Scivillage.com Casual Discussion Science Forum

Quote:The difference is that insulin, blood thinners, etc. are prescribed for objective physiological problems. They are prescribed by medical doctors who are fully trained to do the complete diagnostic tests to determine these physiological problems.

Not true for migraine sufferers, which is an affliction not traceable to an "objective physiological problem". So basically they are prescribed medications based on self-reported symptoms. Also not true for many chronic pain sufferers. How is this ok but being prescribed a medication for your self-reported depression wrong?

As a past migraine sufferer, migraines have physiological symptoms, including sensory disturbances (visual, auditory, smell), dizziness, nausea, fatigue, numbness, and tingling. IOW, there is some objective evidence of a physiological problem.

You'll notice that the OP says "overmedicalization," not banning anti-depressants. Overmedicating can be true of painkillers as well.

Quote:As a past migraine sufferer, migraines have physiological symptoms, including sensory disturbances (visual, auditory, smell), dizziness, nausea, fatigue, numbness, and tingling. IOW, there is some objective evidence of a physiological problem.

All of which are subjective self-reported symptoms and not objective physiological ones. There are, iow, no scans or meters showing such symptoms occurring.

Quote:You'll notice that the OP says "overmedicalization," not banning anti-depressants. Overmedicating can be true of painkillers as well.

"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication. There are always bad doctors, but the majority usually test their patients to rule out circumstantial causes for depression like the death of a loved one or losing a job or a dead end career. The tests are rigorously structured and reliable indicators of physiologically-caused depression. Losing interest in everything and sleeping too much/too little are big red flags.

(Today 01:05 AM)Magical Realist Wrote: [ -> ]

Quote:As a past migraine sufferer, migraines have physiological symptoms, including sensory disturbances (visual, auditory, smell), dizziness, nausea, fatigue, numbness, and tingling. IOW, there is some objective evidence of a physiological problem.

All of which are subjective self-reported symptoms and not objective physiological ones. There are, iow, no scans or meters showing such symptoms occurring.

No, vomiting is not subjective.

Quote:

Quote:You'll notice that the OP says "overmedicalization," not banning anti-depressants. Overmedicating can be true of painkillers as well.

"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication. There are always bad doctors, but the majority usually test their patients to rule out circumstantial causes for depression like the death of a loved one or losing a job or a dead end career. The tests are rigorously structured and reliable indicators of physiologically-caused depression. Losing interest in everything and sleeping too much/too little is a big red flag.

Overmedicalization is the process by which non-medical human conditions and problems become defined and treated as medical issues, often resulting in unnecessary, costly, and potentially harmful diagnostic or treatment interventions. It shifts focus from social, behavioral, or environmental causes to individual, pharmacological, or surgical solutions.
- Gemini

I can see why you'd want to make up your own unique definition.

Again, a single 1-3 month residency rotation versus 4 years of training. Medical doctors only do a basic screening, with only a questionnaire as a diagnosis tool and only taking about 15 minutes. A psychiatrist is knowledgeable of DSM-5 criteria and typically takes 30-60 minutes to diagnose.

One of those sounds more prone to view everything as a "medical issue."

Quote:No, vomiting is not subjective.

You said nausea, not vomiting liar. Nausea is subjective and self-reported.

Quote:Overmedicalization is the process by which non-medical human conditions and problems become defined and treated as medical issues, often resulting in unnecessary, costly, and potentially harmful diagnostic or treatment interventions.

Which is exactly what I defined it as and which is eliminated by submitting patients to reliable and rigorous diagnostic testing. Unlike you who confused it with "overmedicating"..lol

"Depression is diagnosed by healthcare providers—such as doctors, psychologists, or psychiatrists—based on a clinical evaluation of symptoms, medical history, and mental health history. A diagnosis typically requires at least five symptoms lasting nearly every day for at least two weeks, including a depressed mood or loss of interest in activities.

Key Diagnostic Components:

Clinical Interview: Professionals ask about symptoms, their severity, duration, and personal/family mental health history.

Diagnostic Criteria (DSM-5): Providers use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to identify specific depressive disorders.

Physical Examination & Lab Tests: Doctors may perform physicals or order blood tests to rule out underlying medical causes (like thyroid issues or vitamin deficiencies).

Screening Questionnaires: Tools such as the Patient Health Questionnaire-9 (PHQ-9) are used to gauge symptom severity.

Key Symptoms for Diagnosis

According to Mayo Clinic, to be diagnosed with clinical depression (Major Depressive Disorder), at least five of the following must be present, with at least one being either (1) or (2):

Depressed mood: Sadness, emptiness, or hopelessness.

Loss of interest/pleasure:

Anhedonia, or inability to enjoy activities.

Appetite or weight changes: Significant weight loss or gain.

Sleep disturbances: Insomnia or sleeping too much.

Psychomotor agitation or retardation: Restlessness or slowed movement.

