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	<title>Comments on: Social Anxiety Disorder? Or Just Plain Shy?</title>
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	<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/</link>
	<description>Dr. John Grohol&#039;s daily update on all things in psychology and mental health. Since 1999.</description>
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		<title>By: Noah</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-2/#comment-667177</link>
		<dc:creator>Noah</dc:creator>
		<pubDate>Fri, 20 Aug 2010 01:35:23 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-667177</guid>
		<description>I find it interesting that at the end of the article depression is cast as something real, a serious mental disorder, right after &quot;social anxiety disorder&quot; is argued as something not so real and critiqued against normal to mild social anxiety, i.e. &quot;shyness&quot;.
You could potentially do the same with depression.  Debunk depression by arguing against normal experiences of feeling lows like how everyone may experience their highs and lows or having mildly stonger lows and being diagnosed with &quot;depression&quot;.  But that wasn&#039;t done.
Some people do experience social anxiety to such a degree that they don&#039;t know how to make friends.  Have little or no friends.  And have experienced periods of almost muteness in normal situations.  Even posting on the internet having the potential to creating severe anxiety.  That&#039;s pretty serious and not simply &quot;shyness&quot;.  What I described would be &quot;social phobia&quot; or &quot;social anxiety disorder&quot; and not &quot;shyness&quot;.</description>
		<content:encoded><![CDATA[<p>I find it interesting that at the end of the article depression is cast as something real, a serious mental disorder, right after &#8220;social anxiety disorder&#8221; is argued as something not so real and critiqued against normal to mild social anxiety, i.e. &#8220;shyness&#8221;.<br />
You could potentially do the same with depression.  Debunk depression by arguing against normal experiences of feeling lows like how everyone may experience their highs and lows or having mildly stonger lows and being diagnosed with &#8220;depression&#8221;.  But that wasn&#8217;t done.<br />
Some people do experience social anxiety to such a degree that they don&#8217;t know how to make friends.  Have little or no friends.  And have experienced periods of almost muteness in normal situations.  Even posting on the internet having the potential to creating severe anxiety.  That&#8217;s pretty serious and not simply &#8220;shyness&#8221;.  What I described would be &#8220;social phobia&#8221; or &#8220;social anxiety disorder&#8221; and not &#8220;shyness&#8221;.</p>
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		<title>By: social anxiety treatment</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-631068</link>
		<dc:creator>social anxiety treatment</dc:creator>
		<pubDate>Sat, 08 Aug 2009 18:44:11 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-631068</guid>
		<description>&quot;Anxiety can lead to depression if no cured in its early stages. 

