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How much substance abuse is actually.......

chris302001

chris302001

Banned
the result of untreated mental illness?


So I just finished my rotation in Emergency Room Psychiatry, and I've been wondering about this. It kinda turns out to be a chicken and the egg question.

1. Are people with undiagnosed and untreated mental illness self
medicating with illicit drugs?

2. How many people had no mental illness until after using
certain illicit drugs?


It's hard to say which came first. Doesn't really matter though, as they treatment will be the same for either.

:whatever:
 
all the baseheads i've known/know are baseheads cause they like to get high, not for any other reason imo
 
chris302001 said:
the result of untreated mental illness?


So I just finished my rotation in Emergency Room Psychiatry, and I've been wondering about this. It kinda turns out to be a chicken and the egg question.

1. Are people with undiagnosed and untreated mental illness self
medicating with illicit drugs?

2. How many people had no mental illness until after using
certain illicit drugs?


It's hard to say which came first. Doesn't really matter though, as they treatment will be the same for either.

:whatever:
Click to expand...


I think #1 applies to more people.
 
Bino said:
all the baseheads i've known/know are baseheads cause they like to get high, not for any other reason imo
Click to expand...

Baseheads as in people who smoke weed? I'm not real good with the lingo. (I've only heard that word in some Eminem song)


People with the serious mental illnesses that I've dealed with were more into heroin, meth, crack, etc.
 
chris302001 said:
Baseheads as in people who smoke weed? I'm not real good with the lingo.


People with the serious mental illnesses that I've dealed with were more into heroin, meth, crack, etc.
Click to expand...

no i meant the peeps i know who do alotta blow, most past tense now.
no discernible mentall illness that i was aware of, just a passion for getting fuct up
 
Bino said:
no i meant the peeps i know who do alotta blow, most past tense now.
no discernible mentall illness that i was aware of, just a passion for getting fuct up
Click to expand...

Was their passion for getting fucked up driven by the desire to escape something else?
 
My reason for pondering #2 is that many really hard drugs cause psychosis of their own in anybody, but for some individuals who are "prone" to psychosis, it turns on the switch and they suffer from psychotic episodes later on with not substances involved.

The trouble is, psychiatric patients are often poor historians, non-compliant with meds, etc.

And in the end, it doesnt really matter in terms of Tx. You gotta get them off anything that might promote psychosis, and get them on something to suppress it, in addition to therapy etc per individual need.
 
chris302001 said:
Most of my patients "skipped right over ETOH and went for the good stuff......" (exact quote)
Click to expand...

Most of the people I've known with serious drug problems had a serious alcohol problem at some point.
Most of your patients will become drunks when they get clean.
 
chris302001 said:
the result of untreated mental illness?


So I just finished my rotation in Emergency Room Psychiatry, and I've been wondering about this. It kinda turns out to be a chicken and the egg question.

1. Are people with undiagnosed and untreated mental illness self
medicating with illicit drugs?

2. How many people had no mental illness until after using
certain illicit drugs?


It's hard to say which came first. Doesn't really matter though, as they treatment will be the same for either.

:whatever:
Click to expand...

I definately fell into the #1 category.

It started out as curiosity. But then learned that if i didn't like how i felt(depression, insomnia, boredom,anxiety, etc)i could change how i felt by using certain substances. It is definately an interesting cycle to experience and observe.

What field are you in chris?
 
Bridger said:
I definately fell into the #1 category.

It started out as curiosity. But then learned that if i didn't like how i felt(depression, insomnia, boredom,anxiety, etc)i could change how i felt by using certain substances. It is definately an interesting cycle to experience and observe.

What field are you in chris?
Click to expand...

Medical student
 
I've wondered about this several times. You see the same burnt out "crackheads" or whatever walking the streets talking to themselves and wonder, is it the drugs or the mind?
 
Stefka said:
Most of the people I've known with serious drug problems had a serious alcohol problem at some point.
Most of your patients will become drunks when they get clean.
Click to expand...

This is why I couldnt deal with psychiatry. It makes me so sad, especially very young people. And you try and try and try to help them, but as soon as they're discharged, they go out and do the same damned thing, and they're back in three damn days (holy runon sentence batman!).

And then there are those who know is I say the 6 magic words, they get a free bed and meal for a few days. Gahhh, as much as it was really interesting, I'm glad to rotation is over. I liked it, but as a career, I couldn't handle it.
 
beach_bum_dude said:
I've wondered about this several times. You see the same burnt out "crackheads" or whatever walking the streets talking to themselves and wonder, is it the drugs or the mind?
Click to expand...

I think that even if it starts out just the drugs, it doesnt take too long before it's the mind..... And it's sad, and I dont want to think that way, but after a while, your brain is not only damaged, but irreversibly rewired.... I think people can take great steps to recover, etc but they are never fully over it.
 
chris302001 said:
the result of untreated mental illness?


So I just finished my rotation in Emergency Room Psychiatry, and I've been wondering about this. It kinda turns out to be a chicken and the egg question.

1. Are people with undiagnosed and untreated mental illness self
medicating with illicit drugs?

2. How many people had no mental illness until after using
certain illicit drugs?


It's hard to say which came first. Doesn't really matter though, as they treatment will be the same for either.

:whatever:
Click to expand...

More often self-medicating than anything else IMO but you're right, can be both.
 
Dude, I had a long post, but due to the fact that I have been diagnosed with several problems in the mental field.... I just cut it off and this is my post.

Yes druggies and wino's ruin the mental health help that could be given to people who really need it. And about the "free bed" for 3 days.... try 3 months...

