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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by Phil on October 25, 2012, at 19:09:44
http://www.huffingtonpost.com/nada-logan-stotland-md-mph/psychiatry-myths-and-myst_b_840852.html
Posted by Phillipa on October 25, 2012, at 20:49:22
In reply to (Corner-man rings the bell.) Anti-antipsychiatry, posted by Phil on October 25, 2012, at 19:09:44
Medical diseases are objective and can be measured or seen with a blood test, MRI, x=ray, stetchescope, BP cuff, etc. While psychiatic is based on behaviors and symptoms seen by others and reports of how the person feels. Just my thoughts. Medical =measurable, psychiatic = subjective. In a great number of cases Phillipa
Posted by schleprock on October 25, 2012, at 21:22:08
In reply to (Corner-man rings the bell.) Anti-antipsychiatry, posted by Phil on October 25, 2012, at 19:09:44
Yes, that's the same article.
Posted by Phil on October 25, 2012, at 22:07:50
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry, posted by schleprock on October 25, 2012, at 21:22:08
> Yes, that's the same article.
Great! Same article as duhhhhhhh...
Posted by schleprock on October 25, 2012, at 22:26:08
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry » schleprock, posted by Phil on October 25, 2012, at 22:07:50
> > Yes, that's the same article.
>
> Great! Same article as duhhhhhhh...This one here:
http://www.dr-bob.org/babble/20121018/msgs/1029180.html
I'd really like to see what the real article looks like, this is obviously an early draft.
Posted by SLS on October 25, 2012, at 23:27:18
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry » Phil, posted by Phillipa on October 25, 2012, at 20:49:22
> Medical diseases are objective and can be measured or seen with a blood test, MRI, x=ray, stetchescope, BP cuff, etc. While psychiatic is based on behaviors and symptoms seen by others and reports of how the person feels. Just my thoughts. Medical =measurable, psychiatic = subjective. In a great number of cases Phillipa
I understand why you feel this way.
Major Depressive Disorder (MDD) and Bipolar Disorder (BD) are both medical diseases. Biological pathologies are demonstrated with these two illnesses. Just because we haven't had biological tests in the past does not indicate that none exist now or will exist in the future. There was a time when there was no biological test for identifying AIDS. Diagnosis was made by clinical observation.
There are a growing number biomarkers being considered to use as tests for MDD and BD. There are differences in genotype and epigenetic gene expression. A recently discovered genetic allelic marker codes for a modulator of the activity of 5 other genes needed to support the health of neuronal synapses. Excessive expression of this modulator is associated with MDD. PET scans, although not feasible as a cost-effective screening tool, consistently detect depressive disorders as well as their remission. Other biomarkers have been in existence for over 30 years. The dexamethasone suppression test (DST) is one of these as it demonstrates neuroendocrine abnormalities. It is not as reliable as imaging techniques, but represents some of the focus of biological psychiatry. Some will argue that these clinical measurements represent the result of depression rather than its cause. If these tests work, what's the difference?
MDD does not equal "depression". MDD is a clinical medical illness (syndrome) for which depressed mood is but one symptom.
- Scott
Posted by jono_in_adelaide on October 25, 2012, at 23:34:19
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry » Phillipa, posted by SLS on October 25, 2012, at 23:27:18
I have to say i think it was a backward step when they dropped the diferentiation between endrogenous and reactive depression in the DSM - they have different causes, different prognosis and usualy require different treatments, would have made sense to me to have listed them as two seperate illnesses
Posted by Phillipa on October 25, 2012, at 23:35:12
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry » Phillipa, posted by SLS on October 25, 2012, at 23:27:18
Scott I had the dexamethasone suppression test as the endo was looking for Cushings but it was normal? The test results. Would this relate to whether I have depression or not. Or purely anxiety based. Didn't mean that mental illness isn't a disease it's just harder to measure. Phillipa
Posted by Phillipa on October 25, 2012, at 23:41:05
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry » SLS, posted by Phillipa on October 25, 2012, at 23:35:12
According to this I'm not depressed? Phillipa
http://www.webmd.com/a-to-z-guides/overnight-dexamethasone-suppression-test
Posted by jono_in_adelaide on October 26, 2012, at 0:05:21
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry, posted by Phillipa on October 25, 2012, at 23:41:05
I have a feeling that that test was discredited a while ago Phillipa, because it wasnt reliable enough to be clinicaly usefull.
Posted by Phillipa on October 26, 2012, at 19:04:38
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry, posted by jono_in_adelaide on October 26, 2012, at 0:05:21
Jono thanks as the endo was looking for Cushings not depression. Why was it discredited? Phillipa
Posted by jono_in_adelaide on October 27, 2012, at 5:58:51
In reply to Re: (Corner-man rings the bell.) Anti-antipsychiatry » jono_in_adelaide, posted by Phillipa on October 26, 2012, at 19:04:38
I think it was discredited for diagnosing depression because it wasnt reliable enough, some people failed the test who didnt have endrogenous depression, and some people with obvious endrogenous depression passed the test.
This is the end of the thread.
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