Some natural anxiety remedies to look into are St.John&#039;s Wort, SAMe, L-Theanine, and Tryptophan. There&#039;s also cognitive behavioral therapy (CBT) and programs like Panic Away and The Linden Method, to name a few. Hope this helps!&quot;</description>
		<content:encoded><![CDATA[<p>&#8220;Anxiety can lead to depression if no cured in its early stages. </p>
<p>Some natural anxiety remedies to look into are St.John&#8217;s Wort, SAMe, L-Theanine, and Tryptophan. There&#8217;s also cognitive behavioral therapy (CBT) and programs like Panic Away and The Linden Method, to name a few. Hope this helps!&#8221;</p>
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		<title>By: Bridgette</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-408986</link>
		<dc:creator>Bridgette</dc:creator>
		<pubDate>Mon, 04 Feb 2008 04:59:13 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-408986</guid>
		<description>Okay, the person who wrote this blog doesn&#039;t know ANYTHING about Social Anxiety Disorder. Why are people so quick to believe that mental disorders are just concoctions cooked up by hypochondriacs?? I have Social Anxiety Disorder, and I can tell you that there is nothing &quot;normal&quot; about the level of anxiety I feel around people. And it can&#039;t be chalked up to nerves. I feel the same way when I&#039;m around people I&#039;ve known for years! If you don&#039;t know enough about a subject or if you don&#039;t believe that something exists, keep it to yourself. It&#039;s just plain wrong to accuse someone whose mind is already confused that they&#039;re imagining something, simply because YOU don&#039;t believe it exists.</description>
		<content:encoded><![CDATA[<p>Okay, the person who wrote this blog doesn&#8217;t know ANYTHING about Social Anxiety Disorder. Why are people so quick to believe that mental disorders are just concoctions cooked up by hypochondriacs?? I have Social Anxiety Disorder, and I can tell you that there is nothing &#8220;normal&#8221; about the level of anxiety I feel around people. And it can&#8217;t be chalked up to nerves. I feel the same way when I&#8217;m around people I&#8217;ve known for years! If you don&#8217;t know enough about a subject or if you don&#8217;t believe that something exists, keep it to yourself. It&#8217;s just plain wrong to accuse someone whose mind is already confused that they&#8217;re imagining something, simply because YOU don&#8217;t believe it exists.</p>
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		<title>By: Natural Anxiety Relief &#187; Blog Archive &#187; Blogs Offer Tips About Social Anxiety</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-390611</link>
		<dc:creator>Natural Anxiety Relief &#187; Blog Archive &#187; Blogs Offer Tips About Social Anxiety</dc:creator>
		<pubDate>Sat, 12 Jan 2008 02:14:01 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-390611</guid>
		<description>[...] Go to http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/ to read the rest of the post titled, &#8220;Social Anxiety Disorder or Just Plain Shy?&#8221; by John M. Grohol, Psy.D.I hope you find the information helpful.I hope you find the information helpful.I hope you find the information helpful. [...]</description>
		<content:encoded><![CDATA[<p>[...] Go to <a href="http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/" rel="nofollow">http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/</a> to read the rest of the post titled, &#8220;Social Anxiety Disorder or Just Plain Shy?&#8221; by John M. Grohol, Psy.D.I hope you find the information helpful.I hope you find the information helpful.I hope you find the information helpful. [...]</p>
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		<title>By: Social Anxiety Disorder? Or Just Plain Shy? &#124; Mental Health News &#124; Mental Health and Wellness</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-378055</link>
		<dc:creator>Social Anxiety Disorder? Or Just Plain Shy? &#124; Mental Health News &#124; Mental Health and Wellness</dc:creator>
		<pubDate>Sat, 29 Dec 2007 18:15:37 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-378055</guid>
		<description>[...] like social anxiety disorder which, before 1980, was simply known as extreme shyness or anxiety neurosis. Sure, people get anxious in social situations, especially performance-based ones such as public speaking, &#8230; Read more, click here&#8230; [...]</description>
		<content:encoded><![CDATA[<p>[...] like social anxiety disorder which, before 1980, was simply known as extreme shyness or anxiety neurosis. Sure, people get anxious in social situations, especially performance-based ones such as public speaking, &#8230; Read more, click here&#8230; [...]</p>
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		<title>By: Anxiety Disorder &#187; Blog Archive &#187; Anxiety Disorders and Pathology</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-370127</link>
		<dc:creator>Anxiety Disorder &#187; Blog Archive &#187; Anxiety Disorders and Pathology</dc:creator>
		<pubDate>Thu, 20 Dec 2007 11:05:12 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-370127</guid>
		<description>[...] Social Anxiety Disorder? Or Just Plain Shy?Disorders like social anxiety disorder which, before 1980, was simply known as extreme shyness or “anxiety neurosis.” Sure, people get anxious in social situations, especially performance-based ones such as public speaking, &#8230; [...]</description>
		<content:encoded><![CDATA[<p>[...] Social Anxiety Disorder? Or Just Plain Shy?Disorders like social anxiety disorder which, before 1980, was simply known as extreme shyness or “anxiety neurosis.” Sure, people get anxious in social situations, especially performance-based ones such as public speaking, &#8230; [...]</p>
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		<title>By: Aj</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-351680</link>
		<dc:creator>Aj</dc:creator>
		<pubDate>Sat, 01 Dec 2007 07:57:29 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-351680</guid>
		<description>I tend to agree with the concept shynees by soical norms is a normal issues and as mentiond is a normal emoitional status. Yet its a serious problem. I&#039;ve witness an incedint where is a child who is extremly shy push by his care givers to soicalize with others. Yes &quot;forced&quot;. I personally believe that we can break down this pattern by perhabs encourge and motivate the person to meet others, step by step that person start to condition him/her selve this new situation and therefore be prepare for larger scale meeting (parties, soical gethering)</description>
		<content:encoded><![CDATA[<p>I tend to agree with the concept shynees by soical norms is a normal issues and as mentiond is a normal emoitional status. Yet its a serious problem. I&#8217;ve witness an incedint where is a child who is extremly shy push by his care givers to soicalize with others. Yes &#8220;forced&#8221;. I personally believe that we can break down this pattern by perhabs encourge and motivate the person to meet others, step by step that person start to condition him/her selve this new situation and therefore be prepare for larger scale meeting (parties, soical gethering)</p>
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		<title>By: qzconnect &#187; Blog Archiv &#187; Social Anxiety Disorder? Or Just Plain Shy?</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-329609</link>
		<dc:creator>qzconnect &#187; Blog Archiv &#187; Social Anxiety Disorder? Or Just Plain Shy?</dc:creator>
		<pubDate>Mon, 19 Nov 2007 02:23:09 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-329609</guid>
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		<title>By: Self Help Zone</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-317096</link>
		<dc:creator>Self Help Zone</dc:creator>
		<pubDate>Mon, 12 Nov 2007 10:17:27 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-317096</guid>
		<description>Insightful post on depression and public speaking...

