Psychiatrist's response to the article "Sick-healthy"

The open material is sick and healthy provides an opportunity for comment, and I hope that the considerations of a doctor with 35 years of experience will be useful to the author. His article, in fact, is a brief confession, and I think that such confessions are needed both for people who have experienced psychiatry and for people who have experienced similar conditions, but who have not applied to psychiatry.

Based on my experience, I want to say right away that the experiences described in the article are characteristic, first of all, for thyroiditis - an increased titer of antibodies to thyroid hormones.

The thyroid gland and its hormones (and partly the pituitary hormones) are responsible for the pace of mental activity. What happened to masterdakIt is associated with a rapid increase in the pace of mental activity, which in psychiatry is called a manic state, mania or hypomania. The patient must have heard these terms, just like the concept of “influx of thoughts”.

Today, the "influx of thoughts" and hypomania in real psychiatric practice do not differentiate. This condition is still referred to as “endogenous” (internal, without an objective reason) and treated as schizophrenia, as the author can be convinced by reading the instructions for the medications that he takes.
These drugs can only worsen the state of the thyroid gland, as well as autoimmune processes in general.

Laboratory tests confirming my point of view are not carried out in state hospitals. The first thing to advise is to do two elementary analyzes in any clinic:

1. antibodies to thyroid stimulating hormone
2. antibodies to perioxidative hormone.

If one of the reasons for such mental states lies in physiological problems (the second, in any case, psychological), then you yourself and no one else can rule out the possibility of a recurrence of such attacks in the future.

Based on the description, I consider thyroiditis to be the most likely physiological cause of the author’s conditions, but congenital neurological problems can also be the cause. In my opinion, the state characteristic of such problems is better stated in the comment by zuek :

“I started to build the system somewhere in the second grade — I noticed a heightened emotionality behind me — I was offended clearly stronger and faster than my peers, I was ready to bear any bullying from a person I liked, but in general it seemed to me that I’m not responding to events adequately - too emotional.

One can doubt self-digging so atypical for an eight-year-old boy, but it was just that, I was just trying to figure out why I have no friends, why love is inseparable, and most of all I wanted to stop worrying about all sorts of trifles.

Then I would begin to observe my inner circle in order to copy their behavior — it was this first conscious decision to copy other people's reactions that grew into a “brain”. At first I, as if from the outside, calculated the most likely reaction for that guy, and then I reacted according to the model I built, now I suspect that it was something akin to autistic disorders ... ”

Increased emotional vulnerability, about which masterdak did not write anything , is most often associated with minimal organic disorders of the nervous system, which arise, as a rule, as a result of birth trauma or with hemodynamic disorders in the pregnant woman's body.

Something like this happens:
Capillaries supplying blood to nerve cells are very narrow vessels. At the slightest malfunction in the labor of the mother or an increase in blood viscosity, they subside and die, and in their place the so-called gliosis - microscopic scars forms.
If this happened in the skin tissue, then inflammation would first occur, and in its place - scar tissue. The brain is an aseptic environment, there are no bacteria, there is no inflammation in the strict sense of the word, but the body’s defense systems will still fight with a microrubic.

The vessel is dead, therefore, gliosis is a zone of hypoxia (oxygen starvation). The brain is struggling with this situation in two ways: firstly, it increases the number of antibodies to its own proteins, trying to neutralize them in the area of ​​one (or many) microtubes, and secondly, the nerve cell forms collaterals, bypassing the scar zone. Antibodies to their own protein structures make it difficult in this zone to synthesize nerve impulse regulating substances (biogenic amines). Excess “bypass branches” of the neuron makes it difficult to pass the nerve impulse, creating a zone of excessive tension of the nervous tissue.
This is a simplified description of the processes leading to what neurologists call "residual organic encephalopathy." With an increase in antibody levels, something similar happens in the thyroid gland.

I do not make diagnoses without examination. Based on your posts, I’m just trying to explain what happens in such situations with the human nervous system. And I do this only because Russian psychiatry is not interested in all these processes.
Psychiatrists, de facto, since the mid-fifties of the last century, treat almost all patients only for schizophrenia.

Zuek , before moving on to a discussion of the “brain,” characterizes himself as a quiet, moderately drinking gray . "Quiet grayness" is the only result that a person can get if he is "treated" with alcohol. Unfortunately, not just alcohol. Everyone who is familiar with people who are constantly taking psychotropic drugs is well aware that the result is the same - "quiet dullness."

