The Warm Coat Approach to Psychiatry

Sometimes I occasionally envy scientists and doctors from 100 years ago who borrowed for easy discoveries, sometimes even associated their names with them. The Bernoulli Principle, for example, describes how the pressure of invisible materials decreases when the flow of the substance increases and why is the disgusting vial in cheap guesthouses closed to the man in the shower. I'm sure I noticed this effect when I was about six years old, and if it was not already figured, I know I'd ever come up with it ever! But the days simply think real, real, hard and come up with "discovery" have long gone.

Or are they? I'm good, I think … and with the proper presentation and help from readers I could become famous, or not. However, it's worth making a shot … So I want to introduce Junig Warm Coat Theory of Psychotropic Prescribing. (I know the title needs to work.)

Again when I was an anesthetist, surgeons used sometimes the phrase "better is the enemy good." "The point was that in some actions, the best approach was to remove infected or infected tissue, stop bleeding, close ASAP, and get the patient back to the nurse. To spend another 4 hours picking up the web to make up to some risk of a decrease in patient's body temperature, decrease clotting and immune system and increase stress response, then increase the risk of bad surgery. credit-related property, and note that the warm coat theory is similar in some way to the enemy's good & # 39; sentence I have heard recited over the years. Indeed, it is quite possible that unconscious things in my mind stop the sentence and fix it for mental illness. If so, I'm sorry for the actions of my unconscious – and I present strangers to the whole thing!

When your doctor prescribes medicines due to mental illness – such as ADD or anxiety – the patient may notice a positive effect initially, but sometimes ask me to do better at a higher dose – should we try a little more? & # 39; With any drug for any condition, there is a balance between the positive effect of the drug and the risk or side effects of the drug. Serotonin drugs work well for depression and anxiety, but as their doses increase, they will ultimately cause sexual side effects. Even higher doses can cause drowsiness or nausea. Positive effects of drugs increase by dose, but side effects also increase. The goal of patients and doctors is to find the right balance between positive effects and negative side effects. If a patient is not interested in sex (and does not want to be interested in sex), the dose should not be limited by sexual side effects. Nausea or sedation may, however, be a barrier to dose increases. Different people have different concerns about risks and side effects, and different people have different needs for higher doses of drugs. This difference, of the way in which psychiatrists should spend more time in patients than they do – but that's another matter for another day.

When we go to Wisconsin in January, watch the Weather Channel and wear it accordingly. But we do not dress at 14 degrees F; We wear beautiful cold. & # 39; If I go to a game, will I put my long friends (too much information?), Fleet Farm trousers and snowmobiles (who changed my life when I finally bought it after suffering some football games without it). I will also wear a hood and maybe even a face mask and of course a thick pair of gloves. At some point in the game, if the drunk guys narrowed in the way, too close to me on both sides, let their shirts go so that their body warms toward me and obeys me, I'll take off my face mask and maybe my caps. At the end of the game, I might even have my own shirt if the sun is out. Of course, the kids next to me can have enough of the game at some point and spend the rest of the game at the bar as the sun disappears behind a thick layer of clouds. Then I will put heavy material back and maybe rub my hands together or do something to jump around to raise my body temperature. If I get cold enough, I go inside and warm up for a few things. The point is that I do not have a jacket to change when I hear and I do not get extra coats when I'm cold. Instead, I change my activity, my location, or make minor changes to my wardrobe.

According to the heat resistance method, I suggest that patients think of their psychoactive drugs in a similar way as I think of dressing up for the Packer game in January. When an individual wonders about a higher dose, he receives a good response from the drug, usually with a small amount of side effects. At this point, & # 39; better & # 39; might be the enemy "good". & # 39; The man is really wearing a warm coat in January. There is no need to run home and pick up some more coats; The better action is to change behavior to optimize the level of relief symptoms. If the hallmarks of attention are attention problems and the current dose of stimulants has taken the person 85% of the way, then the correct action is to adjust behavior. Find a quiet place to study. Get enough sleep. Enter reminders and schedule ahead, to prevent time crunches that interfere with performance. These are better ways than increasing the stimulation dose, which can increase blood pressure or lead to addictive problems. If your symptoms are anxious, work on a positive self-esteem and try to get an insight into why anxiety is there in the first place. Learn to relax with deep breaths or go for a walk to get away from stressful environments.

The drug should be like a warm coat in January; A way to make symptoms good. & # 39; Use behavioral or therapeutic procedures – methods that do not increase risk or side effects – to make it better. & # 39;

If Junig's Warm Coat Approach becomes big, someday you have to tell your children about the day you read it first before anyone talked about it. They will look at you with big eyes and say "Wow!"

Or not. However, I think the idea has feet!


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