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re: OT on Mental Health

Posted on 2/15/16 at 12:36 pm to
Posted by MightyYat
New Orleans
Member since Jan 2009
24390 posts
Posted on 2/15/16 at 12:36 pm to
quote:

So in my opinion, substance abuse can often be a symptom of a mental disorder.


The DSM recognizes 9 disorders as they relate to substance abuse but the initial abuse is what causes the disorders not the other way around.

Substance-induced delirium
Substance-induced persisting dementia
Substance-induced persisting amnestic disorder
Substance-induced psychotic disorder
Substance-induced mood disorder
Substance-induced anxiety disorder
Hallucinogen persisting perceptual disorder
Substance-induced sexual dysfunction
Substance-induced sleep disorder
Posted by Topwater Trout
Red Stick
Member since Oct 2010
67589 posts
Posted on 2/15/16 at 12:37 pm to
quote:

yall make up the most bizarre shite about me its insane



you calling me a liar

I know you said yall were on a balcony and you peed on her leg or something like that
Posted by OWLFAN86
The OT has made me richer
Member since Jun 2004
175875 posts
Posted on 2/15/16 at 12:39 pm to
quote:

you calling me a liar
yes


quote:

I know you said yall were on a balcony and you peed on her leg or something like that
I think you have me confused with someone


or I was just making up some shite to frick with yall

I don't do balconies, too close to contrails
Posted by Rouge
Floston Paradise
Member since Oct 2004
136810 posts
Posted on 2/15/16 at 12:41 pm to
don't pee on my leg and tell me it's raining
Posted by Topwater Trout
Red Stick
Member since Oct 2010
67589 posts
Posted on 2/15/16 at 12:47 pm to
quote:

or I was just making up some shite to frick with yall


must have been this...when you said your date was a woman I should have known
Posted by LSU Coyote
Member since Sep 2007
53390 posts
Posted on 2/15/16 at 12:57 pm to
quote:

The DSM recognizes 9 disorders as they relate to substance abuse but the initial abuse is what causes the disorders not the other way around.

Question, if there is no baseline pre-substance abuse then how do you go about confirming this? Always wonder issues could have been present pre and post use.
quote:

Hallucinogen persisting perceptual disorder

Is it common for this to still be present for years after being clean? Im speaking in mild forms. A lot of people I've meant have issues with perception of objects, in terms of taking longer to understand exactly what they are seeing and/or mistake it for something else. Not so much in the perception of a situation taking place.
This post was edited on 2/15/16 at 1:03 pm
Posted by NorthTiger
Upper 40
Member since Jan 2004
3839 posts
Posted on 2/15/16 at 12:59 pm to
quote:

Most mental illness in this country is an excuse for not taking responsibility for your actions.


The serious mental illnesses (Major Depression, Schizophrenia, Bi-polar, etc.) are disorders of the brain. Saying these are a product of "not taking responsibility" is like blaming the person with diabetes or heart disease for their illness.
Posted by LSU Coyote
Member since Sep 2007
53390 posts
Posted on 2/15/16 at 1:04 pm to
quote:

The serious mental illnesses (Major Depression, Schizophrenia, Bi-polar, etc.) are disorders of the brain. Saying these are a product of "not taking responsibility" is like blaming the person with diabetes or heart disease for their illness

Correct. Should have clarified a little more. Was speaking to the disorders which are over diagnosed and/or misdiagnosed.
Posted by quail man
New York, NY
Member since May 2010
40926 posts
Posted on 2/15/16 at 1:11 pm to
quote:

1. Mental illness is real and very difficult to deal with as a patient and difficult to treat as a clinician.

2. Mental health is also "BIG BUSINESS" for Pharma, Drug Stores, Shippers, Advertisers, Insurers, and Doctors.


agreed

quote:

3. No one likes to admit that their problem is under their own control and that they can do something about it. Why? Because if it is not my fault, it is not my responsibility to get better. It is the treatment team and society's responsibility.

4. Because of #2 and #3, it is in everyones best interests to "create" as many mental illness diagnoses as possible and to convince as many people as possible that they have one


disagree. try telling number 3 to a schizophrenia patient.
Posted by OceanMan
Member since Mar 2010
20018 posts
Posted on 2/15/16 at 1:20 pm to
quote:

The DSM recognizes 9 disorders as they relate to substance abuse but the initial abuse is what causes the disorders not the other way around.