It seems to me that zuek's addiction to alcohol is no coincidence. Alcohol is an ideal natural antioxidant. Patients suffering from increased emotional vulnerability or sudden mood swings very often find that alcohol stabilizes their mental state. Moreover, with some experience, I can say that all cases of alcoholism occurring before the age of thirty, without exception, have almost nothing to do with alcohol dependence (almost - since psychological reasons always play a role). In all such cases, MRI, EEG and clinical examination can find residual organic encephalopathy.

Hello from the Pavlovsk sessions

The diagnosis of bipolar affective disorder today is a form of demagogy for the patient. The doctor does not want to tell the patient that he suffers from schizophrenia, painfully this is a hopeless and difficult to explain diagnosis.

A “non-standard professor” is also trying to treat schizophrenia:

We’re going to another professor who is rumored to use non-standard methods of treatment. He writes on a piece of paper a recovery formula: we remove the ziprex, add the ariprizol regimen plus an antidepressant, transcendental meditation and yoga therapy. I do not believe in all this, but he insists to try

Ziprex, like ariprizol, are atypical antipsychotics intended for the treatment of schizophrenia.

It is quite difficult for an uninitiated in the mystery of psychiatric vocabulary to explain what is happening to the doctors. This story began in 1951-1952 at the Pavlovsk Sessions of the USSR Academy of Sciences. The infamous sessions led to the autocracy in psychiatry of one system of ideas and one person - academician of the USSR Academy of Medical Sciences A.V. Snezhnevsky , who played the same role in psychiatry as academician T.D. Lysenko before him in domestic genetics and selection.

Unlike genetics dealing with completely material living structures, nothing has changed in psychiatry based on abstract metaphorical descriptions.

Speaking at the Pavlovsk sessions, Academician Snezhnevsky suggested the existence of a certain factor x, which affects the incorrect formation of conditioned reflexes in patients with schizophrenia. Later this point of view was not confirmed: no factor x was found that distorted the reflexes, and the role of conditioned reflexes in the human mental life turned out to be much less than IP Pavlov suggested.

At the same Pavlovian sessions, Snezhnevsky argued that all mental disorders are a single process, that is, they are one disease, manifesting itself only slightly differently at different stages of human life. The nonexistent "destruction of the conditioned reflex arc" was declared the cause of the nonexistent "single endogenous-functional psychosis." This psychosis was schizophrenia.

The author of this term isEigen Bleiler , forty years before Snezhnevsky described the disease with unknown causes. Snezhnevsky absolutized this diagnosis, making it the only diagnosis of the “Moscow Psychiatric School”. Of course, I simplify a lot - this is a topic for the whole book, which I hope to someday add.

Imagine how convenient and beneficial it is for a practical doctor? All have one disease, about twenty of the main medicines for its treatment. You don’t need to understand what is happening with a person - you just select one or more (even worse) antipsychotics, and prescribe it to the patient for life, since “single psychosis” dies only with the patient.

The orders of the Ministry of Health on the standards of medical care consolidated this simplest position, making it binding.

In addition, it can be noted that in 1956, at a conference in Sweden, Academician Snezhnevsky spoke to an international audience with his concept of a single psychosis and sluggish schizophrenia, which the world professional community did not accept. It is clear that since then, Soviet psychiatrists began to develop a purely original domestic psychiatry. The concept of “sluggish schizophrenia” included everything that before Academician Snezhnevsky was called “neurosis,” “obsession,” “psychopathy” or “personality disorder”. All that foreign colleagues considered an easy or psychological level of mental disorders has become a form of an incurable, mysterious disease. Over time, “circular psychosis”, which today is called bipolar affective disorder, was also attributed to the same disease.

Disorders of the nervous system, all problems caused by emotional reactivity, encephalopathies, problems of the thyroid gland (and other internal organs) were classified by psychiatry as comorbid disorders. This mysterious word means concomitant underlying disease disorders. All somatic or neurological disorders do not cause mental problems on their own, but only provoke the beginning of schizophrenia in you, dear sirs.

"Unified psychosis" is now understood everywhere and everywhere - even when your children are diagnosed with "childhood hypermobility syndrome" or "early childhood autism" - they are treated for schizophrenia. Do not forget to carefully read the instructions for the drugs!
But it's not only that.

