Beyond Blue

The Murky Politics of Mind-Body: "Depression Is a Brain Disease" 101

Monday March 31, 2008

Categories: Depression
According to yesterday's comprehensive article in the "New York Times" by Sarah Kershaw, this month the House has passed a bill that would require insurance companies to provide mental health insurance parity. HALLELUIA! HALLELUIA! HALLELUIA! Writes Kershaw: It was...
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Comments
Cindy
March 31, 2008 1:14 PM

I was in this situation for a long time and nobody had actually diagnosed me until i had some testing done and that is where i found out that i have depression and it has gotten under control with medications and i dont like the idea on being on meds all of my life. I am happy that i found out what my illness is now and not wait until it was to late. I am a advocate and a mentor for the disabled and going back to school and going on to be a social worker if i can actually make it as time will tell but now i am taking just the basic classes now and decide what to pursue after i have some testing done to see where i would actually fit in. Thank you for having this topic as i am also doing a project on depression in one of my classes so this had helped me to know where i can actually start and feel confident and not be scared.

Barbara formerly Babs
March 31, 2008 1:17 PM

I am perplexed by many of the comments to which you refer. Over the time you have written Beyond Blue, you have made it abundantly clear that you employ a variety of approaches to managing your disorder. Never have you advocated medication alone, to the exclusion of other therapies. Some of the "hit and run" crowd seem to be determined to ignore what I believe is a very balanced, very sound approach to maintaining mental health, and construct a straw man argument, or attack you personally, (you whiny white woman!).

For anyone who takes the problem of depression and its attendent issues seriously, these people add nothing to the discussion. They accuse you as a shill for the drug companies, but it is clear to any frequent reader of this blog, that THEY have some sort of ax to grind.

I find it personally offensive to read the personal attacks to which you are subjected, and the misrepresentation of your position. The only comfort I think you can take in it all, is that you are speaking for those who don't have the same facility with the language as you do, or a forum with which to present the issues as you see them. As such you are a lightning rod for those who won't have a conversation that is civil and thoughtful.

Thank God for all those like you and Peter Kramer, who are willing to put themselves and their reputation on the line in the persuit of truth.

Barbara formerly Babs
March 31, 2008 1:20 PM

Correction: In the first line, I meant "disease" as opposed to disorder. It was a slip o' the brain.

Larry Parker
March 31, 2008 3:23 PM

I thought the comments on the J.K. Rowling box were generally disgusting.

(And in that, I include my first comment about Harry Potter's wizard. I realized I had been far too hard on her and tried to be more nuanced in my second comment -- but nuance seemed to be lacking on that comment box, for some reason ...)

Marla Gamble
April 1, 2008 2:48 AM

Felt that disregarding or discounting J.K. Rowling's life experience as "not being genuine depression" or "unauthentic" because it is connected to Divorce is a mistake. Families and marriages who experience Divorce consistantly report that "experiencing Divorce is parallel to experiencing a death". I am a therapist and hear this everyday in my practice and believe it to be true and genuine. Yes, it may be situational but that does not mean because something is situaltional it is not depression. I also have suffered from Depression and was on prescription medication for almost 14 years, this was even during the time to which I was in graduate school...etc. and did receive therapy to work through some issues in order to be more self-aware and prepared to facilitate change in those I serve and realistically I only touched the tip of the iceberg during that time. I believe with all my heart that Depression is a "thought disorder". I have been prescription free for over 4 years now. For years, I experienced suicidal ideations, O self esteem, lacked a healthy self identity, had diffiuclty concentrating, making decisions etc. etc.....continued to believe the cure was in prescription medication...was so depressed I lost faith and beleived that life was all one rendom act after another and that their was "no god force, or creater, or connection among people". This all changed once I began to take responsibility for myself and my life, for my choices...and to self examine my cognitive thought patterns. Yep, Cognitive Behavior Therapy learned and then applied to self.....saved my life. I also read a book by Louise Hay called "You Can Heal Your Life", and several books by "Marianne Williamson" These two authors along with the insightful Dr. Dyer (who writes and communicates from a cognitive perspective....gave me new life. Louise Hay spells the word disease like dis-ease. Being a victim, lacking insight, and avoiding working through our unresolved issues....will allow dis-ease (wether its a thought disorder such as depression or back pain to manifest itself physiologically over and over). If you begin to identify your negative inner dialogue, and when and why you consistantly allow yourself to partake in the negative inner dialogue, then turn it around and began to discipline yourself to change that. It will allow you to form new neuropathways and change your receptors and your depression will begin to lift. Many times I find that my patients are addicted to negative thoughts and negative feelings and sometimes will continue to stick with "what they know because it feels comfortable...like an old pair of shoes".....I have been there. The challenge here is to "honor and value each others experiences as genuine" and then "challenge ourselves to create a new way of being".....If a person suffering from depression is on medication it is important to not stop taking that medication. But a person can set a goal to seek professional help (start therapy) and articulate your intention to change the way you think and once you have been stable and you know in your heart that you're thinking and reality has shifted and the weight has lifted ..... work with your prescriber to lower the dose in increments through out (like every three to six months) and stay on a low dose, or eventually go off or maybe cut a few meds and stay on one low dose of medication. At one point in my life my Dr. had me one Nine Medications and I am Medication free now....for four years. Through surrendering....and taking responsibility etc....I not only was liberated from my chronic depression, but I found my source and creator again.

