Depression and what it's really like

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helloooo everybody!

i have a question and i'm not sure what thread to put it on, at the risk of being offensive i'll put it here because it seems well trafficked:

i recently ran into a statement that i'd never seen before and struck me as flatly bullshit, but who knows. the idea is: most psych meds in the US are provided to the poor for nothing. (if you can't guess i ran into this idea in the rightwing universe)

instead of just laughing at it, i tried to figure out what degree of (un)truth there was to it -- well, what % of antidepressants, antipsychotics, antiaxiety drugs, etc. are provided via medicare, emergency medicine, and so on.

where would i even begin trying to find numbers about this? ye people in the med industry, does this strike you as a big lie?

goole, Wednesday, 26 September 2012 19:23 (eleven years ago) link

xp

there's problems in figuring it out because there are differences in access to services and self-reporting in different lifestyle cohorts and that's really tough to disentangle, let alone working w/o a comprehensive mental health care system that has long-term records on these things

it's also a fast-changing field right now, i think

the late great, Wednesday, 26 September 2012 19:23 (eleven years ago) link

If the oppression of spirit caused by sitting in a cubicle for 40+ hrs a week is a normal and predictable outcome of that (in)activity, then it would hardly qualify as a mental disorder. Where things can get tricky in teasing apart the externalities from the mental disorder is that clinically depressed people often operate at such a low level of efficiency that the external conditions of their lives often look very depressing (in the non-clinical sense).

That was probably a poor example. More generally, I understand how even people who have achieved a lot by society's standards might peek behind the veil and start questioning the worth and meaning of it all because it isn't fulfilling to them on some deeper spiritual level. Which, yeah, may likely cause them to start functioning less efficiently and ultimately slip into a life that appears depressing even to those on the outside.

Old Lunch, Wednesday, 26 September 2012 19:24 (eleven years ago) link

the generics cost me around $8 and i'm in a plan

if the gov't is picking up the extra $8 then that's true

if you're using on-brand stuff like abilify then i think the gov't would be picking up $20-40

but that's all folded into the idea that the gov't is giving them free healthcare coverage, which is what healthcare coverage is supposed to do

the late great, Wednesday, 26 September 2012 19:24 (eleven years ago) link

i can totally see the gov't is picking up the extra $8, it's not that much to pay compared to the costs of getting 5150'd and locked up at taxpayer expense for 36+ hours

the late great, Wednesday, 26 September 2012 19:25 (eleven years ago) link

i'd find it hard to believe the poor would have better access to psych resources than for physical ailments.

Philip Nunez, Wednesday, 26 September 2012 19:26 (eleven years ago) link

i don't think they can get therapy or psychiatry but an urgent care doctor or gp can prescribe medication at least, and then they need to draw on community resources (things like NAMI) for therapy

unfortunately a lot of people who need those community resources don't know about them, i don't think

the late great, Wednesday, 26 September 2012 19:27 (eleven years ago) link

you can be diagnosed w/ acute depression as result of a death in family, pregnancy, getting fired, coming back from afghanistan or any other big life change. and it can be the result of a medical condition, etc.

― the late great, Wednesday, September 26, 2012 3:18 PM (6 minutes ago) Bookmark Flag Post Permalink

[...]it's like having a low immune system for existential problems

― the late great, Wednesday, September 26, 2012 3:19 PM (4 minutes ago) Bookmark Flag Post Permalink

Two great points which adequately explain the tailspin I'm still in the process of pulling myself out of ("low immune system for existential problems" + perfect storm of just a ridiculous number of hardships within a very short period of time = me bottoming out).