In teaching self-hypnosis and self-hypnosis, I have great respect for meditation, but meditating while taking antipsychotics and antidepressants is, at least, pointless.

The pharmacological effect of such drugs is a kind of pathological meditation. This can be called a feeling of stupor, dullness and confusion, which cause, in particular, ziprex and ariprizol.

Like any drug, they forcibly create an altered state of consciousness, against which it is almost impossible to cause arbitrary relaxation (not to mention transcendence beyond the limits of their body). Such attempts can lead either to depression associated with the inability to survive the lofty feelings that the meditation facilitator speaks of, or to false sensations (up to hallucinations) associated with what a person is trying to invent, to construct what he cannot feel.
Either antipsychotics - or yoga and meditation, one of two things.

"Bipolar disorder"

Let's try to analyze what happens to the author of the article without taking into account schizophrenological speculation.

An increase in emotional and intellectual stress causes a feeling of constant internal tension, ending with a feeling of its special role in the universe. In the hospital, the young man remains excited, starting with a typical influx of thoughts and continuing in the form of some euphoria and disinhibition. These phenomena arise and pass quickly enough when prescribing antipsychotics.

The Soviet psychiatric school, which developed until Snezhnevsky’s sovereignty, considered such influxes of thoughts to be part of the psycho-organic syndrome, that is, a syndrome caused by neurological or somatic problems.

But we have not yet discussed the psychological problems behind the symptoms.

Deeper and deeper plunged into the stream of thoughts, I became more and more clear, as it seemed to me, to begin to understand the universe. I began to feel that I was approaching God. From this began euphoria: the ultimate level of happiness. I looked at my watch, evening was approaching: the time when Catholics began to celebrate Christmas. My wife sent me to the store. On the way, I congratulated everyone on Christmas. Feeling closeness to God, I was truly happy, it seemed to me that I could do anything.

In this quote, you can trace the mechanism of a mental attack similar to epileptic. Tension is perceived by the consciousness as anxiety. Anxious thoughts are doubts about yourself and your ability to be responsible for everything you do. The psyche knows the only way to get rid of disturbing thoughts - a feeling of one's own greatness.


Ilya Kutoboy. Hikikomori Invasion

Experiences masterdak, in the clinical sense of the word, are not nonsense. Delusional syndrome requires the appearance in the patient’s mind of fundamentally new ideas and conclusions that were previously absent. It may seem to you that this is happening, but in reality, each of us in dreams and fantasies, at any age, wants to feel our own omnipotence or “closeness to God”. This is a normal part of our consciousness. It seems to me that we call it “self-confidence”. This is not to say that the desire for closeness to the gods can be called the main content of all world religions.

So, the stress caused by physiological factors gives rise to anxiety and painful self-doubt. Weakened nerve tissue jerkily relieves tension releasing consciousness from doubt and anxiety. On the surface of consciousness are thoughts that used to be just dreams.

You can continue the physiological and psychological explanation of what is happening with the author, but, I'm afraid that my answer is already too large. The main thing is that both masterdak and zuek write that these states lend themselves to self-regulation through psychological efforts, which means that their states are not related to endogenous psychoses.

Psycho-organic syndrome leaves a person with the opportunity for psychological self-regulation. Moscow schizophrenological school believes that "endogenous psychosis" eliminates this possibility. The psychiatrist of this school does not consider you as a person at all. You are psychosis, so there is simply no one to regulate emotions and behavior ...

... to track my jumps, I made a list of markers, when triggered, I increased the dose of ziprex and so as not to fly away again. At first there were few markers, then there were a lot of them, and they migrated, I called them signs of that side:

1. excessive religiosity
2. thoughts develop too quickly
3. connections where they are absent
4. easy way to get super results
5. thoughts have a tremendous meaning
6. I got a connection with the universe
7. I am the chosen one and I can radically change the world
8. I am healthy and not sick
9. I do not need to take medicine
10. I feel bliss and unreality of what is happening.

This is an important quote for me, because it confirms my deep conviction that the main form of prevention of mental illness today is teaching a person how to use elementary, basic principles of thinking and logic.

Drawing up such criteria can for many prove to be a quick and effective way of self-medication.

It is important not to be limited to certain criteria. Each criterion must correspond to the principle of attitude to life and a brief strategy of the psychological efforts aimed at returning oneself to normal.

