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Re: Shooters and Psychiatry » SLS

Posted by hello321 on October 5, 2015, at 23:28:33

In reply to Re: Shooters and Psychiatry, posted by SLS on October 5, 2015, at 19:44:39

> 1. Bartholomew was born without any genes that would predispose him to mental illness.
>
> 2. Bartholomew had a childhood predominated by physical and emotional abuse, neglect, and exposure to domestic violence.
>
> 3. Bartholomew grew up feeling inferior because his family didn't have as much money as his peers did. He was teased and bullied. He swore that he would one day have money.
>
> 4. Now out of high school, Bartholomew continued to feel poor and inferior. He couldn't find a job. College was out of the question.
>
> 5. Bartholomew's mother noticed that her son's behavior had become erratic and that he was often quiet and uncommunicative. He was ruminating in his anger and indignation. She thinks that his quietness is depression, and convinces him to go to the family doctor. She would accompany him.
>
> 6. The doctor of internal medicine hears the word "depression". This is enough to convinces the doctor to prescribe Lexapro.
>
> 7. After six months, nothing changes.
>
> 8. 18 years previously, a law abiding citizen bought a hand gun legally.
>
> 9. This law abiding citizen had his house robbed while he was out at the cinema watching a mediocre remake of "King Kong". The gun was stolen along with a box of Fruit Loops.
>
> 10. The gun eventually found its way into Bartholomew's hands. He now felt empowered. He could use it to get the money and respect that he never had growing up. Society owed it to him.
>
> 11. Bartholomew was still angry. He decided to rob a convenience store. On impulse and filled with anxiety, he burst through the door and ran up to the counter waving his gun around and screaming for everyone to get down on the floor. He just happened to notice a box of Fruit Loops on the shelf. He was not distracted, though.
>
> 12. Bartholomew demands that the clerk give him all the money in the cash register. When the clerk raised his hands in the air to show Bartholomew that he was unarmed, Bartholomew panicked and shot him. Several patrons got up off the floor and began to run for the door. Bartholomew shot them all.
>
> 13. Realizing what he had done, Bartholomew felt trapped. He would surely be executed - or worse. There was no way out except by suicide. Suicide was not an unfamiliar thought. He used the gun one more time.
>
> 14. The coroner determined that Bartholomew's body contained Lexapro and Fruit Loops.
>
> 15. Upon investigation, Bartholomew's mother and doctor corroborated this finding and described that Bartholomew was taking Lexapro for depression.
>
> 16. In the media and on official public records, Bartholomew was taking an antidepressant for a mental illness and committed mass murder.
>
> 17. Bartholomew was not mentally ill.
>
> 18. Strange, though. Bartholomew didn't even like Fruit Loops.
>
>

Scott, I find this confusing. There is no precise way to diagnose major depressive disorder. But it is mentioned in psychiatric literature and occasionally talked about on this board that chronic stress can result in one developing Major Depressive Disorder. That looks to be what Bartholomew experienced. Chronicle negative circumstances led to him developing lasting symptoms of what is recognized as clinical depression with today's limited ability to diagnose it as effectively as we can diagnose high blood pressure. True, many different situations can cause a person to rob and murder someone. But a situation like what you described is what just about any psychiatrist would diagnose as depression, isn't it? If not, then should only a chronic, negative mood accompanied by low energy along with other depression symptoms that are caused by efficiently diagnosed physical medical conditions be diagnosed as clinical depression? Am I missing something?

True, this guy had what are described as symptoms of depression that look to have been induced by life circumstances. But even when one perceives a situation like this as nearly hopeless. And they develop lasting feelings of worthlessness and become withdrawn, this doesn't have to happen. With the right brain function, one is more capable of being positive through experiences like his. They become less bothered by things in life and are just more able to see life from a better perspective. Because of this, they are more likely to make better decisions.

This is what can happen if a certain antidepressant we works well for someone. I've experienced this myself. Cyproheptadine (not exactly an antidepressant) brought me from not being able to leave my house because of severe feelings of inferiority and anxiety, to being able to go anywhere, anytime I wanted without putting a second thought into it. I also would notice what I thought of severe flaws in my appearance that made me feel terribly self-conscious. Cyproheptadine made those flaws unnoticeable to me. It became like they never existed. And basically I felt like my world became bigger and I became able to see the bigger picture thanks to cyproheptadine. I became less irritable and more positive about every aspect of life. Relationships became better as well. I could go on and on about how amazing this med was for me.

But first and foremost, I'd say Bartholemews situation became the way it did because of the perspective he viewed things from. Why did he view it the way be did? If not with any of today's treatments, maybe one day through medical advances, a treatment might come out that could turn a guy like Bartholomew into a more positive person that wouldn't consider such extreme actions like robbing a store for money, in hopes of being made happier by the money. Maybe even just seeing a therapist could have helped him to see life in a better way.

But then again, maybe if he had tried the wrong treatment, he might have ended up feeling even more negative and hopeless than he already did. He could have even been made unable to see any amount of money creating a bright future, and wouldn't even feel like robbing a store could make anything better, even if he had gotten away with it.

http://news.berkeley.edu/2014/02/11/chronic-stress-predisposes-brain-to-mental-illness/

http://www.webmd.com/depression/guide/detecting-depression


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poster:hello321 thread:1083163
URL: http://www.dr-bob.org/babble/20150929/msgs/1083258.html