4 ms·

You keep saying "professional" as if that means anything here. The professionals that without any evidence promoted the low-serotonin theory of depression. Who

by fogzen 9y ago

You keep saying "professional" as if that means anything here. The professionals that without any evidence promoted the low-serotonin theory of depression. Who, after over a decade of prescribing SSRI's finally admitted that low serotonin doesn't cause depression. Yeah, those professionals. They don't know what causes depression yet they're happy to keep prescribing drugs. But it's the "self-medicating new age hippies" that are irresponsible?

Fnoord 9y ago
It means a lot, it means that the person who's responsible for your therapy (which might involve drugs) has studied for years (it takes a while until one's a psychiatrist!). It means they understand the fundamentals required for their title. Such credentials are worth a lot in our societies, hence the high wage. Perhaps not in the alternative medicine field where you're flocking around but realise you are the exception here; not the norm. Also, those professionals aren't necessarily the same people. Do you fault Linus Torvalds for a bug in the Windows NT kernel because he's a software developer? Science is constantly in motion and questioning itself. The drug usage in the past before drugs were illegal (pre-2nd part of 20th century) was more irresponsible, and its thanks to science and law this has reduced. And specifically, SSRIs are more safe than antidepressants used before SSRIs such as TCAs and MAOIs.
- brookside 9y ago
  > Such credentials are worth a lot in our societies, hence the high wage. Lots of professionals with great titles and affiliations steer people down a totally incorrect path. An easy example of this is Harvard study published in the New England Journal of Medicine promoting dietary fat reduction, shaping what every credentialed person would advise for diet for the next 50 years: https://www.npr.org/sections/thetwo-way/2016/09/13/493739074/50-years-ago-sugar-industry-quietly-paid-scientists-to-point-blame-at-fat https://www.npr.org/sections/thetwo-way/2016/09/13/493739074... Drug companies shoulder the rep of being cold evil capitalists. Psychiatrists also become extremely wealthy as part of this medical complex, and get to keep a positive reputation. It reminds me of ticketmaster essentially being paid to shoulder negative PR for excessive ticket fees which are often largely passed on to performers.
  - Fnoord 9y ago
    > Lots of professionals with great titles and affiliations steer people down a totally incorrect path. Not knowingly, and they're expert on the field. There's a few exceptions, but those people are not 100% in the head. Diederik Stapel [1] being a recent example in social psychology. The chance that you have a sitter without a clue is much higher. Especially because those are usually "friendz". The chance a professional knows better than a self-proclaimed expert is simply too high to discount all professionals. > Drug companies shoulder the rep of being cold evil capitalists. Psychiatrists also become extremely wealthy as part of this medical complex, and get to keep a positive reputation. It reminds me of ticketmaster essentially being paid to shoulder negative PR for excessive ticket fees which are often largely passed on to performers. In The Netherlands, you first try the drugs which are most likely to solve your problem but also you need to consider what gets reimbursed by insurance. Insurance also wants you to go for cheapest generic brand if possible (if patents expired, and the drug is known to work for your ailment). Example: something like Concerta doesn't get reimbursed because Ritalin exists and is considered the generic form. Even though the yo-yo effect is more severe with Ritalin. Another example, I had the option of going for a SSRI or a SSRI plus antipsychotics. The former has a good track record for people with autism; the latter combo better but it also has more impact. Regular blood checks, and basic insurance doesn't cover the antipsychotics. As for the positive reputation, when I went for my autism diagnosis I had an anamnesis from an asshole of a psychiatrist. He was working there temporary because they fired their regular psychiatrist very recently. I don't know exactly why, but I do know it was directly related to his functioning as a psychiatrist. Ticketmaster problem is different (and offtopic though I don't mind analogies). It can be solved by putting a cap by law on how much percentage profit (e.g. 25%) second hand market may earn. That does require political willpower and enforcement of such regulation. [1] https://en.wikipedia.org/wiki/Diederik_Stapel https://en.wikipedia.org/wiki/Diederik_Stapel

by fogzen 9y ago

Fnoord 9y ago

It means a lot, it means that the person who's responsible for your therapy (which might involve drugs) has studied for years (it takes a while until one's a psychiatrist!). It means they understand the fundamentals required for their title. Such credentials are worth a lot in our societies, hence the high wage. Perhaps not in the alternative medicine field where you're flocking around but realise you are the exception here; not the norm. Also, those professionals aren't necessarily the same people. Do you fault Linus Torvalds for a bug in the Windows NT kernel because he's a software developer? Science is constantly in motion and questioning itself. The drug usage in the past before drugs were illegal (pre-2nd part of 20th century) was more irresponsible, and its thanks to science and law this has reduced. And specifically, SSRIs are more safe than antidepressants used before SSRIs such as TCAs and MAOIs.

brookside 9y ago
> Such credentials are worth a lot in our societies, hence the high wage. Lots of professionals with great titles and affiliations steer people down a totally incorrect path. An easy example of this is Harvard study published in the New England Journal of Medicine promoting dietary fat reduction, shaping what every credentialed person would advise for diet for the next 50 years: https://www.npr.org/sections/thetwo-way/2016/09/13/493739074/50-years-ago-sugar-industry-quietly-paid-scientists-to-point-blame-at-fat https://www.npr.org/sections/thetwo-way/2016/09/13/493739074... Drug companies shoulder the rep of being cold evil capitalists. Psychiatrists also become extremely wealthy as part of this medical complex, and get to keep a positive reputation. It reminds me of ticketmaster essentially being paid to shoulder negative PR for excessive ticket fees which are often largely passed on to performers.
- Fnoord 9y ago
  > Lots of professionals with great titles and affiliations steer people down a totally incorrect path. Not knowingly, and they're expert on the field. There's a few exceptions, but those people are not 100% in the head. Diederik Stapel [1] being a recent example in social psychology. The chance that you have a sitter without a clue is much higher. Especially because those are usually "friendz". The chance a professional knows better than a self-proclaimed expert is simply too high to discount all professionals. > Drug companies shoulder the rep of being cold evil capitalists. Psychiatrists also become extremely wealthy as part of this medical complex, and get to keep a positive reputation. It reminds me of ticketmaster essentially being paid to shoulder negative PR for excessive ticket fees which are often largely passed on to performers. In The Netherlands, you first try the drugs which are most likely to solve your problem but also you need to consider what gets reimbursed by insurance. Insurance also wants you to go for cheapest generic brand if possible (if patents expired, and the drug is known to work for your ailment). Example: something like Concerta doesn't get reimbursed because Ritalin exists and is considered the generic form. Even though the yo-yo effect is more severe with Ritalin. Another example, I had the option of going for a SSRI or a SSRI plus antipsychotics. The former has a good track record for people with autism; the latter combo better but it also has more impact. Regular blood checks, and basic insurance doesn't cover the antipsychotics. As for the positive reputation, when I went for my autism diagnosis I had an anamnesis from an asshole of a psychiatrist. He was working there temporary because they fired their regular psychiatrist very recently. I don't know exactly why, but I do know it was directly related to his functioning as a psychiatrist. Ticketmaster problem is different (and offtopic though I don't mind analogies). It can be solved by putting a cap by law on how much percentage profit (e.g. 25%) second hand market may earn. That does require political willpower and enforcement of such regulation. [1] https://en.wikipedia.org/wiki/Diederik_Stapel https://en.wikipedia.org/wiki/Diederik_Stapel