3 ms·

> the disease talking This is a remarkably clever way to dismiss those with whom you disagree - "If you don't, that must be the disease talking." As pointed o

> the disease talking This is a remarkably clever way to dismiss those with whom you disagree - "If you don't, that must be the disease talking." As pointed out by jcoffland, the counterpart could be the drugs talking. There is not necessarily a known psychiatric ground state for a given person, so it's difficult to evaluate what's talking, and you'll probably never get a person free of all possible confounding variables. I'm not saying it's not true in some cases, but there are legitimate concerns and it's not reasonable to toss them out. > When working properly (i.e., right dose, right med) This is the no-true-scotsman problem. Theoretically, if you have the _exact_ right dose and the _exact right med_, you'll do better. Problem is that these are very fine-grained meds and it can take years to work through them all and get it exactly right. By that point, you might have changed. Sure, it's possible, but saying, "Oh, if you just had the right dose, it would work better!" isn't a solution. You can't just "get the right dose", even if you move shrinks.

pmyteh 7y ago
You can differentiate the two by looking at which is closer to pre-illness behaviour. I've been on citalopram for ten years now, and my mental state and personality on the drugs feels very similar to how it was before I became ill, apart from a few of the usual side effects mentioned by other posters. My initial reluctance to go to the doctor was absolutely a consequence of the disease. In addition to being depressed, lethargic, and anxious, I was worried that the drugs wouldn't work (and that I'd therefore be stuck without any future hope) and simultaneously that they would work and I would end up a different person. As for dose and med, I was fortunate in that I responded to the first SSRI prescribed (citalopram). Fiddling with the dose is trivial, though. Once you're on top of your condition the doctor will probably take your lead if you suggest going up or down, and in any case your own customised dose is merely a pill cutter away even without your doctor's permission. [Standard disclaimer that SSRIs are unlikely to solve the underlying problem, but can buy mental scope to address it, etc. etc. They can also be difficult to withdraw from (I'm now on my third go) so it's not like they're a panacea, or in way "happy pills"]

pmyteh 7y ago

You can differentiate the two by looking at which is closer to pre-illness behaviour. I've been on citalopram for ten years now, and my mental state and personality on the drugs feels very similar to how it was before I became ill, apart from a few of the usual side effects mentioned by other posters. My initial reluctance to go to the doctor was absolutely a consequence of the disease. In addition to being depressed, lethargic, and anxious, I was worried that the drugs wouldn't work (and that I'd therefore be stuck without any future hope) and simultaneously that they would work and I would end up a different person. As for dose and med, I was fortunate in that I responded to the first SSRI prescribed (citalopram). Fiddling with the dose is trivial, though. Once you're on top of your condition the doctor will probably take your lead if you suggest going up or down, and in any case your own customised dose is merely a pill cutter away even without your doctor's permission. [Standard disclaimer that SSRIs are unlikely to solve the underlying problem, but can buy mental scope to address it, etc. etc. They can also be difficult to withdraw from (I'm now on my third go) so it's not like they're a panacea, or in way "happy pills"]