Coming soon - Get a detailed view of why an account is flagged as spam!
view details

This post has been de-listed

It is no longer included in search results and normal feeds (front page, hot posts, subreddit posts, etc). It remains visible only via the author's post history.

24
Why is psychiatry still using outdated scales and not prioritizing anhedonia and cognitive symptoms?
Post Body

These are the symptoms most important for *actual* function. And this is even discussed in this video by a researcher/specialist on anhedonia:

https://www.youtube.com/watch?v=oMfOUlKBlFw

Most of the scores on things like PHQ9 and MADRS are meaningless, and the doc mentions how he was taught that all symptoms are equal, as these scales weight it equally. But that is not actually the case. And things like CBT do not work well for anhedonia/cognition. Many ADs also numb emotion. The symptoms also make people hopeless and desperate to the point many go looking for research chemicals. There is also complex gut-brain-immune axis disruptions in many anhedonia cases it is create by inflammation or dysbiosis, yet conventional medicine has no way to actually target this and probably won't for years

Many antidepressants are also currently failing since placebo effect is so high. And anhedonic patients or patients with cognitive issues are not separated from the low mood/sadness patients and essentially this creates a problem. Low mood responds a lot better to placebo than anhedonia, which itself suppresses the opiod system involved in placebo response. So its illogical to have all patients in the same trial. And things like CBT have been overstated as helpful.

Author
Account Strength
100%
Account Age
2 years
Verified Email
Yes
Verified Flair
No
Total Karma
10,644
Link Karma
906
Comment Karma
9,428
Profile updated: 2 days ago

Subreddit

Post Details

We try to extract some basic information from the post title. This is not always successful or accurate, please use your best judgement and compare these values to the post title and body for confirmation.
Posted
5 months ago