I hope you don't take this as mad, i think its informative.

Walli
 
walliwalibus said:
Dude, I had a long post, but due to the fact that I have been diagnosed with several problems in the mental field.... I just cut it off and this is my post.

Yes druggies and wino's ruin the mental health help that could be given to people who really need it. And about the "free bed" for 3 days.... try 3 months...

I hope you don't take this as mad, i think its informative.

Walli
Click to expand...

Nah man, I appreciate your input.
 
I would say addictive personalities may attribute to drug abuse but self medicating just sounds like an excuse to me. Either stay weak and continue to use and be shit or get a life. its that simple.
 
chris302001 said:
I think that even if it starts out just the drugs, it doesnt take too long before it's the mind..... And it's sad, and I dont want to think that way, but after a while, your brain is not only damaged, but irreversibly rewired.... I think people can take great steps to recover, etc but they are never fully over it.
Click to expand...

interesting. I've been off drugs, coke and opiates, for a few years and successfully managing biolar disorder. Yet i still feel mental cloudiness, slow comprehension. It takes more effort to do well in school than it used to. I wonder if its from the illicit drug use or the psych medication i take? My guess is a combination of both.
 
Bridger said:
interesting. I've been off drugs, coke and opiates, for a few years and successfully managing biolar disorder. Yet i still feel mental cloudiness, slow comprehension. It takes more effort to do well in school than it used to. I wonder if its from the illicit drug use or the psych medication i take? My guess is a combination of both.
Click to expand...

Glad to hear your doing okay. I think your guess is a solid one.
 
It really depends on the persons past and situation
alot of different scenarios to stereotype

I do know that when my parent hauled my ass to a rehab back in April (99% heroin addicts in there) the people in there were talking how many empty beds there were.
Why I asked? They said it was because it was the begining of the month. When alot of these low life scum bag drug users are using OUR tax money to pay for their habit.
Then after that moneys gone they go to a methadone clinic or rehab if they have no place to go. That is also covered by MassHealth (the best insurance) for FREE! YAY!

It's a revolving system going nowhere
 
chris302001 said:
My reason for pondering #2 is that many really hard drugs cause psychosis of their own in anybody, but for some individuals who are "prone" to psychosis, it turns on the switch and they suffer from psychotic episodes later on with not substances involved.

The trouble is, psychiatric patients are often poor historians, non-compliant with meds, etc.

And in the end, it doesnt really matter in terms of Tx. You gotta get them off anything that might promote psychosis, and get them on something to suppress it, in addition to therapy etc per individual need.
Click to expand...


I've known people that seriously abused extacy and became pretty unbalanced afterwards. Same as meth, although I only know two people that ever touched it. Both have gone batshit crazy.
 
ortiz34 said:
Not much Meth up here in Boston :confused:

I'm a curious son of bean :evil:
Click to expand...

It seems it's more popular in the west. I did a line of it once when I thought I was going to do blow. It burned so bad my eyes watered for 15 minutes. I felt so bad on it and the feeling wouldn't go away. I felt like I was stuck in an anxiety nightmare for 10 hours.
 
nasty drug


my sis was takin that drug for a long time with some loser boyfriend

it would last forever she would sit up all night playing upwords.

party.
 
I think i might fall into #1. During the time i used it was as if i was constantly chasing something, some way to feel normal or calm. I never thought of it as self medicating, just chasing something. The problem is, alcohol/drugs don't help. You are just someone fucked up in the head that is now also wasted.

The problem with getting "clean" is that you have to get the drugs completely clear of your system before you can even embark down the path of dealing with those mental issues that you've been eluding. That doesn't happen in 3 days or even 1 month. A lot of people just can't make it past this initial stage and they just enter a horrible cycle. Its tough. I was lucky to have a lot of support and good medical professionals helping me out.
 
cindylou said:
really?


you dont seem to be in debt. you seem to be doing pretty well

so i guess if you were to have an addiction, thats the one to have! go for it!
Click to expand...

Oh I have no debt. I like to buy stuff though, a lot of stuff. I never spend money I don't have though.
 
I dont know guys
life can be rough and people can really hurt others
Sometimes Drugs offer an escape.......

thats why I dont judge users

I do Judge someone like a dad or mom that drops the ball when they have a family though
thats evil whether or not it is a mental issue or not
 
chris302001 said:
the result of untreated mental illness?


So I just finished my rotation in Emergency Room Psychiatry, and I've been wondering about this. It kinda turns out to be a chicken and the egg question.

1. Are people with undiagnosed and untreated mental illness self
medicating with illicit drugs?

2. How many people had no mental illness until after using
certain illicit drugs?


It's hard to say which came first. Doesn't really matter though, as they treatment will be the same for either.

:whatever:
Click to expand...

I don't know if you know who Father Martin is, but he quotes a statistic that says the percentage of people with mental health issues is the same for alcoholics as non-alcoholics.
I don’t know if that is anecdotal or proven.
I suspect (my own anecdotal evidence) is that more people with drug problems also have MH problems. Whether it’s to self-medicate or to escape.
 
WhistleBritchesII said:
I dont know guys
life can be rough and people can really hurt others
Sometimes Drugs offer an escape.......

thats why I dont judge users

I do Judge someone like a dad or mom that drops the ball when they have a family though
thats evil whether or not it is a mental issue or not
Click to expand...

Off topic, but what is better:

A family that gets divorced with children,

or a family that stays together "for the children" despite unhappiness leading to the children developing a difficulty in breaking up or leaving bad relationships?
 
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