SRS Speak your mind and problems, Fellow Psychologists welcome

Discussion in 'On Topic' started by VPseudonymousV, Oct 12, 2008.

  1. VPseudonymousV

    VPseudonymousV New Member

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    Speak what is on your mind and what may be troubling you and i along with anyone else, all ideas and people welcome, will try to help to our best advantage. Whether you need help, want to share your ideas, have thoughts and past experiences to help others in their time of need, or just need to pound that keyboard while typing to vent, the floor is yours.

    I will answer each question as promptly and thoroughly as i can and give my own advice. You may take it or not, i will never be overzealous and force things upon anyone.
     
    Last edited: Oct 12, 2008
  2. no lol today

    no lol today Soy la bailarina de la muerta. OT Supporter

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    How often/what percentage of patients do you think experience depression as a symptom of another ailment? Do you think that patients diagnosed as depressed should be evaluated for an underlying cause?
     
  3. Lucky Penny

    Lucky Penny Mr. cut me some slack cause I don't wanna go back,

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    That is a loaded question, sister. I'll try to keep this short and concise.

    Comorbidity is when a medical condition exists simultaneously with another condition. For example, depression occurs frequently as a comorbid disorder with anxiety. As for percentages, I couldn't spout out numbers for ya- it's not my bag, but there are dozens of physical and psychological conditions that can either cause depressed mood or coexists with depressive symptoms. There are also considerations to be made in regards to a patient's age when it comes to diagnosing depression, cause some psychological disorders present themselves very differently in children/adolescents than they do in adults or geriatrics. (For example, bipolar disorder is one of the trickier conditions to diagnose in children and young adolescents as it often looks a lot more like depression. You don't really want to give an antidepressant to someone who is bipolar. While it does work for some people short term, the risks of rapid cycling, kindling -depending on if you buy that theory or not- and suicide is not worth it. In short, the chances of the shit going awry are pretty damn good.)

    Anyway, back on topic. The differential diagnosis for depression is intense. First thing doctors do is rule out medical disorders and substance abuse. Depression can be caused by:

    Thyroid disorders and other endocrine disorders
    Medication side effects
    Neurological disorders
    HIV
    AIDS
    Malignancy
    Systemic inflammatory conditions
    Chronic medical conditions
    Diabetes
    Cardiovascular disease
    And more....

    Depression can also be caused by:

    Grief reaction
    Adjustment disorder with depressed mood
    Chronic pain disorders
    Sleep dysfunctions
    Alzheimer's
    Parkinson's
    Korsakoff's syndrome
    Aphasia
    Anxiety

    And the list goes on...

    (Check pg 3 of the link. It has a pretty comprehensive list.)

    Absolutely. And a good doctor(s) will do this.



    And just so you know I'm not blowing smoke up your ass ;):

    J Am Osteopath Assoc. 2006;106(Suppl 2):S9–S14
    http://www.jaoa.org/cgi/reprint/106/5_suppl_2/S9.pdf

    American Psychiatric Association. Diagnostic and
    Statistical Manual of Mental Disorders Text Revision.
    Washington, DC: American Psychiatric Association;
    2000.
     
  4. stormywaters

    stormywaters Tornadoes are just wind...

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    I just started a new job yesterday. It's 15-20 hours a week while I go to college. I get super anxious when doing something new so I was very nervous when I walked in.
    I was expecting to be trained in by the manager, but no. In fact, no one did anything to train me at all. I stood around for 3 hours waiting for someone to help teach me. This probably happened because almost everyone who works in this place is in high school and they are all friends. I ended up just following people around watching what they did.
    Now I am nervous to go back because I didn't learn a single thing on my first day.
     
  5. no lol today

    no lol today Soy la bailarina de la muerta. OT Supporter

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    Cool. I mostly asked that question in hopes that a few people would read it & realize that depression isn't THE answer to questions raised by it's symptoms.

    Now, having read what you wrote about related conditions how does one go about assessing/recommending treatment of the depression when another condition is present?
    I ask this question because I've had big objections to the recommendation a particular psych has made for me in the past. have a degenerative neurological disorder and was wary of the judgment to tamper with my deficient brain chemistry. Depression is a common mis/incomplete diagnosis of my disorder. I worry about people who are less informed. :(

    Thanks for answering the question. I like this thread. :cool:
     
  6. RollinDollos

    RollinDollos Guest

    When people go against me or question me I tend to hold it in for alot longer then I should.

