What If Some Mental Disorders Aren't Really Disorders?

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Anxiety, depression, and ADHD symptoms may be tied to a healthy response to adversity. Here's why that matters, writes AEscalanteMD

Second, the study authors note that despite widespread and increasing use of, rates of anxiety and depression do not seem to be improving. From 1990-2010 the global prevalence of major depressive disorder and anxiety disorders held at 4.4% and 4%. At the same time, evidence has continued to show that antidepressants perform no better thanThird, worldwide rates of these disorders remain stable at 1 in 14 people.

Taken together, the authors posit that anxiety, depression, and PTSD may be adaptive responses to adversity. “Defense systems are adaptations that reliably activate in fitness‐threatening situations in order to minimize fitness loss,” they write. It’s not hard to see how that could be true for anxiety; worry helps us avoid danger. But how can that be true for depression? They argue that the “psychic pain” of depression helps us “focuson adverse events...

If that sounds unlikely, then consider that neuroscientists have increasingly mapped these three disorders to branches of the. Anxiety may be due to chronic activation of the fight or flight system. PTSD may occur when trauma triggers the freeze response which helps animals disconnect from pain before they die, and depression may be a chronic activation of that same freeze response.Labels are something we internalize to define who we are and what we are capable of.

Consider how we label ADHD. A generation ago boys with ADHD were labeled as “bad boys” and were given penalties or detentions. Now we help kids with ADHD understand that they have a “learning difference.” Instead of detention, we try to provide support in a variety of modalities. When we do, the behavior problems often disappear. That label change to learning difference is vital because it gives space for kids with ADHD to be “good kids” and to succeed.

 

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ZorynaODonnell AEscalanteMD We were just discussing this the other day - it features in a book my brother is writing.

AEscalanteMD Healthy response to adversity ...

AEscalanteMD What are your thoughts on ACEstudy, Phillystudy & dyslexia as it relates these symptoms? ACEsConnection DyslexiaYale

AEscalanteMD 100% true, but this isn’t new. Good therapists have been saying this for years.

AEscalanteMD Wow. This explains my life.

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