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FNW


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Annual depression screening
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Not sure how I feel about this:

http://www.cnn.com/2016/01/26/health/depression-screening-recommendation/index.html

 

(CNN)Have you felt down a lot in the last couple of weeks? How often have you felt tired or felt as if you couldn't concentrate?

These are some of the questions your doctor might ask to determine if you are at risk of depression. And if new recommendations by the U.S. Preventive Services Task Force are followed, primary care physicians will do this type of depression screening for all adult patients at least once.

The recommendations by the task force, an independent expert panel, update its 2009 advice in two important ways: First, everyone 18 and older should be screened, the panel said -- and not just at clinics where systems are in place to connect at-risk individuals to mental health care. Second, primary care doctors should screen women who are pregnant or have recently given birth, two groups not included in earlier recommendations.

In the case of these new recommendations, primary care doctors include not just family doctors but also gynecologists, who provide many women with primary care, and obstetricians when women are pregnant and in the months following their delivery, said Dr. Michael P. Pignone, professor of medicine at the University of North Carolina School of Medicine and one of the authors of the recommendations, which were published Tuesday in the Journal of the American Medical Association.

"These recommendations are taking something that is good and making it even better," said Dr. Michael E. Thase, professor of psychiatry at University of Pennsylvania and the Corporal Michael J. Crescenz Veterans Affairs Medical Center in Philadelphia. Thase was not involved in creating the recommendations but wrote an editorial about them in the same issue of the journal.

"They no longer say 'when support is available' because they just assume that it's available. ... The care for depression in primary care settings is improving," Thase said.

As for the second update, "there's been a big chunk of work in the area of depression in pregnancy and in the postpartum period, and there's good evidence not just for (antidepressants) but for various kinds of counseling and psychotherapy," he said.

An estimated 7% of adults in the United States suffer depression every year. As the authors of the task force recommendations wrote, depression is the top cause of disability among adults in high-income countries, increases the risk of death and decreases the quality of life for patients and their family members.

 

How does screening work?

 

Many primary care doctors are probably already screening people for depression. "I don't know if it's universal yet, but it's moving in that direction," Thase said, adding that the current recommendations will probably move screenings along further. In fact, some electronic medical systems require doctors to say they have screened a patient before they can complete the appointment, he added.

A common scenario for screening is that a patient completes a test on paper or electronically while waiting to see the doctor. If the test reveals a patient is at risk of depression, a doctor or nurse does a more thorough evaluation and talks with the patient about whether to start antidepressants or therapy.

Research has found that a nine-question test called the Patient Health Questionnaire does a good job of identifying people who are risk of having depression. In addition to asking about mood, fatigue and concentration, it asks people about their appetite, whether they have been interested in activities and whether they have thought about hurting themselves in the last two weeks.

The task force also recommends a seven-question test as an alternative for screening the general population. Older adults and women during the perinatal period should be screened with variations of these tests.

There is good evidence for the effectiveness of these tests, but they do have flaws.

"You can see exactly what the tests are about, so it's possible if you don't wish to be known to be depressed you can answer no to all the questions and your score is zero (but) hopefully it doesn't happen that often," Thase said.

Another issue is that the tests often identify people who have other disorders such as alcoholism or obsessive compulsive disorder. In the case of the nine-question test, about half of the people who are initially picked up actually have something other than depression.

"There the screening is still valuable because it does show a distress signal ... and by clarifying how they're suffering they can get help," Thase said.

As for how often people should be screened, the task force was careful not to make any recommendations. "This is one of those issues that we called out as needing more research," Pignone said.

Although every adult patient should be screened at least once, groups at higher risk of depression, such as those with a history of depression or a chronic condition such as diabetes, should possibly be screened more often, Thase wrote in his editorial.

Another important point is that "people identified as having depression will need follow-up to make sure they're effectively treated and their depression resolves," Pignone said.

 

Does screening really help?

 

Part of the reason for the move to recommend screening in the general population is because, as the task force states, "(depression care) support is now much more widely available and accepted as part of mental health care."

"We believe that all practices should have adequate systems in place to screen, treat and follow up on depression," Pignone said. Although there is no monitoring to know if they really do, "I think compared to 15 years ago, more primary care practices are equipped to do this work," he added.

The most important thing is for primary care doctors to be trained in how to identify people with depression and then either treat them, such as with antidepressants, or refer them to a mental health care provider, Pignone said.