What is behind the mind walls? There may be a very complex issue that is in constant study. We have people of all kinds, including mentally ill, so-called normal minds, geniuses and so forth. The mind has been notorious to play tricks on us, let us down, skip to another level and so forth. It seems with the war between the brain and self there is &lt;a href=&quot;http://www.selfhelpzone.com/category/public-speaking/&quot; rel=&quot;nofollow&quot;&gt;never a winning ticket.&lt;/a&gt;

The fact is the mind holds the key to all areas of your body, but the central nervous system is the channel to the brain. In the majority instances if the brain is affected is a direct result of the central nervous system and spinal column. If the spinal column is crooked or injured then it will affect the nervous system, which works its way toward the brain. Once the brain is hit, the troubles begin and frequently do not quite until someone finds out the cause of the problem.</description>
		<content:encoded><![CDATA[<p>Insightful post on depression and public speaking&#8230;</p>
<p>What is behind the mind walls? There may be a very complex issue that is in constant study. We have people of all kinds, including mentally ill, so-called normal minds, geniuses and so forth. The mind has been notorious to play tricks on us, let us down, skip to another level and so forth. It seems with the war between the brain and self there is <a href="http://www.selfhelpzone.com/category/public-speaking/" rel="nofollow">never a winning ticket.</a></p>
<p>The fact is the mind holds the key to all areas of your body, but the central nervous system is the channel to the brain. In the majority instances if the brain is affected is a direct result of the central nervous system and spinal column. If the spinal column is crooked or injured then it will affect the nervous system, which works its way toward the brain. Once the brain is hit, the troubles begin and frequently do not quite until someone finds out the cause of the problem.</p>
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		<title>By: alexandra_k</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-309572</link>
		<dc:creator>alexandra_k</dc:creator>
		<pubDate>Wed, 07 Nov 2007 21:51:36 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-309572</guid>
		<description>&gt; I’m not well-read on Szasz (his nonsense angers me), but isn’t his stance more that there’s no such thing as mental illness at all, that we’re all a bunch of whiny slackers looking for an excuse to pop pills and get out of personal responsibility?

No, that is not his stance at all.  Szasz stance is one of an activist for patient rights.  He argues that psychiatrists should not have the power to involvountarily confine and force medicate people with a diagnosis of a mental disorder.

Instead of reading him as saying &#039;there are no mental disorders&#039; and denying the suffering of individuals one is better to read him as saying &#039;mental disorders are the result of sickness in society / social structure rather than defecits or defects or dysfunctions within the suffering individual.

He thinks that the insanity defence should be done away with (people should take responsibility for their actions and we shouldn&#039;t be overly paternalistic about people diagnosed as mentally ill by giving them diminished responsibility).

He thinks that often improved social supports &#039;treat people&#039; better and more safely than medications (hence is against forced medicating).

