Page 2 of 4 FirstFirst 1234 LastLast
Results 11 to 20 of 36

Thread: After 47 years, I finally have depression.

  1. #11
    Some people adapt better. Severe depression can be a chemical imbalance and more serotonin needed. Hope the Le April helps! Thanks for sharing! CWO
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  2. #12
    I meant no slights to the disabled population by saying SCIs have residual depression. I've thought long and hard about it for 8 years since having it described to me by a neuro-psychologist, who has done SCI rotations and gives expert testimony around the country on the impact a disability has on one's ability to work. This guy has no dog in the fight except for his professional reputation.

    By definition, he is saying SCIs have residual depression.

  3. #13
    Uncle Peter, were you and I at IRM at the same time? I was on 4th floor from 9/70 to 2/71 back in the days when rehab was determined by actual needs. Remember Ed Sullivan hosting the Christmas show with Steve and Edie Gormet and other celebrities. I hope you benefit from the new meds, we all are facing difficult stuff and have been for decades but we are tough enough to go the distance. Wishing you the best.

  4. #14
    I was never at IRM. I live in Connecticut, about 40 miles from Ground Zero in NYC.

  5. #15
    Quote Originally Posted by Patton57 View Post
    I meant no slights to the disabled population by saying SCIs have residual depression. I've thought long and hard about it for 8 years since having it described to me by a neuro-psychologist, who has done SCI rotations and gives expert testimony around the country on the impact a disability has on one's ability to work. This guy has no dog in the fight except for his professional reputation.

    By definition, he is saying SCIs have residual depression.
    I don't think his statement is a slight to the disabled community, but I do think it is incorrect (at least the way you have worded it here, which may be close to but not exactly what he said, memory is a tricky thing especially memory from years in the past). My main point of saying he was wrong was to point out that expert opinion (which seems to be all he has provided) can be contradicted and to provide that contradiction (and I still assert that I have as much psychologic training as your expert and in addition I went to medical school for 4 years which he did not). Using the wording as you have provided his argument it seems impossible to prove and easy to refute. Psychologists use the same diagnostic manual (DSM-5) that we psychiatrists put out every few years, and there is no recognized diagnosis for "residual depression", I am going to be a little long winded and nitpicky below, but I think words are important here and I think the overall point is important. To say "by definition" SCIs have depression would mean that if one was not depressed, not a single symptom of depression one would not have a spinal cord injury, despite their paralysis and loss of sensation... that's what "by definition" means.

    But I don't think that's what you meant. I think you were conveying his assertion that SCI causes residual depression and that it is inevitable and happens to all people with SCI. In addition to being an unhelpful conclusion, this is extraordinarily difficult to prove scientifically and easy to refute (and I will disprove it momentarily). If one were to attempt to prove it, he would have to prove within an acceptable margin of error that 100% of people with SCI were "residually depressed" by whatever way he chose to define that (perhaps a zero on the full 29 question Hamilton Rating Scale for Depression, which is probably the most studied rating scale), this would require getting at least several hundred if not several thousand SCIers, none of whom score a zero. But if you gave the rating scale to all SCIers (globally there must be at least a few tens of millions of us) and even one person scored a zero this theory would instantly be disproven. My point being it is extremely difficult to prove such an absolute statement as "all" or "never" or "always" with any scientific certainty. This is the main reason why I felt the need to make my original comment (apologies to the OP for going so widely off topic here) and why I'm so certain the statement as provided to us here, is not true.

    So allow me to disprove your statement. Just for fun I performed a Hamilton Depression Rating Scale on myself right now, admittedly it is supposed to be clinician administered, and not taken by the patient, but I am a clinician after all. I scored a 3. You have to have at least a 7 to qualify for "mild" depression. This study is obviously an N = 1 study that wasn't blinded (and I probably invented a whole new category of bias since I am the only participant and the only investigator), but that is entirely sufficient to disprove your psychologist's statement because it was so absolute. Therefore, by a very reasonable and widely accepted metric I do not have depression (even "mild" depression, though as I pointed out I don't know what "residual depression" is because that is not a defined term in our field). Therefore I conclude that your psychologist's assertion has been thoroughly disproved (or if we want to get technical with your word choice quoted above, this means I no longer have an SCI, hooray!)

