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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by regisx on July 22, 2016, at 21:21:45
If a person suffers a "nervous breakdown" then what's the official diagnosis?
Does this differ? Or is it always something like acute psychosis? Something which involves too much dopamine and which is then treated with anti-psychotics?
My assumption would be that the "treatment" would be based on pumping the person full of benzos as an immediate treatment and then put her on an anti-psychotic.
Posted by rjlockhart37 on July 22, 2016, at 22:06:56
In reply to What's a 'nervous breakdown' officially?, posted by regisx on July 22, 2016, at 21:21:45
a nervous breakdown is where the nerves or the mind is exhaused from an event, and requires recovery period to get back on your feet.....a psychotic break is when they lose reality, and lose coherency with reality.....usally that's more serious and requires both benzo's and anti-psychosis medications
but nervous breakdown is a well-known term for basically "falling apart" where you can't keep doing daily tasks, and require sedation to get better
Posted by Horse on July 22, 2016, at 22:44:10
In reply to What's a 'nervous breakdown' officially?, posted by regisx on July 22, 2016, at 21:21:45
The term is vague enough to cover all sorts of events. Many times major anxiety is involved. This can cause derealization or depersonalization, and that is considered (I think) a temporary psychosis. Well, not everyone thinks that. Antipsychotics can be used to calm a person, and for this reason they are sometimes referred to as major tranquilizers.
I'm not sure nervous breakdowns are caused by dopamine excess or deficency. Has your friend had a psychotic break?
> If a person suffers a "nervous breakdown" then what's the official diagnosis?
>
> Does this differ? Or is it always something like acute psychosis? Something which involves too much dopamine and which is then treated with anti-psychotics?
>
> My assumption would be that the "treatment" would be based on pumping the person full of Benzodiazepines as an immediate treatment and then put her on an anti-psychotic.
>
>
>
>
Posted by baseball55 on July 23, 2016, at 18:53:41
In reply to Re: What's a 'nervous breakdown' officially? » regisx, posted by Horse on July 22, 2016, at 22:44:10
It's not really a medical term, not listed in the DSM and there's no official definition. For a friend of mine, it meant breaking down in tears at work and being unable to stop crying. For me it meant trying to kill myself. For some people it's panic attacks or anxiety.
Basically, your mental state just deteriorates in any of a number of ways. When people call it a breakdown though, they usually refer to a sudden shift in the ability to function that often ends with a trip to the psych ward.
Posted by linkadge on July 23, 2016, at 20:28:51
In reply to Re: What's a 'nervous breakdown' officially?, posted by baseball55 on July 23, 2016, at 18:53:41
Yeah, there is no 'official' definition.
I usually thought of it as just 'hitting a wall' - succumbing to the effects of chronic stress, or a traumatic event to the extent that on cannot function in their normal daily activities.
Linkadge
Posted by regisx on July 23, 2016, at 21:05:07
In reply to Re: What's a 'nervous breakdown' officially?, posted by linkadge on July 23, 2016, at 20:28:51
Hi, with nervous breakdown I mean something like feeling miserable and having no more tolerance to stress. When even the slightest things make you feel terrible and your mood can shift from just depressed to dangerously depressed in an instant.
Or when you do things which don't really fit to you, like for example jelling at a family member or thinking thoughts like "why dont you just shut the f*** up?" and then later on you ask yourself how you can even think such thoughts and feel guilty but you simply feel so under pressure that you're not yourself anymore.That's the stuff I mean.
And what would you do if you felt like you're getting closer to a nervous breakdown but you can't really change anything about your situation and it feels like you're in a train which is about to hit a wall and at the same time there's nothing you can do about it?
Posted by Phillipa on July 23, 2016, at 22:34:44
In reply to Re: What's a 'nervous breakdown' officially?, posted by regisx on July 23, 2016, at 21:05:07
Have you been through a lot of stressful events lately and you just can't handle anymore. And getting angry is okay if the anger is something to be angry about. It's an emotion. Phillipa
Posted by baseball55 on July 23, 2016, at 22:56:46
In reply to Re: What's a 'nervous breakdown' officially?, posted by regisx on July 23, 2016, at 21:05:07
Yeah, that sounds like a breakdown. If you're suicidal or homicidal, you can go to a hospital. Otherwise, find a therapies and get help.
Hi, with nervous breakdown I mean something like feeling miserable and having no more tolerance to stress. When even the slightest things make you feel terrible and your mood can shift from just depressed to dangerously depressed in an instant.
> Or when you do things which don't really fit to you, like for example jelling at a family member or thinking thoughts like "why dont you just shut the f*** up?" and then later on you ask yourself how you can even think such thoughts and feel guilty but you simply feel so under pressure that you're not yourself anymore.
>
> That's the stuff I mean.
>
> And what would you do if you felt like you're getting closer to a nervous breakdown but you can't really change anything about your situation and it feels like you're in a train which is about to hit a wall and at the same time there's nothing you can do about it?
Posted by Christ_empowered on July 24, 2016, at 16:25:29
In reply to What's a 'nervous breakdown' officially?, posted by regisx on July 22, 2016, at 21:21:45
I read an article once...on the rise and fall of the nervous breakdown in pop culture. Interesting stuff.
In the US, the term isn't as popular as it used to be. I did read an article from the UK about breakdowns and the different methods of dealing with them. It seems that treatment definitely involves meds, and often involves some flavor talk therapy.
These days...maybe they'd put one down for brief reactive psychosis or something? Schizophreniform? I dunno. In terms of Rx treatments...my best guess would anxiolytics, sedatives, seroquel, etc. ((But I'm clearly not any kinda expert))
Posted by regisx on July 24, 2016, at 18:26:07
In reply to Re: What's a 'nervous breakdown' officially?, posted by Christ_empowered on July 24, 2016, at 16:25:29
But I wouldn't want to take antipsychotics.
I mean once you start with APs it's like you've reached the final stage of "insanity".And if they just sedate you up put you in a zombie-like mode then how shall you function anymore?
One reason why I'm having much additional stress on top of the stress which I already had before is that I have exams coming up in a few weeks and I'm really scared of them.
And this stress/fear added up to my other problems is simply getting too much. But there's really nothing I can do now.
If I skip them then I get kicked out. I already postponed them multiple times out of fear and depression.
In 2011 I already had the diagnosis of being burnt out and since then things have gotten much worse and no antidepressant or other stuff I tried changed anything about that. :(
I also feel like nobody even really believes me. I mean I told my parents many times that I'm really worried about losing my mind sooner or later or getting a nervous breakdown cause it's getting too much and they just say I gotta take the exams and I gotta try it cause otherwise the consequences of being kicked out would be even worse. That's true. If I got kicked out I'd also feel awful. My situation wouldn't improve or the pressure wouldn't dissolve.
There's no way to just get rid of the pressure.
Posted by Phillipa on July 24, 2016, at 18:54:16
In reply to Re: What's a 'nervous breakdown' officially?, posted by regisx on July 24, 2016, at 18:26:07
What are you studying to become eventually. Can you cut back on the number of classes you take and take an extra year or so to graduate. I did this in RN school. Stress was too much. And it worked out great. Phillipa
This is the end of the thread.
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