He is a PATIENT RIGHTS ACTIVIST.  Its just the drug companies and psychiatrists / psychologists who push the whole &#039;we are fixing your brokenness &#039; line.  And when patients (who are suffering) think they need to buy into that to be a &#039;good patient&#039; and get a little help then well...  Harm more than help?  I reckon so...</description>
		<content:encoded><![CDATA[<p>&gt; I’m not well-read on Szasz (his nonsense angers me), but isn’t his stance more that there’s no such thing as mental illness at all, that we’re all a bunch of whiny slackers looking for an excuse to pop pills and get out of personal responsibility?</p>
<p>No, that is not his stance at all.  Szasz stance is one of an activist for patient rights.  He argues that psychiatrists should not have the power to involvountarily confine and force medicate people with a diagnosis of a mental disorder.</p>
<p>Instead of reading him as saying &#8216;there are no mental disorders&#8217; and denying the suffering of individuals one is better to read him as saying &#8216;mental disorders are the result of sickness in society / social structure rather than defecits or defects or dysfunctions within the suffering individual.</p>
<p>He thinks that the insanity defence should be done away with (people should take responsibility for their actions and we shouldn&#8217;t be overly paternalistic about people diagnosed as mentally ill by giving them diminished responsibility).</p>
<p>He thinks that often improved social supports &#8216;treat people&#8217; better and more safely than medications (hence is against forced medicating).</p>
<p>He is a PATIENT RIGHTS ACTIVIST.  Its just the drug companies and psychiatrists / psychologists who push the whole &#8216;we are fixing your brokenness &#8216; line.  And when patients (who are suffering) think they need to buy into that to be a &#8216;good patient&#8217; and get a little help then well&#8230;  Harm more than help?  I reckon so&#8230;</p>
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		<title>By: alexandra_k</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-309561</link>
		<dc:creator>alexandra_k</dc:creator>
		<pubDate>Wed, 07 Nov 2007 21:45:20 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-309561</guid>
		<description>I didn&#039;t say that I didn&#039;t believe that depression was an illness.  I did say that our concept of depression has expanded such that instead of it merely applying to cases that were extremely severe it is now applied to everything from boredom to grieving.

&gt; As a long time sufferer of treatment resistant chronic depression, it is infuriating to read (or hear people say) that depression isn’t an illness with physiological causes. This is a denial of the conditions of millions of people who suffer from this terrible and sometimes fatal chronic disease.

I don&#039;t think that anybody who is here said that...  That being said, to say that a condition currently in the DSM isn&#039;t an illness or isn&#039;t a mental illness etc DOES NOT imply that the person is undermining the very real distress and suffering of individuals who have been diagnosed with the disorder.

Consider this:  Witches suffered a lot in the middle ages.

Now consider this:  THERE AREN&#039;T ANY WITCHES

Get it?