Old Lunch, Wednesday, 26 September 2012 19:28 (eleven years ago) link

to drill down and repeat myself, how would one go about finding numbers for this? ie the number of pills gone out through the private healthcare system vs those in public & charity systems (if distinction can even be made)

goole, Wednesday, 26 September 2012 19:30 (eleven years ago) link

by getting a public health PhD

xp

if you're in a tailspin, you're not bottomed out, if you're bottomed out, you're not in a tailspin

that's the negative version of

in the end, it'll be okay, if it's not okay, it's not the end

i find it useful to keep these things in mind during shitstorms

the late great, Wednesday, 26 September 2012 19:31 (eleven years ago) link

I went to a city psych clinic for a while. The care itself was on a sliding scale (I think I paid $15/visit because I was poor), the meds were cheap ($5 for a month of ritalin). However, the clinic was a model of inefficiency and doctors were constantly leaving for bigger and better things. I'm lucky that I wasn't in desperate need the way some people were because I'm certain they didn't get the care they required with the consistency they required.

Old Lunch, Wednesday, 26 September 2012 19:32 (eleven years ago) link

if you're in a tailspin, you're not bottomed out, if you're bottomed out, you're not in a tailspin

I was in a tailspin, and I absolutely bottomed out at the end of that tailspin. So I guess a more apt metaphor for my current sitch is that I'm cautiously flying at low altitudes in a shaky plane that I patched together with palm fronds and chewing gum in the hopes it will eventually get me off of this blasted island?

Old Lunch, Wednesday, 26 September 2012 19:34 (eleven years ago) link

Ha.

Also, I think bottoming out is underrated. I'm certainly not out of my own personal woods, but I can always look back at the point of hitting bottom and realize how amazingly well-off I am now in comparison. And it really does give me hope that things can (and will...?) keep getting better.

Old Lunch, Wednesday, 26 September 2012 19:37 (eleven years ago) link

yeah it's nice, you can see the upward arc of things

the late great, Wednesday, 26 September 2012 19:38 (eleven years ago) link

try telling the wizard story to this family http://www.hbo.com/documentaries/boy-interrupted/index.html

wolves lacan, Wednesday, 26 September 2012 19:48 (eleven years ago) link

most psych meds in the US are provided to the poor for nothing.

what they neglect to point out is while that may or may not be true pharmaceutical companies are still being paid up the yin-yang for every last med they pump into the underprivileged classes, who only need the meds in the first place because poverty is one of the largest factors contributing to mental illness and/or depression and/or ill health in general.

not only are pharmaceutical companies still being paid, but it is the middle class paying for them.

and, frankly, anyone who's ever been on welfare can tell you being on welfare is a full-time job. if you don't understand what that means you've obviously never been on welfare.

alpha farticles, Wednesday, 26 September 2012 20:48 (eleven years ago) link

<i>it's like having a low immune system for existential problems</i>

i like this.

alpha farticles, Wednesday, 26 September 2012 20:49 (eleven years ago) link

oops. or i would if i had coded it right.

alpha farticles, Wednesday, 26 September 2012 20:50 (eleven years ago) link

try telling the wizard story to this family

That's awful and sad, but I don't really get your point.

Old Lunch, Wednesday, 26 September 2012 21:18 (eleven years ago) link

it's like having a low immune system for existential problems

i am so into this.

paleopolice (c sharp major), Wednesday, 26 September 2012 21:19 (eleven years ago) link

Sometimes I feel like Julianne Moore in Safe wrt existential problems.

Old Lunch, Wednesday, 26 September 2012 21:29 (eleven years ago) link

i think wolves is saying that for some people, they never pull back any curtain, the curtain is never there in the first place if the genetic predisposition is strong enough.

the late great, Wednesday, 26 September 2012 21:34 (eleven years ago) link

xp I really should go back and check out that movie one day

Nhex, Wednesday, 26 September 2012 21:46 (eleven years ago) link

yes, thanks late great.

nhex the movie is the reason why I posted here in the first place. it's heartbreaking and made me very angry.