There is good evidence that screening does lead to robust improvements in depressive symptoms when the right care systems are in place, and that there are even improvements when the care systems are lacking, he said.

The ideal situation would be for these mental health care providers, such as therapists, to be part of the primary care practice "so they can work side by side with the physical health care provider to address the mental health needs of the patient," said Ellen L. Poleshuck, associate professor of psychiatry and obstetrics and gynecology at the University of Rochester Medical Center.

"The recommendations provide support as to why we need to have additional resources in place" in areas that do not have adequate resources, said Poleshuck, who is also director of the Collaborative Care Services and Women's Behavioral Health Service at the medical center.

However, she does not think these areas should hold off on screening in the meantime. "People are going to be depressed whether we screen them or not," Poleshuck said.

 

Screening pregnant women and new moms

 

Poleshuck added, "One of the things that I think is exciting about these new recommendations is the decision to specify that it includes pregnant and postpartum women because we know that untreated depression in (these) women can affect the baby as well as the mother."

Research has linked depression during pregnancy and postpartum with preterm birth and low birth weight, mood problems and developmental delays in the infant, among other complications.

The task force provides advice about treatment of these women. Because there are still questions surrounding the safety of antidepressants for fetuses and breast-feeding babies, they recommend that clinicians first try treating women with therapy, such as cognitive behavioral therapy.

"For the most part I agree with that," Poleshuck said. "I think for women with severe depression or a history of responding well to antidepressants in the past, we may want to consider treating with antidepressants earlier. I think it has to be a patient specific decision."

The current task force report agrees with that of the American Academy of Family Physicians in recommending screening all adults for depression. The American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics recommend screening women during the perinatal period.

 

 



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lilyofcourse


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Wonder how many will be declared "mentally ill" with this little "screening"?

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huskerbb


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How does this crap even come up? When I go to a doctor for an ear infection, we talk about the ear infection. He doesn't go off on some Irrelevant tangents.

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flan327


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And how many people who NEED help will actually start getting it?

Until society stops branding mental illness as shameful, a screening IS needed.

flan

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flan327


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huskerbb wrote:

How does this crap even come up? When I go to a doctor for an ear infection, we talk about the ear infection. He doesn't go off on some Irrelevant tangents.

 #1 reason why...

flan



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huskerbb


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Not shameful. Weak.

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"In addition to asking about mood, fatigue and concentration, it asks people about their appetite, whether they have been interested in activities and whether they have thought about hurting themselves in the last two weeks."

My response would be, "Not myself, but I am thinking of hurting you if you don't stop asking me these questions. Now finish my pap smear so I can be on my way!"

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flan327


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huskerbb wrote:

Not shameful. Weak.

 Here we go AGAIN.

bleh

flan



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flan327


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So I'm a WEAK person?

I was widowed at 38, managed to raise 2 sons, keep our house & work a full-time job.

But it's so good to know that I'm WEAK because I have an imbalance of chemicals in my brain...

flan

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You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

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Lady Gaga Snerd


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flan327 wrote:
huskerbb wrote:

Not shameful. Weak.

 Here we go AGAIN.

bleh

flan

 Lots of "weak" people who are overweight, taking BP pills, GERD pills, cholesterol pills.  Why don't you go bust their chops Husker?  



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Lady Gaga Snerd


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Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?



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FNW


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Since when does a GP or primary care doctor have the skills, background, knowledge, and experience to diagnose someone as depressed.

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FNW wrote:

Since when does a GP or primary care doctor have the skills, background, knowledge, and experience to diagnose someone as depressed.

 Huh?  GPs have broad training to diagnose and treat a lot of conditions.  Wow.  hmm



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flan327


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FNW wrote:

Since when does a GP or primary care doctor have the skills, background, knowledge, and experience to diagnose someone as depressed.

 If the questionnaire actually works (as the article suggests), THEN the GP gives the patient a list of referrals, which they can use or not.

flan



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huskerbb wrote:

Not shameful. Weak.

 No. Husker. Needing help and seeking out help does not mean a person is weak.

It means they need help.

My God man, would you not throw a drowning man a lifering? 

You bluster and crow like some over grown bully on this board. You prove more often than not that you don't know what you are talking about.

And you belittle and mock anyone with the slightest different view that isn't lock step in line with yours.

We've even seen you argue with those who agree with you. Correcting them and trying your best to sound superior. 

You know when a person is the strongest? When they are on their knees.

Now I know what it is like to be drowning in everyday life. And I will not fault a single person for getting help.

