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Not to trivialize people with genuine issues, but experiencing "stress, anxiety and low mood" is completely normal and natural. In fact not experiencing these k
by retube 8y ago
Not to trivialize people with genuine issues, but experiencing "stress, anxiety and low mood" is completely normal and natural. In fact not experiencing these kinds of emotions from time to time would indicate an issue! I do wonder whether the scope of what's deemed "mental illness" is being widened
- spiritcat 8y agona internet done made us all crazy
- deleted 8y ago[deleted]
- kneel 8y agoPretty sure this study took normal mood fluctuations into consideration. Poor mental health probably means poor mental health.
- frabcus 8y agoMental illnesses have psychological (eg issues from childhood), chemical (eg neurotransmitter balance) and yes social (communication and meaning) aspects. It's easy to pay attention to only one (a definition shift would be social/communication), but all three matter. These illnesses are failure modes at a mid level in the most complex information processing device in the universe. There's a lot going on - it's not so much definition shift, as this is complex, and yes it is a communal cry for help in part.
- aszantu 8y agoI want to add allergies to your list :) Personal experience: Ketogenic died made my depression go away almost over night
- djsumdog 8y agoDiet plays a huge role in mood; and we normalize "comfort eating" way too much. You cut out sugar from your diet and you will feel better. We consume an insane amount in western societies and it's not good physically or mentally. You can't just focus on mental health without the physical health because they are so dependent. I feel like we're deeply missing that point today.
- dvdhnt 8y ago> Diet plays a huge role in mood. I've seen many articles lately on the relationship between what's in our gut and our mental health. Their source escapes me at the moment, but here's a paper on the relationship between diet and mental health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167107/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167107/
- TheSmiddy 8y agoThis argument is the equivalent of a climate change denier stating "the climate is always changing". Anecdotally the percentage of my friends who I would describe as unhappy has been increasing over time. In my early 20's at most 10% of my friends would be unhappy at any given moment, now in my 30's I feel like a solid 25% of my friends are noticeably unhappy and god knows how many are good at putting on a brave face. I don't know how much of this is just due to getting older or something specific to how our society is operating at this current point in history. When I talk to people from my parents generation I get the feeling that on average every year of their life was better than the last up until about 40, whereas it feels like the opposite is true for people today. I too am worried about the increasing scope of what determines a mental illness, but at the same time if your environment can cause you to get Pneumonia, it makes sense that your environment can cause you to experience clinical depression.
- cs02rm0 8y agoBeing more stressed in your 30s than your early 20s is probably normal too. You've got less time on the planet, I've got a wife and three kids to support now, career options are vastly more limited, incurred massive debt to buy a house. But hey, things are going comparatively well for me relative to many of my peers. It seems really hard to compare between generations. Things are so different, but if mental health is towards the top of the pile of concerns now we should probably address it regardless of whether it's really a bigger issue than today than it was previously.
- iovrthoughtthis 8y agoBut is normal ok?
- skohan 8y agoNormal in the context of how our society is structured, but far from ideal or unavoidable. For instance, I can compare the experience of my cousin raising two young kids on the east coast of the US with my girlfriend's sister in the same situation in Italy. In my cousin's case, she had to go back to work almost immediately in order to pay the high rents where she lives, and money's a constant stress because of the price of a decent daycare/preschool. Family's far away, so essentially all the childcare responsibilities fall on her and her husband. In contrast, my girlfriend's sister had 9 months of paid maternity leave with which she could stay home with the baby without undue financial stress. When she returned to work part time, she didn't have to rely on commercial childcare because her large extended family is close by to share the burden. In general that makes her and her husband's life more relaxed, because if they want to go away for the odd weekend they can leave the kids with grandma. If you ask me, the work culture is deeply pathological in places like the US and UK. With the rise in technology and automation there's no reason we couldn't live in societies which prioritize our human needs more highly.
- stronglikedan 8y agoI think this article is eluding to the problem of sustained stress, anxiety and low mood, which lead to abnormal chemical imbalances that cannot easily be overcome. Once the imbalance becomes impossible to overcome without external support, it becomes a legitimate illness (mental, in this context) that requires treatment.
- megous 8y agoChemical imbalance (as a cause of depression or anxiety) is just a hypothesis (one of many). It's heavily used for marketing, because people can easily imagine something behind it, that's easily corrected by what companies sell (more chemicals), but it's most probably nonsense. Though your underlying point is observably valid. People can get into a state where it's hard for them to improve their well being without outside intervention.
- stronglikedan 8y agoAs someone who had such a chemical imbalance that was corrected by medication, I can assure you it's definitely not nonsense (although I thought the same as you until I went through it myself).
- megous 8y agoI appreciate that you took pills and felt change. It, by itself, doesn't prove that there's a specific chemical imbalance in the brain, or that it causes depression or anxiety.
- stronglikedan 8y agoIt doesn't, but all the science behind the pills does. They weren't created for no reason.