Everybody gets headaches. That doesn’t mean that brain tumors aren’t real. Nobody would deny life saving insulin for a diabetic. It’s time to get past this senseless philosophical argument about depression (and a host of other “mental” illnesses). They’re real, they cause huge amounts of suffering and economic damage, and its time we unleashed the medical-research community to find a cure.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t say that I didn&#8217;t believe that depression was an illness.  I did say that our concept of depression has expanded such that instead of it merely applying to cases that were extremely severe it is now applied to everything from boredom to grieving.</p>
<p>&gt; As a long time sufferer of treatment resistant chronic depression, it is infuriating to read (or hear people say) that depression isn’t an illness with physiological causes. This is a denial of the conditions of millions of people who suffer from this terrible and sometimes fatal chronic disease.</p>
<p>I don&#8217;t think that anybody who is here said that&#8230;  That being said, to say that a condition currently in the DSM isn&#8217;t an illness or isn&#8217;t a mental illness etc DOES NOT imply that the person is undermining the very real distress and suffering of individuals who have been diagnosed with the disorder.</p>
<p>Consider this:  Witches suffered a lot in the middle ages.</p>
<p>Now consider this:  THERE AREN&#8217;T ANY WITCHES</p>
<p>Get it?</p>
<p>Everybody gets headaches. That doesn’t mean that brain tumors aren’t real. Nobody would deny life saving insulin for a diabetic. It’s time to get past this senseless philosophical argument about depression (and a host of other “mental” illnesses). They’re real, they cause huge amounts of suffering and economic damage, and its time we unleashed the medical-research community to find a cure.</p>
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		<title>By: Suze</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-309473</link>
		<dc:creator>Suze</dc:creator>
		<pubDate>Wed, 07 Nov 2007 19:52:00 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-309473</guid>
		<description>I&#039;m not well-read on Szasz (his nonsense angers me), but isn&#039;t his stance more that there&#039;s no such thing as mental illness at all, that we&#039;re all a bunch of whiny slackers looking for an excuse to pop pills and get out of personal responsibility? He seems pretty disdainful of even schizophrenia. He can&#039;t mention bipolar disorder without putting it in quote marks and redefining it as depression. Although I can see the relevance to an article about over-medicalizing, it seems like an odd reference coming from a psychiatrist who does seem to think there&#039;s such a thing as a mental disorder.... I personally think reading his libertarian-based crap is more likely to do harm than good for someone already looking for an excuse not to comply with treatment.</description>
		<content:encoded><![CDATA[<p>I&#8217;m not well-read on Szasz (his nonsense angers me), but isn&#8217;t his stance more that there&#8217;s no such thing as mental illness at all, that we&#8217;re all a bunch of whiny slackers looking for an excuse to pop pills and get out of personal responsibility? He seems pretty disdainful of even schizophrenia. He can&#8217;t mention bipolar disorder without putting it in quote marks and redefining it as depression. Although I can see the relevance to an article about over-medicalizing, it seems like an odd reference coming from a psychiatrist who does seem to think there&#8217;s such a thing as a mental disorder&#8230;. I personally think reading his libertarian-based crap is more likely to do harm than good for someone already looking for an excuse not to comply with treatment.</p>
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		<title>By: opendesk</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-309314</link>
		<dc:creator>opendesk</dc:creator>
		<pubDate>Wed, 07 Nov 2007 16:44:21 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-309314</guid>
		<description>[...] check the full story here     No Comments so far  Leave a comment   RSS feed for comments on this post. TrackBack URI    Leave a comment Line and paragraph breaks automatic, e-mail address never displayed, HTML allowed: &lt;a href=&quot;&quot; title=&quot;&quot;&gt; &lt;abbr title=&quot;&quot;&gt; &lt;acronym title=&quot;&quot;&gt; &lt;b&gt; &lt;blockquote cite=&quot;&quot;&gt; &lt;code&gt; &lt;em&gt; &lt;i&gt; &lt;strike&gt; &lt;strong&gt; [...]</description>
		<content:encoded><![CDATA[<p>[...] check the full story here     No Comments so far  Leave a comment   RSS feed for comments on this post. TrackBack URI    Leave a comment Line and paragraph breaks automatic, e-mail address never displayed, HTML allowed: &lt;a href=&quot;&quot; title=&quot;&quot;&gt; &lt;abbr title=&quot;&quot;&gt; &lt;acronym title=&quot;&quot;&gt; &lt;b&gt; &lt;blockquote cite=&quot;&quot;&gt; &lt;code&gt; &lt;em&gt; &lt;i&gt; &lt;strike&gt; &lt;strong&gt; [...]</p>
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		<title>By: SW</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-309293</link>
		<dc:creator>SW</dc:creator>
		<pubDate>Wed, 07 Nov 2007 16:14:22 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-309293</guid>
		<description>Thanks to Sally and Alexandra for their thoughtful comments. It&#039;s clear, however, that neither of you has suffered from true clinical depression if you don&#039;t believe it&#039;s an illness. Sure, everybody gets sad, grieves, etc. These are normal human emotions but are not the same as depression.

Science surely has a long way to go in determining causes and effective treatments for depression. Again, that doesn&#039;t mean that there aren&#039;t physical causes and pharmocological treatments that could be found.

As a long time sufferer of treatment resistant chronic depression, it is infuriating to read (or hear people say) that depression isn&#039;t an illness with physiological causes. This is a denial of the conditions of millions of people who suffer from this terrible and sometimes fatal chronic disease. 