That being said, I do think that this screening and data gathering is not a good idea.

I'm thinking it's going to make the elimination of our 2nd amendment easier.

And no, not every slight or tough day warrants a trip to a therapist. 

 



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flan327


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Lady Gaga Snerd wrote:
Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?

 It's nothing I haven't talked about HERE before.

And thanks, LGS!

flan



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Lady Gaga Snerd


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I guess Job was weak. He had a lot of depressed lamentations.

How about King David: “When I kept silent, my bones grew old Through my groaning all the day long. For day and night Your hand was heavy upon me; My vitality was turned into the drought of summer. Selah.”
-Psalm 32:3-4.


Don't forget Jonah or Elijah who also had instances of depression. Oh, dont' forget Moses, Saul, Jeremiah, Habakkuk. Oh yeah and Jesus.




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FNW


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I agree with Lily. I don't like the screening and data gathering/2nd amendment. And I agree that not every off day requires antidepressants or therapy. So they ask if you have been sad in the last 30 days, for instance. Who the heck hasn't had a "moment"?

I feel that mental disorders should be left to mental health specialists, not my GP.

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lilyofcourse


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My doctor asked me if I had experienced any stress lately, I told him I had 3 teenagers and one was learning to drive.

He nodded with an "ah" and moved on.

But he was asking because my blood pressure was out of whack.

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flan327 wrote:
Lady Gaga Snerd wrote:
Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?

 It's nothing I haven't talked about HERE before.

And thanks, LGS!

flan

 I know it's nothing you haven't talked about here. I'm just saying if you put it out there people will use it. Others told me all about you when I joined so things do get said. If you're ok with that more power to you.



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Lady Gaga Snerd


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Tinydancer wrote:
flan327 wrote:
Lady Gaga Snerd wrote:
Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?

 It's nothing I haven't talked about HERE before.

And thanks, LGS!

flan

 I know it's nothing you haven't talked about here. I'm just saying if you put it out there people will use it. Others told me all about you when I joined so things do get said. If you're ok with that more power to you.

   Well, sometimes you just have to live your life and you can't worry about someone who wants to use things against you.



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Lawyerlady


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Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

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huskerbb


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flan327 wrote:

So I'm a WEAK person?

I was widowed at 38, managed to raise 2 sons, keep our house & work a full-time job.

But it's so good to know that I'm WEAK because I have an imbalance of chemicals in my brain...

flan

 Want a cookie?

 

Most people have lost someone.  Many have raised kids.  Most have jobs and clean house. 

 

Talk about wanting a participation trophy.



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You are ridiculous.  And, the above comments make you a Not Very Nice Person. 



-- Edited by Lady Gaga Snerd on Tuesday 26th of January 2016 02:55:42 PM



-- Edited by Lady Gaga Snerd on Tuesday 26th of January 2016 02:57:00 PM

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Lady Gaga Snerd


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That is a HORRIBLE thing to say Husker. Absolutely horrible.

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huskerbb


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LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

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Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.



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Lawyerlady


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Nobody Just Nobody wrote:
Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.

And that's part of the discussion you have with your doctor.  Did you need to fill out a form for her to ask that?   



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huskerbb wrote:

LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

 No, the ignorant "do you want a cookie" comment.  Rude beyond belief.



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Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.

And that's part of the discussion you have with your doctor.  Did you need to fill out a form for her to ask that?   

 No.  I never fill out a form when I go in.  We've been seeing her for seven years.  Whenever I go in, or anyone in my family, she asks the same questions.  It's like three or four.  I know two of them are "Do you have an extra amount of stress in your life right now." and "Have you been feeling depressed or down lately."  I have been honest with her about stressful times.  I really don't see what the big deal about that is.  Stress can make your BP soar among many other things.  Same with depression.  But no, I don't fill out a paper.  She just asks.



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Lawyerlady


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Nobody Just Nobody wrote:
Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.

And that's part of the discussion you have with your doctor.  Did you need to fill out a form for her to ask that?   

 No.  I never fill out a form when I go in.  We've been seeing her for seven years.  Whenever I go in, or anyone in my family, she asks the same questions.  It's like three or four.  I know two of them are "Do you have an extra amount of stress in your life right now." and "Have you been feeling depressed or down lately."  I have been honest with her about stressful times.  I really don't see what the big deal about that is.  Stress can make your BP soar among many other things.  Same with depression.  But no, I don't fill out a paper.  She just asks.