    For instance my drunk friend yesterday was acting like a fucking idiot but he has tons of emotional problems which he has voiced to me and is some what of an alcoholic was pretending like he was hitting me and touched my face so I thai kicked him as hard as a could. So I kind of went to act like I was going to kick him again and being afraid of kicking him he put me in a headlock and we were wrestling to put each other on the floor but we were just kind of at a stand still. I work out and hes been hurt for a while but was about 6'0 220 when he was healthy for that reason I feel like I let everyones expectations down about me by letting him have me in a headlock for so long. So he starts talking shit about how I don't want to take him in the ring blah blah blah, then I make fun of his golf swing.

    The thing is that I haven't been able to get it off my mind all day and all last night about how I could have diffused the situation to my advantage. I ask myself "Why am I the one he wanted to get his frustations out on?", thats all ive been thinking about. I think its because ive been talking to him the past week about trying to help him get girls (He drunk texted me about how he was so desperate to have sex with a girl). Ive also been telling him him about how my dates have been going well and that I might finally be on the verge of finding a good girl in my life, then I didn't return one of his calls on friday. I think its because he feels that he needs to prove something to me and since I was trying to help him he feels even more threatened of his insucurities. Then the question comes up again "Why does he have to Prove it with me as an example?". I now have feelings of extreme hate towards him.
     
  7. scottmcl

    scottmcl New Member

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    Are there degrees of bipolar disorder?

    I often feel myself drifting between highs and lows, its rather disconcerting.

    Nothing Virginia wolf serious...but still?
     
  8. D-FENS

    D-FENS New Member

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    So I give a terrible first impression to every person I meet, but when people get to know me for a couple days/weeks, they all love me. More than half of my friends, even some of my closest, disliked me (and I disliked them) before we really became friends. For all my usual friendships this doesn't really bother me, but it makes dating impossible. Girls always go on the first impression. Since I always come off as an obnoxious crazy guy at first, I'm thrown in the "do not date" pile immediately. For girls that I have regular contact with, like classmates, by the time they get to know me well enough that they enjoy my company, I'm too far into the friendzone to have any chance.
     
  9. Jake!

    Jake! Guest

    a pic may suffice:

    [​IMG]
     
  10. Lucky Penny

    Lucky Penny Mr. cut me some slack cause I don't wanna go back,

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    I understand the anxiety. I get that way too in new situations. And its frustrating to start a new job and not feel prepared. :hs:

    What kind of job is it? What are you required to do?

    Don't get too worried about the people you work with. You'll make friends with them and fit in just fine once you learn the ropes and get comfortable :) You were watching them work, right? Are you able to remember what they were doing? Did you get the basic gist of the routine? Try to remember what you saw and the steps they took so when you walk in to work tomorrow you feel a little more acclimated with the situation. That should help quite a bit. Even though you may not know exactly what to do in every situation, you'll have a basic understanding of the job.

    It's only your second day. Don't be afraid to ask questions. Employers don't expect you to be perfect right from the start, but if they know you're willing to learn the job and you're teachable, it'll take you a long way.

    Good luck! Let us know how it goes!! :wavey:
     
  11. Lucky Penny

    Lucky Penny Mr. cut me some slack cause I don't wanna go back,

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    . :h5:

    There are a lot of variables there. It depends on the what condition a person has, the basis of that condition (medical or psychological), the type and severity of the "secondary" condition, if there are any other comorbid conditions that the person is being treated for too, any possible drug interactions- that sort of thing. It's no small potatoes.

    So, you have a degenerative neurological disorder (I'm really sorry by the way. That has to be pretty scary and frustrating :hs:) and you're also experiencing depression, your treatment for depression would depend on:

    *The type of neurological disorder you have
    *If the the disorder has any subtypes, (migraine headaches for example, can present either with or without auras- the presence or absence of auras would be the subtype. Subtypes may or may not be important in treatment. Depends on the condition)
    *If you are being treated for any other conditions
    *What medications you're currently taking
    *The severity of your depression
    *Possible drug interactions
    *If the condition you have would be aggravated by medications you would take for depression (Like if you had epilepsy, you couldn't take an MAOI for depression cause you'd be having seizures all over the place).
    *Probably more I can't think of right now.