It would be nice to read a comparative study of depressed people a hundred years ago, in the middle ages, something like that. I think it's a grayscale between those with mental illness and those affected by the society we live in but I'm sure most people suffer legitimely (not a medical condition) because of the atomized / consumer culture with zero political agency lifestyle we have today. just try going to a protest against the fucking government or whatever modern equivalent of the carnival where Capitalist Rule is suspended for even a couple hours and watch how your depression instantly disappears for a while. it's magical.

wolves lacan, Thursday, 27 September 2012 03:29 (eleven years ago) link

*legitimately. really should stop posting here argh.

wolves lacan, Thursday, 27 September 2012 03:31 (eleven years ago) link

maybe find a different thread

the physical impossibility of sb in the mind of someone fping (silby), Thursday, 27 September 2012 03:49 (eleven years ago) link

those affected by the society we live in but I'm sure most people suffer legitimately (not a medical condition) because of the atomized / consumer culture with zero political agency lifestyle we have today. just try going to a protest against the fucking government or whatever modern equivalent of the carnival where Capitalist Rule is suspended for even a couple hours and watch how your depression instantly disappears for a while

thanks kim jong-il

mookieproof, Thursday, 27 September 2012 04:02 (eleven years ago) link

the anatomy of melancholy by robert burton catalogued like four hundred types of depression, it was hardly unknown in the middle ages and recognized as a disease by the renaissance

the late great, Thursday, 27 September 2012 04:28 (eleven years ago) link

also it's not magic, there's plenty of evidence going out and doing fun stuff will temporarily relieve even the worst-case depression you want to point at

the late great, Thursday, 27 September 2012 04:31 (eleven years ago) link

Death by murder, suicide, suicide by murder, killing, being killed, succumbing to disease and starvation, slavery, religion, abuse and abusive behavior, failure to thrive, not living up to expectations, failure, amputation, imprisonment, homelessness, inscription, melancholy, resentment, addiction, refusal.

All of these things have always been available with varying degrees of consequence or inevitability.

riding old whitey (Zachary Taylor), Thursday, 27 September 2012 05:29 (eleven years ago) link

ZT, what does 'inscription' mean, there?

wolves, i think yr personal feelings about protests are doing all of the work for you there! I think protests are important and by-and-large enjoy them but when I'm depressed they don't alleviate anything -- i just get frustrated and angry about the SWP (for example) as well as myself, and worse i'm stuck in a crowd and isolated from it. (also there is no true suspension of capitalist rule and it is precisely the carnival's reversal that is a reaffirmation etc etc etc)

paleopolice (c sharp major), Thursday, 27 September 2012 07:43 (eleven years ago) link

Returning to the topic of wasted years/youth, I remember hearing the term "disability-adjusted life years" and thinking fuuuuck I have those. Absolutely useless to think about , though.

emilys., Friday, 28 September 2012 00:27 (eleven years ago) link

i'm trying to let go of the wasted years thing, no point in wasting time over wasted time.

work life's becoming a drag. think environment may contribute to depression... i work in a suburban/corporate job with regular F.O.L.K., "did u see the big game??!?" types, and makes me feel like that alienated outsider dude again. didn't experience this in the city with artists, scientists, architects, oddballs, and all that good stuff around, things felt natural... here it's like i'm in an outgroup or something. depression sez: you can't be around good people cuz you aren't as good as them! so you put yourself in a bummer of a situation that perpetuates things. it's sick how deep this goes.

also appreciate the great posters on here, definitely a help in realizing all this stuff.

Spectrum, Friday, 28 September 2012 17:11 (eleven years ago) link

think environment may contribute to depression... i work in a suburban/corporate job with regular F.O.L.K., "did u see the big game??!?" types

why don't you move back to the city?

sarahell, Friday, 28 September 2012 17:12 (eleven years ago) link

thinking about it, i got out of the 'burbs as soon as i had enough money. thought things would be different this time, but it's laughably not. the ideal of beautiful common humanity! doesn't seem to work as well on the ground as i thought.

