Thursday 24 May 2018

Depression


The anti-psychiatrist David cooper famously wrote “All labels are lethal” referring to mental health diagnoses. I still remain shaken – years later - by how a colleague of mine at the University of Manchester once referred to one of our students as ‘schizoid’. This same student seemed to open up readily and healthily enough when I was empathic with her.

 We should see such labels not as diagnoses but as symptoms. Then consider the causes of these symptoms and the best healing response. So ‘depressive symptoms’ might be caused by low Vitamin D, Iron levels or thyroid functioning and other physical causes. They could be the side effects of medications including anti depressants! So the best GPs do blood tests early on.

 Depressive symptoms could be a sign of a ‘dark night of the soul’ or some other form of spiritual emergenc/e/y. Or perhaps facing a challenging step up in one’s life e.g. leaving home, or someone close to you dying. In these cases talking therapies can help.

 Or a mixture of physical, mental and spiritual. It is no surprise that NICE recommends medication plus talking therapies but try getting that on the NHS!

 Arnold Mindell, the Process Orientated psychotherapist worked with people in comas. He picked up on the often minimal response clients might make to him and worked with that. So if someone is withdrawn and lies in their bed facing the wall you can still be with them and love them. And God help us when it happens to you or me.

 PS To lighten the note. When my nearest came back from a Transactional Analysis course some years ago she decided I was schizoid.  I thought for a moment and said, “No, I am a mystic!”

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