Fatigue: Lack of energy almost every day.Worthlessness or guilt: Excessive guilt or fixating on past failures.

Cognitive difficulties: Trouble concentrating or making decisions.

Suicidal thoughts: Recurring thoughts of death or suicide."

(Today 02:05 AM)Magical Realist Wrote: [ -> ]

Quote:No, vomiting is not subjective.

You said nausea, not vomiting liar. Nausea is subjective and self-reported.

In my migraines, nausea always progressed to vomiting.
But can people game the system for pain meds? Sure.

Quote:

Quote:Overmedicalization is the process by which non-medical human conditions and problems become defined and treated as medical issues, often resulting in unnecessary, costly, and potentially harmful diagnostic or treatment interventions.

Which is exactly what I defined it as and which is eliminated by submitting patients to reliable and rigorous diagnostic testing. Unlike you who confused it with "overmedicating"..lol

Liar.

(Today 01:05 AM)Magical Realist Wrote: [ -> ]"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication.

I can always tell when you're about to lie. Because you always project it, by calling someone else a liar. It's funny how little control you seem to have over that.

Quote:In my migraines, nausea always progressed to vomiting.
But can people game the system for pain meds? Sure.

Nausea and vomiting are two separate things. And nausea doesn't necessarily lead to vomiting.

Quote:Overmedicalization is the process by which non-medical human conditions and problems become defined and treated as medical issues, often resulting in unnecessary, costly, and potentially harmful diagnostic or treatment interventions.

Which is exactly what I defined it as and which is eliminated by submitting patients to reliable and rigorous diagnostic testing. Unlike you who confused it with "overmedicating"..lol

Liar.
(2 hours ago)Magical Realist Wrote:
"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication.

Back to lying again I see. Here's my full statement on what overmedicalization is and how it is prevented. It is the exact same definition you quoted:

"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication. There are always bad doctors, but the majority usually test their patients to rule out circumstantial causes for depression like the death of a loved one or losing a job or a dead end career. The tests are rigorously structured and reliable indicators of physiologically-caused depression. Losing interest in everything and sleeping too much/too little are big red flags."

And since it took you all of 3 posts to revert to your lying-ass word-twisting true self again, we now return to your regularly-scheduled program of being ignored. Enjoy!

(Today 04:07 AM)Magical Realist Wrote: [ -> ]

Quote:In my migraines, nausea always progressed to vomiting.
But can people game the system for pain meds? Sure.

Nausea and vomiting are two separate things. And nausea doesn't necessarily lead to vomiting.

Never said otherwise. Just relating my own experience.
Oh, and I never resorted to meds.

Quote:

Quote:

Quote:

Quote:Overmedicalization is the process by which non-medical human conditions and problems become defined and treated as medical issues, often resulting in unnecessary, costly, and potentially harmful diagnostic or treatment interventions.

Which is exactly what I defined it as and which is eliminated by submitting patients to reliable and rigorous diagnostic testing. Unlike you who confused it with "overmedicating"..lol

Liar.

(Today 01:05 AM)Magical Realist Wrote: [ -> ]"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication.

Back to lying again I see. Here's my full statement on what overmedicalization is and how it is prevented.

You're projecting and illiterate again. 9_9

Quote:It is the exact same definition you quoted:

"Overmedicalizing" is another word for attributing depression to a physiological problem that can be treated with medication. There are always bad doctors, but the majority usually test their patients to rule out circumstantial causes for depression like the death of a loved one or losing a job or a dead end career. The tests are rigorously structured and reliable indicators of physiologically-caused depression. Losing interest in everything and sleeping too much/too little are big red flags."

Yes. When you say "Overmedicalizating is..." you are literally defining it.
Whatever else you blather about trying to justify your ignorance is meaningless twaddle.

Especially when you're too intellectually dishonest to even attempt to address the discrepancies between 4 years of training and a single 1-3 month residency rotation... or a 15 minute basic assessment and a 30-60 minute diagnosis.

Medical doctor questionnaires for mental illness—such as the PHQ-9 for depression or GAD-7 for anxiety—are generally rigorously structured and reliable tools for screening, measuring symptom severity, and monitoring treatment, but they are not intended to be a definitive, stand-alone diagnosis. While they provide valuable data, they rely on self-reporting and can sometimes misidentify, overdiagnose, or underdiagnose conditions compared to professional clinical interviews.
- Gemini

See how I even included your "rigorously structured and reliable" claim? Yeah, that's an example of intellectual honesty, where I'm willing to steelman the opposing argument, even if I risk being wrong. But alas... 9_9

Quote:And since it took you all of 3 posts to revert to your lying-ass word-twisting true self, we now return to ignoring you. Enjoy!

Projecting again. 9_9

Apparently it gets worse when someone points it out so directly.


BTW, whatever happened to ignoring me? I knew you couldn't control yourself.