posted on May, 18 2013 @ 06:52 PM
Here is the thing that I've always found illogical about psychiatry...
I have a hereditary disorder that causes temporary muscular paralysis due to low potassium. If I am experiencing a severe episode of this temporary
paralysis I visit a hospital. Their first step, after I explain my problem, is to draw my blood and measure my potassium level. They can compare this
level to well established norms and see that my level is way outside of the normal range. They do not just take my word for it, nor should they. The
role of potassium in allowing muscle contraction is well understood, so it is very easy for them to draw a straight line between my low level and the
symptoms and history that I describe. They then administer IV potassium chloride and monitor my levels until I am back to normal. It is important that
they monitor this level independently of my feedback while administering the drug because overshooting it and giving me too much can cause serious
complications, including heart failure. I know precisely when I've had enough because I start to regain my ability to move. It is a very unambiguous
change. From my perspective a blood test is not required. However, this is not good enough for the doctors to be confident that they have given me the
right amount. Though it can be annoying at times, it does make perfect sense to me because they are worried about the whole spectrum of possibilities
while I am primarily worried about getting the hell out of the hospital.
As far as I know there is no truly objective test done on a person's brain chemistry before administering most psychiatric medicine. They make the
diagnosis based on what the patient describes, and adjust the dosages based on the feedback of the patient. Furthermore, unlike the role of potassium
in muscle function, the field of psychiatry seems to involve a bunch of guesswork about brain chemistry. They cannot verify, independent of the
patient's feedback, the initial deviation from the normal expected chemistry of a healthy person or the effects of the drugs after they have been
Why is it so important that a doctor monitor the effects of other drugs to verify the results independent of patient feedback but not so important
when administering psychiatric drugs?
edit on 5/18/2013 by Slugworth because: (no reason given)
edit on 5/18/2013 by Slugworth