For example, the main thing for me from the described criteria is paragraph seven: “I am the chosen one and I can radically change the world.” It is always an illusion, no matter how it is evaluated - as a psychiatric pathology or spiritual revelation.

Man cannot be God - a phrase you understand, like this one, should be ready if you evaluate the criterion as positive.

My wife insisted on going to the capital of the republic for a consultation - so that I would not be like a vegetable. The psychiatrist asks the right questions: do you have ups and downs - I say yes, and this is the key to understanding what I'm sick with - bipolar disorder - an incurable disease, mania changes with depression in places, and such swings drive a person from side to side .

Self-confidence alone or doubts alone can speak of bipolar disorder, but for this it is necessary that the period of extreme self-confidence and the period of endless doubts gradually replace each other and last long enough (for months). If these periods are short-lived and are replaced by jerks, a person needs to look for somatic or neurological problems that cause sudden changes in mood.

Even if I am mistaken in my assumptions regarding the author of the text, I have encouraging information: a psychiatrist who described manic-depressive psychosis (bipolar disorder), - Emil Kraepelin, did not consider him an incurable disease. On the contrary, German psychiatry has always believed that this disorder goes unnoticed. And there were no psychotropic drugs at the time of Kraepelin - they treated this psychosis with sanatorium conditions, water procedures, hypnosis and ... round-the-world travels.

... and if any of this works, I immediately increase the dose of drugs. So I lived for 8 years. He made control questions
1. with what probability is my company the greatest in history - if the probability is 100% - anxiety, I need to raise the dose again
2. do I need to read books for professional growth - if there is no anxiety
3. with what probability will we surpass the peak results of the past years, if 100% is also an alarm.

Attempts to use the criteria for self-esteem, not for organizing one’s own thinking, but for regulating doses of drugs, can only lead a person to return to a psychiatric hospital.

The “brain” of zuek , for example, can work effectively on its own, but as soon as zuek starts drinking alcohol, all self-regulation ceases, alcohol becomes the regulator.

Most often, I have to deal with one main problem of self-regulation: patients do nothing systematically. In order to use the “brain,” you need to accustom yourself in any life situation to apply the principles formulated, which is much more complicated and much slower than taking a psychotropic pill or drug.

In order for a person to learn how to alleviate neurological symptoms, one needs not only the correct diagnosis and the correct treatment, but also daily, continuing for years exercises, aimed at relaxation and reduction of anxiety. Unfortunately, I am convinced that the author of the article recalled his criteria from case to case, and did not at all try to think through affirmations - positive principles of thinking that help to overcome critical mental conditions.

Side effects

Side effects of drugs are not complications. Side effect is part of the mandatory effect of the drug on the body, but is not desirable for the patient's health and treatment goals.

I quote the instructions for the use of ariprizol:

Ariprizol

Антипсихотическое средство (нейролептик). Предполагается, что терапевтическое действие арипипразола при шизофрении обусловлено сочетанием частичной агонистической активности в отношении допаминовых D2- и серотониновых 5-HT1а- рецепторов и антагонистической активностью в отношении серотониновых 5-HT2- рецепторов. Арипипразол обладает высокой аффинностью in vitro к допаминовым D2- и D3-рецепторам, серотониновым 5-HT1a- и 5-HT2a-рецепторам...

Incomprehensible?

Firstly, it becomes clear that you are being treated for schizophrenia.

Secondly, as you know, the Latin “in vitro” means “in vitro”, that is, the relationship between the drug and nerve cell receptors is proven only in vitro, and in vivo, in a living organism, pharmacologists cannot study and prove anything like that.

Thirdly, no one knows what exactly is done with the nerve cell, and even more so with the human mind and mind, the above receptors. Such drugs are created by poking: “calmed down? - it seems to have calmed down. "

All people taking antipsychotics and antidepressants participate in a protracted pharmacological experiment, the effectiveness of which has not been proven in reality ...

By participating in this experiment, you use drugs that have the following required effects (indicated as side effects):













If you read this list carefully, you will understand a simple thing - many of the symptoms you are experiencing can be caused by drugs that you are thoughtlessly taking, and not your illness.