    Point is, there are a lot of factors to consider. If you know you've got some wonky brain chemistry and you're not comfortable with a treatment plan your doctor is considering, get a second opinion. Get a 5th, 6th and 7th opinion. Talk to specialists. Research new treatments and contact the doctors who are using them. Read their research and shoot them an email- you'd be surprised at the amount of info you can get this way. You know yourself best. And you have a right to worry. I probably would too.

    You could also try non drug alternatives. :dunno: The severity of your depression would play a big part in the effectiveness of these treatments of course, but the research shows that people with mild depressive symptoms find relief by using them and those with more persistent symptoms find their depression is managed better when they couple the non drug alternatives with their medication. Phototherapy has been getting a lot of attention lately. Exercise, eliminating certain foods from your diet, and regular doses of Omega-3 fatty acids are other options. There is a shit ton of research being done on Omega 3's lately- nothing officially approved, but the research is stunning. Check with your docs before you go taking any supplements though obviously.

    Of course! Neuro is my game. Glad I could help :big grin:
     
  12. JordanClarkson

    JordanClarkson OT Supporter

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    Several of my jobs have been like this. I don't like it because every day I feel like a moron due to not being taught anything and having rules made up on the spot. We all need to eat though. Stick with it as long as you can. I think it's a good experience. If it gets way too uncomfortable or they treat you like you're an idiot, then maybe it's no longer worth it and you can find something else.
     
  13. amourdoux

    amourdoux New Member

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    I'm college graduate (communications was my major) who is working as a cashier at supermarket part-time. I've been trying so hard to get a full-time job. I want to work as an administrative or office assistant. I just never seem to have the right experience, though. The only calls I have been getting are from temp agencies, which are leading me nowhere. I have experience in the Mircosoft package, filing, and copying. As for the phone, I have little experience with that. One of my problems is that I have a low voice and am really shy at first, which causes me to stutter a little and talk too low. So I think that's why some interview might not have gone well...because I appear to be inarticulate and insecure maybe. But once I get past that stage of being nervous, I can talk freely and clearly. I really should have been another major b/c communications is so broad and they didn't even really tell me what I could do with the degree. I am interested in being a babysiter, or a teacher assistant at an elementary school or a daycare. But I don't have an education or babysitting background. It's just so tough because employers are looking for the most perfect person nowadays. I don't drive, so that's another problem. My boyfriend does and will have to take me to and from work. I have my license, though. So once I get enough money, I want to take a refresher course then buy a used car. We're moving to a new town with a bus stop nearby. So maybe I'll be able to take the bus to a new job for now. I'm just running low on money and this job I have now really isn't cutting it. I really hope something comes along. I want a job that I am qualified for, not overqualified.
     
  14. stormywaters

    stormywaters Tornadoes are just wind...

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    Update: I went to my second night of work tonight. I told the manager that I wasn't trained at all my first day so she took me through everything. She also said she will be doing most of my training for the next week. I feel a lot better now :)
     
  15. Lucky Penny

    Lucky Penny Mr. cut me some slack cause I don't wanna go back,

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    Yay yay yay!! So glad to hear :big grin:


    I'll post some more responses when I get a min, I promise. Pseudonymous, where are you?!? Someone else, jump in here too. Please feel free... :x: :rofl:
     
  16. Timdog

    Timdog New Member

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    Hello all. I seem to have a problem where my mind is in two different states. Most of the time I will have an incredibly fuzzy mind, many different thoughts pulling me in so many different directions. My ability to memorize and learn falls a bit and my brain seems very "tense" much like when a muscle tenses up. My thoughts are incredibly distracting and I can't seem to focus very well. I also tend to think and think and overthink a lot. I feel like I'm stuck in a sea of thoughts and just constantly pulling me all over the place.

    However, ocassionally, I will get moments of clarity which seem to last for anywhere from an hour or two up till about 4-5 days. My actions and thinking seem to just flow together so easily and I can focus very well. My brain no longer feels tense and everything just kind of feels "normal." I just follow my instincts and intuition. I no longer have as many distracting thoughts. I actually feel happy whereas in the other state I feel very frustrated and confused.

    Usually I'll start to slowly drift into the state of clarity, but then I will start thinking obsessively about something. And this obsessive thought leads to more obsessive thoughts about things connected to this and then suddenly, I'm in the confused state again.

    HALP
     

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