Anonymous
April 1, 2008 11:35 AM

I was diagnosed with Bipolar 10 years ago, although I suffered terribly from depression, most of my life before that, I did not know it at the time, I just thought, that was "life". And, even though I have gone to therapy on and off for the last 14 years (and, it has helped my tremdously), I continue to struggle with life in gereral. I can't seem to move forward. I am 38! years old now. What in the world, should I do for myself, that I obviously haven't. I want so desparately to love and appreciate my life, at least MOST OF THE TIME. Something doesn't seem right! I'm a mom of 3 wonderful children, that I love dearly, I'm active in my church (although when I get hit with the blues, I'm nowhere to be found, but in bed of course), oh yeah, I almost forgot to mention, I'm also a wife, when I make myself be, my friend and family love me very much, and my faith in, God has increased, dramatically (in the last 3 years). What else could anybody want. I just feel so stuck. Is this it or can I do more to help myself (and, what)???
By the way, I love reading your articles and the info that you give. And, I really love this website. Thank you, for dedicating yourself to doing this. I, too, am intrigued with learning about mental illness, it facinates me!
T.L.F.
Melbourne,FL.

Tania L. Finch
April 1, 2008 11:39 AM

I forgot to enter my name and email to a previous comment I posted a few minutes ago.
Thanks,
T.L.F.
Melbourne, FL.

Sweet P Hood, RN
April 1, 2008 12:27 PM

Yes, yes, all well and good. I do at times, find some entertainment, with the stigmatic opinions of those that really believe mental llness is "all in our heads" but I am mostly saddened, by the shallow depths the modern american mind swims in. We are the poorest, third world country in are ideals with death, mental illness, and our isolated, drug-ingestd homeless We live in a poverty stricken society of denial.
I know why, they havn't been living with or loving someeone withmental illness Mental health is opinions and conclusions of others, about how they have supposedly won by their own personal battle, by conquering their minds and emotions, how they have mastered their weaknesses, with some positive thinking, increased prayer and a new excercise move. In some pretty diary they write their feelngs, they suddenly saw the truth and the light, which brought them the ultimate inner peace, which made them free to live each day to its fullest. How they snapped back into reality, mastered their life/work balance, and of course, with some positive thinking, we too, could find "the answers" to life's "tough questions". If we would just followed the rules, or tried a little harder, and get a better atttitude, and stop feeling sorry for ourselves.

with some easy how-to's and being able to be one's self, one with nature. All it really takes is some good old fashioned self-control, bringing us back into normal behavior, to attain positive and productive living through dicipline, self control, the mind-over matter, mantra. That healing takes place by a special little prayer, and some good-old, god-given, common sense, you will get back in the saddle, and live successfully, againsuccessful advice, coerce others to believe they truly know and have mastered the weaknesses of mankind, and if only those other, misguided, low self-esteem, weak-minded people, you know the ones, that won't pull their boot straps up, or the selfish, introspective wound licker,cop-outs, would just try to believe that this life can completely be understood, and there is a logical answer to all things manknd must face. That we are in controll of our destiny, even dodging death, even when we deny (try)
hard enough. I love how our priorities in million dollar athletes, american idols, are real to us, but people that are pretending to be sick n the head is unreal and all made up. It feels good when people whisper and snicker, I love the attention. Respect and care is for our plasma, hdtv, our new corian, granite, Dooney & Bourke & we need more juicey, and wang. but don't waste tax dollars on special projects for the homeless, they choose to live that lifestyle being high, and drunk, what pain. Mental illness is when the mind is consistantly being inconsistant. To study how gas becomes exhaust, to study cellular respiration, to watch zygotes become bald headed babies, can you write sexual attraction as a mathematical equatio?
These are common daily occurrences, normal patterns that are happening, within, around and to us, non stop, do we control them, understand the process, can they be completely described and explained easily, if there is any small change, interuption , or factor added or taken away what will the outcome be? Our brain is more intricate and complex than these above normal everyday occurances. How dare we say anything regarding the mind and how or not how it functions. Lets take a scenerio. If you were standing on home plate and you were in between a baseball and the swinging bat of Barry Bonds explain the pathophysiology of a head injury and the contol of your actions after the injury has accurred. Why is it your thoughts can't be controlled by you? Your brain is affected, but your thoughts are not organs like your heart, or liver or your skin they cannot felt or hit with the bat, they should not be affected, why would you act differently than someone else with the same exact injury?. To rush and judge human behavior and dysfuncton is to fully understand these terms. Look these words up in Tabors Medical Dictonary once you research them, write ther function, and how they are interrelated to each other n a normal and an abnormal brain Find a PET scan picture see the color of the normal brain vs. abnormal why it a diferent what makes it different
show your work. Neuro-glial pathway, synapse, dendrite, gray matter.

maybe with some good old homework on the brain and maybe the next time you see a crazy person, they might not look the same.
mental illness looks better than ignorance, and yes, I am mentally ill
with a dash of manic and a spoonful of anger to balance it all out.

Jim Willimas
April 1, 2008 12:41 PM

There are two important issues in your comments. The primary one is the recognition of the medical reality of diseases the symptoms of which are behavioral. I commend all efforts to inform and educate about this. The second is the recognition that health insurance is primarily for the treatment of disease symptoms. There are precious few mechanisms of support for the maintenance of health in the health insurance industry. Make no mistake about it, health insurance, is one of the biggest oxymorons in the English language.

Having spewed all this I also take a deep breath and ask myself "What role does belief play in health and disease?"

Tony Mancuso
December 30, 2008 9:02 PM

I have BiPolar and need a wholistic Doctor. Can any one help me. 1-321-914-3250 Melbourne Florida Cell 1-321-266-0405

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