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horsefacts pfp
horsefacts
@horsefacts.eth
This was very good. It rings true to my own experience with depression. Summary: 1) There is a lot of overlap in the symptoms of mental disorders that we label distinct: depression, ADHD, OCD, anxiety, bipolar, etc. Mental disorders are often comorbid with each other (if you have one you are more likely to have others). And drugs meant for one disorder often work on others. For example, antidepressants are often prescribed for anxiety, bipolar, and schizophrenia, not just depression. DSM haters know this one: psychiatry applies the medical gaze to taxonomize symptoms into “illnesses,” even though the symptoms are complex phenomena of mind not body, and the underlying physical illness is often not observable or understood. I was reminded here of Thomas Szasz, who famously said mental illness is a “myth” without an explanation of physical disease. Well, what if there *is* a coherent physical explanation?
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horsefacts
@horsefacts.eth
2) Mental disorders are comorbid with metabolic dysfunction. If you have heart disease or diabetes, you’re likely to get depressed. If you’re depressed you might get heart disease or diabetes. Who cares about the direction of causality here!? Both are bad! “Metabolic syndrome” has become a good explanation for obesity, diabetes, and CVD. We should take its associations with mental symptoms seriously, too.

 3) If we frame mental disorders as metabolic dysfunction of the brain, there are pretty good explanations for why existing treatments work via metabolic pathways. And things that improve metabolic health (exercise, diet, sleep, avoiding drugs, reducing stress) all probably improve mental health. Almost banal, but true!
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horsefacts
@horsefacts.eth
Chronic stress is real and trying to kill you. Depression is associated with real physical changes that will also kill you, not just by suicide. A metabolic approach to mental health means more agency for patients and more options for treatment. If you're interested in this stuff, there was a good 3 hour Huberman pod with the author here: https://www.youtube.com/watch?v=xjEFo3a1AnI I also really like this series along similar lines from againstutopia.twitter: https://againstutopia.substack.com/p/against-utopia-issue-6-the-epistemology-of-depression-part-6-what-does-a-realistic-theory-of-depression-look-like Thanks to @keccers.eth for recommending this!
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tldr (tim reilly)
@tldr
That Substack is article is absolutely incredible. What’s the background of Jahed Momand? How did you find them?
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aferg
@aaronrferguson.eth
I forget what evaluation system it was - but I scored 26/27 (extremely depressed) post-diagnosis of my T1D during the C19 second wave. It was a hell of a battle to pull myself out from under the extreme weight of, but am doing much better lately. Thanks for sharing!
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Roberto Bayardo 🎩
@bayardo.eth
So much energy goes into dismissing mental illness as an illness and this seems like more of the same TBH.
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BORST🌎☮️
@stephenborst
thanks for sharing homies
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