my liver....those big doses.

Once, when I was suffering big time from trauma, I took clonazepam and thought I was gonna die.  My whole body felt on fire and I didn't sleep a wink all night.  It was worse than any "street" drug I've ever done.  Truly a horrible experience.  And I kinda stopped my whole regime back then... and I need to get back on it.  I felt so much better when I took my vitamins and supplements.  Talking about this is helping me to think about that.  Thanks.

Hiya Hops:

Thanks for the links.  I'm gonna read there.  It can be tricky eh?  I have a rule I follow personally.   I read and read about the particular substance and really seek out the possible side effects.  If there are any related to heart/blood pressure or kidney....or other serious sounding possibilities.....I won't consume it.  Needless to say there are few that are "safe" in my book.   And I can never tell which source to "trust" as pure and natural.  Reading labels thoroughly is helpful and mags like the one you mentioned too.  Thanks Hops.

Sela