Dude you are pretty difficult to try and level with. I wrote after that statement of opinion that it is not particularly useful in this discussion. For being someone that is suggesting having superior knowledge in this area, you are sort of just creating arguments rather than giving any practical insight. Further, you first stated that it was "asinine" to suggest that they go hand in hand, but here you are citing 9 somewhat common disorders with a "substance-induced" prefixed to them, yet still stand by your claim that that they do not (go hand in hand)?

So judging by your post above, in the presence of substances; mood, anxiety and sleep disorders can only be caused by substances, and not exacerbated by them?

Of course "Substance-induced anxiety disorder" is caused by substances, it says so in the fcking name. Does that mean that people suffering from other sorts of anxiety disorders cannot also suffer from substance abuse issues?

From DSM:
quote:

Substance Abuse:manifested by one or more of the following, occurring within a 12-month period:

- Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
(e.g. repeated absences or poor work performance related to substance use; substance-related absences,
suspensions, or expulsions from school; neglect of children or household)
• Recurrent substance use in situations in which it is physically hazardous (e.g. driving an automobile or
operating a machine when impaired)
• Recurrent substance-related legal problems (e.g. arrests for substance-related disorderly conduct)
• Continued substance use despite persistent or recurrent social or interpersonal problems caused
or exacerbated by the effects of the substance (e.g. arguments with spouse about consequences
of intoxication, physical fights)





I would say that those conditions are in line with how most people think of substance abuse, and not necessarily associated with mental disorders. Now, are you seriously claiming that if anyone shows any of the characteristics above, can only have a mental disorder, like anxiety, as a result of the conditions listed above?
This post was edited on 2/15/16 at 1:24 pm
Posted by MightyYat
New Orleans
Member since Jan 2009
24390 posts
Posted on 2/15/16 at 2:21 pm to
quote:

Dude you are pretty difficult to try and level with. I wrote after that statement of opinion that it is not particularly useful in this discussion. For being someone that is suggesting having superior knowledge in this area, you are sort of just creating arguments rather than giving any practical insight. Further, you first stated that it was "asinine" to suggest that they go hand in hand, but here you are citing 9 somewhat common disorders with a "substance-induced" prefixed to them, yet still stand by your claim that that they do not (go hand in hand)?



They are most certainly not commonly diagnosed.

quote:

So judging by your post above, in the presence of substances; mood, anxiety and sleep disorders can only be caused by substances, and not exacerbated by them?


Of course they can.

quote:

Of course "Substance-induced anxiety disorder" is caused by substances, it says so in the fcking name. Does that mean that people suffering from other sorts of anxiety disorders cannot also suffer from substance abuse issues?


Again, of course they can. Both just aren't present at the same time as often as you think they are.
Posted by High C
viewing the fall....
Member since Nov 2012
53790 posts
Posted on 2/15/16 at 2:25 pm to
quote:

Most mental illness in this country is an excuse for not taking responsibility for your actions.


I have a mental illness, but still take full responsibility for my actions. Get a clue.
Posted by SECdragonmaster
Order of the Dragons
Member since Dec 2013
16206 posts
Posted on 2/15/16 at 2:28 pm to
quote:

disagree. try telling number 3 to a schizophrenia patient.


I agree with you. But schizophrenia is in the 1-2% of all mental illness. It exists in every culture, throughout all of time.

I was referencing the 10,000 other diagnoses that we keep inventing for $$.

My bad for not being clearer.
Posted by LSU Coyote
Member since Sep 2007
53390 posts
Posted on 2/15/16 at 2:30 pm to
quote:

have a mental illness, but still take full responsibility for my actions. Get a clue.

I get it. Why I said most.. We over diagnose and overly misdiagnose mental disorders in this country.
Posted by LSU Coyote
Member since Sep 2007
53390 posts
Posted on 2/15/16 at 2:34 pm to
quote:


Again, of course they can. Both just aren't present at the same time as often as you think they are.

This. I went in before getting clean thinking I had real issues. Without the presence of drugs and recognizing my issues are mostly personality disorders I got off all my medication for depression.
Posted by NorthTiger
Upper 40
Member since Jan 2004
3839 posts
Posted on 2/15/16 at 3:04 pm to
quote:

We over diagnose and overly misdiagnose mental disorders in this country


Having worked in the mental health field my entire career I certainly can say that people have been improperly diagnosed. The much, much bigger problem in our country is vast number of adults and children with diagnosable mental illnesses that go unidentified, unserved or underserved. Study after study (which are easy to find on a simple google search of "prevalence of mental illness") show that most people with mental illnesses receive no treatment at all. Suggested web sites are NAMI, SAMSHA and the National Institute for Mental Health.

Also, misdiagnosed does not equal no diagnosis. Many children are misdiagnosed Attention Deficit Disorder when they have full blown anxiety disorders.
This post was edited on 2/15/16 at 3:07 pm
Posted by OceanMan
Member since Mar 2010
20018 posts
Posted on 2/15/16 at 5:05 pm to
quote:

Again, of course they can. Both just aren't present at the same time as often as you think they are.


You have presented absolutely nothing to the contrary, you do realize that right? I provided a link to a government backed site that provides at least some sort of evidence that they are significant correlations. Again, you haven't provided anything to refute this.

And for the last time, I told you I am not relying on those stats to support my initial argument, and have based everything I have said in this thread beyond my first post, on your replies directly to me. You are talking in circles about something YOU brought up, not me. I'm not sure why you keep arguing about something that doesn't even support my argument in the first place.

So mental illness and substance addiction have nothing to do with each other. Cool. Both of these issues still have everything to do with the individual and their particular environment and emotional state; that is why their are 9 fcking mental disorders, that you so helpfully provided to us, that are essentially the same thing as regular disorders without the presence of any substances, with a "substance-induced" tacked onto them. There are like a million different "mental disorders" because of their inherent uniqueness to the subject.





Posted by LSU Coyote
Member since Sep 2007
53390 posts
Posted on 2/15/16 at 5:14 pm to
quote:

You have presented absolutely nothing to the contrary, you do realize that right? I provided a link to a government backed site that provides at least some sort of evidence that they are significant correlations. Again, you haven't provided anything to refute this

I don't want to jump in this again but..

Doing drugs is not always for a high and feeling good. A lot of times it was to fix what seemed off or suppress something which seemed too intense. While this worked, it did have negative affects by amplifying other issues which then created an unwanted problem.

Yes in my experience with addicts and issues of my own, they do have some correalation but not always.
Posted by AjaxFury
In & out of The Matrix
Member since Sep 2014
9928 posts
Posted on 2/15/16 at 5:14 pm to
What's fascinating to me is especially in the Deep South , there are many, many conservatives who believe the Bible to be infallibly true.

The hypocrisy comes in where a person claims to believe in the Bible, but claims they do not believe in the supernatural.

After the Holy Spirit sparked inside of man with a flame, Power was given: supernatural healing, raising people from the dead, casting out demons, etc.....

Do people that believe, also believe that very same power spoken of in Acts has simply gone away?

Reminds me of the passage speaking of those "Having a form of godliness, but denying its power. (Somewhere in the epistles )
Posted by OceanMan
Member since Mar 2010
20018 posts
Posted on 2/15/16 at 5:20 pm to
quote:

The much, much bigger problem in our country is vast number of adults and children with diagnosable mental illnesses that go unidentified, unserved or underserved. Study after study (which are easy to find on a simple google search of "prevalence of mental illness") show that most people with mental illnesses receive no treatment at all. Suggested web sites are NAMI, SAMSHA and the National Institute for Mental Health.


A huge problem, with no easy answers. For an average adult with any sort of means, it is tough enough to get them to a doctor before it is even an emergency. To get someone screened for mental health becomes even more difficult. You don't exactly get properly diagnosed with a complex anxiety disorder by opening your moth and saying "ahh". Plus, some people really dig the drugs prescribed to certain disorders, and make shite up to get them. So you have these people clogging up the pool of available resources to treat other people, and the data from those subjects clouding any level of analysis.
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