... partly back to normal, sleep problems go away, but depression remains - we change antidepressants every few months, I study the Vedas and a few other religions, but the Vedas are bigger. Depression sometimes pounds so hard that I want to get rid of all this sooner, we turn again to Fevarin 100 milligrams a day at night ”

You should always think about what “depression” is. I am convinced that without depression a person cannot live a normal life, because this is a feeling reminding us that something is wrong in our life that requires us to change. When there is no depression at all, when a person is absolutely fine, then nothing in his behavior and in his life needs to be changed. This condition is a much more dangerous mental trap than depression. Masterdak fell into this trap , finding himself in a mental hospital.

In the above quote, it seems that this is not about depression, but about apathy. In the framework of my view of the author’s condition, this is asthenia, exhaustion, initially caused by a seizure, but prolonged due to the prolonged use of improperly selected drugs.

In this situation, the Vedas are also not quite the right means of self-help. The Vedas are a collection of beautiful and harmonious texts, but thinking about them, understanding their meaning, is a very unusual task for European rational thinking.

Reading the Vedas requires a habit of abstract thinking, offering the reader complex metaphysical problems.

As you recall, taking antipsychotics and antidepressants primarily weakens and limits precisely abstract thinking. Distress arises - a person tries to understand something, but the text can be understood only with the help of simplified conclusions, which are refuted by subsequent fragments of the text - depression is growing stronger and worse. The nerve cell is in a state of overexcitation. Apathy continues, but the body can not relax and rest.

Fevarin has nothing to do with this state and can only give disinhibition, something like a slight intoxication. It cannot be ruled out that a person in this state (disinhibition + apathy) may attempt suicide.

Or the Vedas - or antidepressants and antipsychotics.

depression goes away and my productivity rises tenfold - again suspicions of mania

“Productivity” is the ability to work effectively, based on concentration of attention. I doubt productivity has grown. The same disinhibition arose that I tried to describe above. Only in this case can anyone suspect “mania” in you.

However, "mania" is not at all mania. From my point of view, such a condition would be more correctly called a positive variant of dysphoria.

The lack of treatment for neurological disorders brought some part of your nerve cells to edema. When overstressed, the cell begins to jerk off calcium, the delay of which causes edema. A further reaction - aggression, or a rapid increase in the rate of thinking, which you call "productivity", will depend on which zone of the cerebral cortex this occurs, and how you personally distribute the various functions of the cortex.

I hope you understand that without describing in detail the relationship between gliosis and edema, I try to avoid turning this comment into a monograph.

I touch on these processes a little, because the current and potential patients of psychiatry should know that understanding the physiological mechanisms of psychological problems can lead to a logical, from the point of view of medicine, and completely harmless treatment.

I am well

... I decide to apply the last method: neurolinguistic programming plus self-hypnosis ...
I am healthy and so far at least one person considers me sick - I am sick. We are setting up all relatives to consider me healthy, to think that I am healthy, to know this, and to act accordingly. First of all, it concerns myself, now all 10 markers are shown and control questions no longer work.

All right. True, this is true only if the person excluded the use of psychotropic drugs.

“NLP” is a set of specific techniques, principles of thinking and attitude to oneself, which should be used whenever “criteria” arise. NLP is a kind of “brain” zuek , only developed by professionals.

The attitude to the disease is also correct.

The problem is that in reality, as it is written, in the last quote, it does not happen (at least I have never seen quick recoveries when using NLP methods).
The statement “I am healthy” is too categorical. I would recommend staying in the middle. Absolutely healthy people, like people who are absolutely sick, do not exist in nature.
I think masterdak he does not suffer from a mental illness, but he has problems with the thyroid gland and difficulties with regulating emotions.

Is he healthy or sick?

Rather healthy, but obliged to remember his problems. The author needs to be examined, undergo appropriate treatment and periodically support both the thyroid gland and the nervous system. He will have to engage in self-hypnosis, NLP exercises regularly, at least for years. Then this will give a stable result and all medications (in this case, I do not mean antipsychotics, but correctly selected therapy) can be permanently canceled.

The biblical statement that “there is a time to scatter stones, and there is a time to collect stones” - remains true. It would not be desirable to end all the problems one-time, with a wave of a magic wand, “collecting stones” is a much longer process than scattering them.

Modern research has proven that nerve cells continue to grow, even in senile people. Neurons are capable of growth, the formation of collaterals (new processes), although new nerve cells do not appear in our country. However, the process of growth and recovery takes years, and in order to gain health, you need to spend patience and effort.

Good luck

Your A.G. Danilin