    But that's just a bunch of technicality and nitpicking... I feel like the grammar police with the last couple paragraphs. However, the reason why I think it is important to dispute your statement is that seems very fatalistic. Like, "oh I have SCI, I'm bound to be depressed, there's certainly no way I will ever be completely free of depression because 'by definition' I will have some residual depression". If one were to believe your statement and take it to heart it would be expected to lead their thinking toward more depressed thoughts. If a new SCI were to read that statement and believe that they are now predestined to be depressed, I bet that would have good odds of being a self fulfilling prophecy and increase their odds of getting depressed. And that would be a shame because it is absolutely untrue. You can definitely be not depressed... even happy, and have a SCI.

    If you have depression, treat it, whether or not you have SCI. You CAN get better and there is no reason to think you are fated to be depressed just because your spinal cord doesn't work. There are dozens of effective drugs to treat depression (again, they work whether or not you are SCI and there are many, many studies proving this). The drugs generally work about as well as seeing a good therapist weekly for a few months, and the antidepressants and therapy together work better than either alone. There's also electroconvulsive therapy which is the one most effective and fastest treatment for depression and transcranial magnetic stimulation along with a bunch of other things you can do for yourself to improve your depression (exercise - lifting weights works slightly better than aerobic exercise the studies suggest, bright light therapy or just getting out in the sun more, eating regularly and healthy even if you don't feel like it, etc).

    I feel like I've been pretty oppositional on this thread, especially towards you, Patton, my apologies, but I think your psychologist's theory is wrong and has the potential to cause unnecessary harm, therefore it's important to point out how and why it is wrong. Yes, you are more likely to get depressed if you have SCI... how well we all know the reasons for that! But it is absolutely wrong to suggest that you are inevitably going to be a little bit depressed if you have a spinal cord injury. I'm very open to being proved wrong, but I think it highly unlikely there is real scientific evidence to disprove my assertion, and I have conducted my own study of myself to disprove it quite easily.

  6. #16
    If you are not depressed , at leased a little with S.C.I. , you are a lier .

  7. #17
    Quote Originally Posted by Duck View Post
    If you are not depressed , at leased a little with S.C.I. , you are a lier .
    If you're referring to my statement above Duck, I never said I wasn't depressed. A standardized, well studied, widely accepted rating scale said I was in the normal range, still 4 points away from mild depression. Which is well different than being happy or not being bothered by the fact that I can't walk.

    I suspect if Uncle Peter took that same test for the last 47 years it would have said he wasn't depressed either, but obviously this is now something he is struggling with and probably having a SCI contributes to that, but surely something else does as well because he said he didn't feel depressed for the first 47 years.

  8. #18
    Senior Member
    Join Date
    Dec 2004
    Location
    Alberta, Canada
    Posts
    7,164
    I feel for you, Peter. I hope it helps!

  9. #19
    I think the problem with aging with SCI is. When you get older you look back at the past more. And you look at how life could of been if SCI never happen. And not just for yourself but everyone around you. I know it has with me. I think i get more angry at myself than depress though. Because I know there is know replays.

    So I will get up this morning and go to work doing something I would not be doing if I was walking. But settle for what I can do. Try to be productive with my life that I do have.

  10. #20
    Senior Member
    Join Date
    May 2010
    Location
    Southern California
    Posts
    269
    Quote Originally Posted by NorthQuad View Post
    I feel for you, Peter. I hope it helps!
    At least you have a lot of company. Live is grossly imperfect for most humans.

Similar Threads

  1. sore finally healed after 4 years
    By fynalefree in forum Care
    Replies: 2
    Last Post: 06-10-2013, 04:43 PM
  2. Finally running after 6 long years!!
    By 05survivor in forum Cure
    Replies: 11
    Last Post: 06-29-2011, 11:34 PM
  3. After 12 years, it's finally over!
    By Le Todd in forum Life
    Replies: 49
    Last Post: 07-15-2009, 10:35 PM
  4. After 36 years, finally water-skied!
    By DeadEye in forum Recreation, Sports, Travel, & Hobbies
    Replies: 38
    Last Post: 07-31-2008, 10:35 PM
  5. Depression has hit me after 3 1/2 years.
    By BareNakedLady in forum Life
    Replies: 7
    Last Post: 02-17-2003, 04:31 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •