Doctor says "it's not medical"

Guest_5602
Community Member

Hi, just as I was leaving my GP's room he said a bit of community work would help me recover from depression and that my depression wasn't "medical".  I'm not sure what he meant by it not being medical, does anyone know?  I've been on medication for about 5 years.  If it's not MEDICAl, then why does he presribe me MEDICAtion?  Anyone else have a dismissive GP?

7 Replies 7

Chloekat84
Community Member

Im not sure what he meant but if your not happy with your GP then get a second opinion. I would if i wasnt sure or ask your current doctor what he meant. Take care x

MrsCam
Community Member

seems a bit of a contradiction to say its not medical then prescibe meds, Id be getting a second oppinion for sure...

AGrace
Blue Voices Member
Blue Voices Member

Hi Bobb,

Im wondering how your depression started? Was it the result of a particular incident or did it just arise out of the blue? 

Do you think maybe your Dr meant its a psychological condition rather than physical?  Like there are no brain abnormalities only cognitive issues. It's an interesting choice of words, I'd double check with him. 

AGrace

geoff
Champion Alumni
Champion Alumni

dear Bobb, excuse me for saying but is your doctor Dr. Hyde or Mr. Jekyll.

You go to a doctor because you are sick, so they give you medication to fix the problem, period full stop.

I would click 'get support' at the top of the page and find a doctor from the list, that would be your best option.

Let us know how you get on. Geoff.

Guest_5602
Community Member

Thank you to all of you who responded.  AGrace, to answer your question, after a few years of therapy and working things out, it's highly probable that my depression started around early teenage years.  Dysthymia is the diagnosis.  A few years ago a major incident triggered me into severe depression.  It wasn't until a few years ago that I was able to put a label on what has plagued me most of my life (I'm in my 30s).

Good advice Geoff.

Warm Regards

Bob

Brettoz
Community Member

This is a 'run of the mill' quote from docs nowdays, with a clipped brain aneurysm and epilepsy I'm seen as 'chucking a sickie'.

Asche
Blue Voices Member
Blue Voices Member

I would definitely be getting a second opinion, if not a new doctor entirely. I'm a double major in Psychology and Neuroscience, and of what I know, of what I have learned, the "psychological" vs "physical/medical" distinction, when referencing a disorder, is absolute bollocks.

If you feel a certain emotion, it's because your body is producing and saturating its synapses with a certain neurotransmitter. That's how SSRI ADs work. You block serotonin reuptake, so your synapses are more saturated with serotonin, and that is what improves your mood. If there truly was a distinction between the two, no pill would work, because you can't physically affect something that's not physical. It'd be akin to punching the air in order to hurt it, only even less effective.

The only time when it makes sense to discuss the difference between the two is when you're talking about the causes of depression. The physical biology and psychological side of things is a two-way exchange; biology alters psychology, but psychology can also alter biology. That's the entire principle behind neuroplasticity.

If you're talking about causes (and hence, treatment plans) it makes sense to make that distinction. If the cause of your depression is psychological and based on bad habits you may be keeping (e.g. sustained social isolation, negative cognitive styles) well, taking ADs is only going to suppress the symptoms of your depression, because you're persisting in those habits, or those ways of thinking. It's like numbing a broken leg and continuing to walk on the broken leg without putting a cast on it. You might not hurt anymore (which is a huge step in and of itself), but you're not really getting better, either.

If the cause is more medical/biological, then ADs might be all you need to get back on your feet, although generally speaking it's less clear cut than that. I'm sure I don't have to elaborate on how being depressed can disrupt your life and disengage from healthy coping mechanisms (e.g. talking with friends and family).