Nmda receptor encephalitis looks just like sz but they usually get seizures in addition to psychosis so not only are they crazy but they also collapse and shake in the floor...talk about stigma...my point is take the same symptoms and give it a biological basis that can be corrected and you do get less stigma....these people are in ICUs etc rather than locked wards
My second point is not everyone has a dopamine problem so why give them dopamine blocking meds. We're talking less justification of arbitrary meds...
Third I do have a biochemical problem....my issue is with glutamate not dopamine and if they had a med that targeted that specifically I would have not had to endure the lack of emotion and shaking etc side effects associated with dopamine blockade..the reason the med worked for me was blocking d2 increases nmda function. But what if you could just up regulate nmda without having to target the irrelevant dopamine? What if they could treat what was actually wrong...that's not nearly as likely to have side effects in the same way that insulin doesn't have side effects for diabetics it's an actual restoration rather than some off target effect that works out for other reasons.
Here we don't have to have a validation for therapy...if you want it you go...you get x number of sessions per year and have to max out a deductible first they don't care why...besides in my model therapy is not invalidated because it creates chemical/neurological change. Just smiling creates a chemical change if people want smile therapy or laugh therapy for depression that's cool with me. Meds typically aren't a first response so much as what people actually want for medical conditions...
If I weigh 200 pounds, have high cholesterol and sugar the number one thing my doc will say is eat better and exercise more....if I do that then I don't get a med...but most people don't do that so we have statins and anti-diabetes drugs etc...people would love an effective weight loss med. much more so than nutritional counseling. So when it comes down to it people generally favor meds over non-med interventions if they are actually treating the real problem.
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