Everybody gets headaches. That doesn&#039;t mean that brain tumors aren&#039;t real.  Nobody would deny life saving insulin for a diabetic. It&#039;s time to get past this senseless philosophical argument about depression (and a host of other &quot;mental&quot; illnesses). They&#039;re real, they cause huge amounts of suffering and economic damage, and its time we unleashed the medical-research community to find a cure.</description>
		<content:encoded><![CDATA[<p>Thanks to Sally and Alexandra for their thoughtful comments. It&#8217;s clear, however, that neither of you has suffered from true clinical depression if you don&#8217;t believe it&#8217;s an illness. Sure, everybody gets sad, grieves, etc. These are normal human emotions but are not the same as depression.</p>
<p>Science surely has a long way to go in determining causes and effective treatments for depression. Again, that doesn&#8217;t mean that there aren&#8217;t physical causes and pharmocological treatments that could be found.</p>
<p>As a long time sufferer of treatment resistant chronic depression, it is infuriating to read (or hear people say) that depression isn&#8217;t an illness with physiological causes. This is a denial of the conditions of millions of people who suffer from this terrible and sometimes fatal chronic disease. </p>
<p>Everybody gets headaches. That doesn&#8217;t mean that brain tumors aren&#8217;t real.  Nobody would deny life saving insulin for a diabetic. It&#8217;s time to get past this senseless philosophical argument about depression (and a host of other &#8220;mental&#8221; illnesses). They&#8217;re real, they cause huge amounts of suffering and economic damage, and its time we unleashed the medical-research community to find a cure.</p>
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		<title>By: alexandra_k</title>
		<link>http://psychcentral.com/blog/archives/2007/11/06/social-anxiety-disorder-or-just-plain-shy/comment-page-1/#comment-308715</link>
		<dc:creator>alexandra_k</dc:creator>
		<pubDate>Wed, 07 Nov 2007 00:35:08 +0000</pubDate>
		<guid isPermaLink="false">http://psychcentral.com/blog/?p=1738#comment-308715</guid>
		<description>Of course if everyone had broken legs or HIV or the plague or infestation with parasites then everyone would be disordered.

Are mental disorders like that, however?  If the WHO came back and said &#039;prevalence of mental illness is 98%&#039; then would we think &#039;wow better divert more health care funding in that direction&#039; or would we think that they had missed the point, rather?

Grieving is not an illness.  Grieving for loved ones who have passed on is not an illness.  The DSM gives us one year to grieve before we have &#039;depression&#039; and medication is appropriate.  Ancient Greek society gave people four years to grieve before people were considered to be sick.  How much does diagnosing people still grieving after one year (instead of after four) boost prevalence?

If only it was a philosophical issue.  Unfortunately the issue is political as well (who gets treatment?  who gets publicly funded / health insurance reimbursable treatment?)

I don&#039;t think that people are more depressed now than they used to be.  I think that we are expanding our concept.  A concept that used to be reserved for people who were fairly catatonic is now being applied to people who want to feel &#039;better than well&#039;.  

I know people are hurting...  But I think it is a sad state of affairs when people are encouraged into dx of depression and medication / therapy instead of being encouraged into doing something meaningful in their community / becoming involved with things that are meaningful to them / reaching out to others etc etc.</description>
		<content:encoded><![CDATA[<p>Of course if everyone had broken legs or HIV or the plague or infestation with parasites then everyone would be disordered.</p>
<p>Are mental disorders like that, however?  If the WHO came back and said &#8216;prevalence of mental illness is 98%&#8217; then would we think &#8216;wow better divert more health care funding in that direction&#8217; or would we think that they had missed the point, rather?</p>
<p>Grieving is not an illness.  Grieving for loved ones who have passed on is not an illness.  The DSM gives us one year to grieve before we have &#8216;depression&#8217; and medication is appropriate.  Ancient Greek society gave people four years to grieve before people were considered to be sick.  How much does diagnosing people still grieving after one year (instead of after four) boost prevalence?</p>
<p>If only it was a philosophical issue.  Unfortunately the issue is political as well (who gets treatment?  who gets publicly funded / health insurance reimbursable treatment?)</p>
<p>I don&#8217;t think that people are more depressed now than they used to be.  I think that we are expanding our concept.  A concept that used to be reserved for people who were fairly catatonic is now being applied to people who want to feel &#8216;better than well&#8217;.  </p>
<p>I know people are hurting&#8230;  But I think it is a sad state of affairs when people are encouraged into dx of depression and medication / therapy instead of being encouraged into doing something meaningful in their community / becoming involved with things that are meaningful to them / reaching out to others etc etc.</p>
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