Spectrum, Friday, 28 September 2012 17:19 (eleven years ago) link

i work in a suburban/corporate job with regular F.O.L.K., "did u see the big game??!?" types,

GRRR. That moronic droning on about the "big game" is SO annoying. Especially when it's basketball season and everyone wants you to put fifty or a hundred of your hard earned dollars in the office pool. I just want to scream, "don't you know everyone around here does not like sports!!"

GRIDIRON ACTION. U DONT LIKE SPORTS?? R U SOM KINDF PUSSY OR SOMETHIN ?>!? seriously, though, it's the only thing the other guys at work talk about, so if you don't speak sports, it definitely feels like a barrier to getting along. i mean, i enjoy watching sports, but i'm way more into other shit, so i don't follow it. this was not a common occurrence in professional and city jobs where people were interested in ... well, had interests outside of sports, beer, and fuckin' sluts (or, replace fuckin' sluts with wife and kids).

Spectrum, Friday, 28 September 2012 17:38 (eleven years ago) link

yeah, this is depression. alright, seeing a therapist.

Spectrum, Friday, 28 September 2012 19:03 (eleven years ago) link

whatever you do, do not try to think of the word DEPRESSION! in the tune of that song from Fiddler on the Roof

Nhex, Friday, 28 September 2012 19:15 (eleven years ago) link

yeah, this is depression. alright, seeing a therapist.

I think this should probably be the first step for anyone posting in this thread. Like, ideally, this should be for spillover between therapy sessions? Says the dude who hasn't seen a therapist in over a year. The point is: you can't fix this yourself and if you're driven to post your feelings in a thread about depression, you probably need professional help to get to where you need to be. IMO.

Old Lunch, Friday, 28 September 2012 19:38 (eleven years ago) link

whatever you do, do not try to think of the word DEPRESSION! in the tune of that song from Fiddler on the Roof

― Nhex, Friday, September 28, 2012 3:15 PM (1 hour ago) Bookmark Flag Post Permalink

dying

the physical impossibility of sb in the mind of someone fping (silby), Friday, 28 September 2012 21:09 (eleven years ago) link

I just did a search on this thread for postpartum depression and none to be found. It's been tough.

*tera, Saturday, 29 September 2012 06:38 (eleven years ago) link

http://www.funny-potato.com/images/dead-end.jpg

the late great, Thursday, 4 October 2012 23:38 (eleven years ago) link

http://i82.photobucket.com/albums/j251/mzing12/416d0f183b30c-23-1.jpg

Spectrum, Friday, 5 October 2012 01:24 (eleven years ago) link

well i don't feel like that thank god

the late great, Friday, 5 October 2012 02:10 (eleven years ago) link

im reading 'drama of the gifted child' by alice miller. the style is kind of bland but i think shes onto something. does this stuff have any currency? its about being exploited as a child and subsequent effects. i was never physically abused but my mom was, that tramsferred over into emotional abuse when i was young, more brutal than i like to admit. feel like untangling all of that could take a while but i already feel better witnessing bits of it.

THEE-AH-TER (Matt P), Friday, 5 October 2012 02:25 (eleven years ago) link

I liked Alice Miller a lot at one point – some of it is probably dated. My fave of hers was The Unturned Key. She is the one who hipped me to Christiane F!!

The Most Typical and Popular Girl Rider (Crabbits), Friday, 5 October 2012 02:38 (eleven years ago) link

its weird though, how quick it becomes blurry and you start to wonder if you're making it up or laying blame unfairly on someone. im more and more sure that's bullshit though. to add to the headgames i have to help my parents out with their real estate business tuesday thursday and saturday in order to make min payments on all the stupid manically acquired debt i have. wah wah i know but i dread every day. dont feel so trapped now that i have this other job which is hopefully moving to full time soon, im sure they can smell the desperation on me. just wanted to type all that out for whatever reason.

THEE-AH-TER (Matt P), Friday, 5 October 2012 02:43 (eleven years ago) link


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