- megous 8y agoWhat science? Most of it is focused on whether the drug has effect compared to placebo/other pills, what unintended effects it has, and not on trying to understand how brain works. Pill may have effect, yet the hypothesis may still be nonsense. Chemical imbalance hypothesis is really old, and doesn't account for a lot of new information since last 50-60 years. It's in principle the same problem as when psychotherapists/clinicians try to develop a theory of mind. The result is that we have several major contradictory theories of mind/schools of psychotherapy, and all of them work/are helpful. Yet the usefulness can not be used to validate the underlying theories of mind the methods are based on, because that would mean that all of those theories are valid.
- DanBC 8y agoNotice the submitted article doesn't talk about "mental illness" but about "poor mental health". I can have poor physical health without having a specific disease. I can have poor mental health without having a specific mental illness.
- projektir 8y agoI mean human misery is also completely normal and natural, that doesn't mean we're not going to notice it and point it out when we get better tools for identifying it...
- mywacaday 8y agoAnecdotal evidence of one person close to me, saw the benefits in the use of anti depressants but what I didn't expect was that when the person came off them they laughed more, the anti-depressants might reduce the lows but they also dimmed the highs.
- amelius 8y agoThe lines of what is a mental illness are blurry. That doesn't mean we should stop paying attention when the "blurry blob" moves left or right on the chart.
- m_fayer 8y agoFor a long time in many places, living in grinding poverty was and is "normal" and "natural" for most people. Living with all sorts of insecurity - food, physical safety, shelter - all normal. Evolution only selected for those of us who manage to reproduce individually and societally, not for those who tend to live to a ripe old age with a minimum of misery. I really don't get this formulation of "x miserable condition is perfectly natural!" when "natural" so often == "miserable".
- YinglingLight 8y agoYes, but this is specifically about mental health. I believe the increased level of physical activity, combined with greater in-person socialization/community of our forefathers allowed them greater mental health (and with it, greater resiliency) than people of today.
- emodendroket 8y agoPerhaps, but what is the evidence that that was the case or that the causes you cite are the ones to credit?
- danharaj 8y agoHardship and misery aren't the same thing.
- 2bitmachine 8y ago>Evolution only selected for those of us who manage to reproduce individually and societally, not for those who tend to live to a ripe old age with a minimum of misery. Once humans developed complex societal structures, any such discussion of "evolutionary selection" borders on the ludicrous. Who reproduced and survived was (and is) far more dependent on you're relative power and status within these systems than anything even closely resembling natural selection.
- eli_gottlieb 8y agoThe point where negative emotions become homeostatic dysfunction is the point where they've become a legitimate health issue. Yeah, sometimes life hurts, but if you're getting hypertension because of work stress, fuck your job.
- Bartweiss 8y ago> I do wonder whether the scope of what's deemed "mental illness" is being widened There are two questions here, I think. One is whether we're confusing regular moods with larger conditions, and the answer is generally no. Conditions like anxiety have time thresholds of persistent symptoms to avoid this issue, and other conditions like panic disorders describe things that many people never experience. The second is whether the scope of what's diagnosable is broadening on any axis. And there, we can say: yes, consciously so. The US standards for diagnosing mental illness (the DSM definitions) have been steadily moving away from attempts to determine who has a 'real' mental illness in favor of symptoms-based diagnoses. The standard for e.g. anxiety excludes anxiety from drugs (legal or not) and physical health problems, but says nothing about whether the long-term anxiety is 'justified' or a reasonable reaction to circumstances. It's partly an acknowledgement that lots of appraisals are made quickly and on circumstantial evidence, so we might as well issue circumstantial decisions instead of assigning grand theories that might not apply. And it's partly about the fact that many treatments are circumstance-agnostic; absent other options, someone who's constantly anxious because they have high debt and a stressful job will see basically the same benefits from CBT or medications as someone without circumstantial issues. But it's also a concession to just how little we understand a lot of mental illnesses. There's no particular sign that anxiety-the-disorder is anything but high activity from the system everyone has, and we're not sure why it seems to be so much more active in certain people, so there's no objective test to run. Which means either relying on a clinician's judgement about what's 'justified' anxiety, with all the cultural biases and doctor-shopping that invites, or admitting that it's an unclear question and bypassing it. (This looks a bit different when we do understand the biological mechanisms of a disorder, or at least know that certain treatments are conditional. As an example, nicotine helps decrease the symptom intensity of schizophrenia, but doesn't for most other hallucinatory or delusional disorders. And other conditions like ASPD or ADHD have foggy partial understandings that leave them in the middle.) One way of framing this is that we're pathologizing normal reactions. But another is that we have a system built to treat certain unpleasant conditions, and we're recognizing that it can operate on more pain than we'd previously realized. A lot of historical support mechanisms have ceased to support most people, both formal (priests running confessionals and doing relationship mediation) and informal (the death of the 'third place', fraternal organization membership, etc.) If the problem is "many people are sad and stressed by their work", assigning the care of those feelings to our sadness-and-stress support framework makes sense. Ideally we might change people's work circumstances instead, but this looks like at worst a return to the historical approach.