And that is between you and your doctor.  The government doesn't need to be mandating a form about depression.   



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huskerbb


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Lady Gaga Snerd wrote:
huskerbb wrote:

LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

 No, the ignorant "do you want a cookie" comment.  Rude beyond belief.

 LOL!!!!  She wants recognition for doing what a hell of a lot of people do.  



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huskerbb wrote:
flan327 wrote:

So I'm a WEAK person?

I was widowed at 38, managed to raise 2 sons, keep our house & work a full-time job.

But it's so good to know that I'm WEAK because I have an imbalance of chemicals in my brain...

flan

 Want a cookie?

 

Most people have lost someone.  Many have raised kids.  Most have jobs and clean house. 

 

Talk about wanting a participation trophy.

 This.



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Lady Gaga Snerd


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Well, Husker how would you have liked to lose your spouse at age 38? Wow. So, go home and pat yourself on the back now for being such a tough guy.

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Lawyerlady


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huskerbb wrote:
Lady Gaga Snerd wrote:
huskerbb wrote:

LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

 No, the ignorant "do you want a cookie" comment.  Rude beyond belief.

 LOL!!!!  She wants recognition for doing what a hell of a lot of people do.  

Bull, Husker.  You called people with depression WEAK.  She had every right to defend that.  She wasn't asking for a "participation trophy" - she was pointing out that your over generalization of people with a chemical imbalance as "weak" is stupid beyond measure.  Because even WITH depression, she was able to struggle through difficult times and do all that.   



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Lady Gaga Snerd wrote:

Well, Husker how would you have liked to lose your spouse at age 38? Wow. So, go home and pat yourself on the back now for being such a tough guy.

And raise your kids alone. 

 

 

 



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Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.

And that's part of the discussion you have with your doctor.  Did you need to fill out a form for her to ask that?   

 No.  I never fill out a form when I go in.  We've been seeing her for seven years.  Whenever I go in, or anyone in my family, she asks the same questions.  It's like three or four.  I know two of them are "Do you have an extra amount of stress in your life right now." and "Have you been feeling depressed or down lately."  I have been honest with her about stressful times.  I really don't see what the big deal about that is.  Stress can make your BP soar among many other things.  Same with depression.  But no, I don't fill out a paper.  She just asks.

And that is between you and your doctor.  The government doesn't need to be mandating a form about depression.   

 I do think they should be mandated to ask pregnant and post partum women.  But yes.  The government doesn't need to make me fill out a form.



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Lawyerlady


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Nobody Just Nobody wrote:
Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.

And that's part of the discussion you have with your doctor.  Did you need to fill out a form for her to ask that?   

 No.  I never fill out a form when I go in.  We've been seeing her for seven years.  Whenever I go in, or anyone in my family, she asks the same questions.  It's like three or four.  I know two of them are "Do you have an extra amount of stress in your life right now." and "Have you been feeling depressed or down lately."  I have been honest with her about stressful times.  I really don't see what the big deal about that is.  Stress can make your BP soar among many other things.  Same with depression.  But no, I don't fill out a paper.  She just asks.

And that is between you and your doctor.  The government doesn't need to be mandating a form about depression.   

 I do think they should be mandated to ask pregnant and post partum women.  But yes.  The government doesn't need to make me fill out a form.

 I would think current medical standards already do that. 



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flan327


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Tinydancer wrote:
flan327 wrote:
Lady Gaga Snerd wrote:
Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?

 It's nothing I haven't talked about HERE before.

And thanks, LGS!

flan

 I know it's nothing you haven't talked about here. I'm just saying if you put it out there people will use it. Others told me all about you when I joined so things do get said. If you're ok with that more power to you.

 Awesome sauce...

flan



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Lawyerlady wrote:
Lady Gaga Snerd wrote:

Well, Husker how would you have liked to lose your spouse at age 38? Wow. So, go home and pat yourself on the back now for being such a tough guy.

And raise your kids alone. 

 

 

 

 She wasn't even asking people for praise.  She was just stating the facts.  I really sincerely hope that one day husker, or someone in his close family, suffers from severe depression.



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flan327


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Lady Gaga Snerd wrote:

Well, Husker how would you have liked to lose your spouse at age 38? Wow. So, go home and pat yourself on the back now for being such a tough guy.

 He'd just "rub some dirt on it" & go about his day...

I would not wish that on my WORST enemy.

flan



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Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:
Nobody Just Nobody wrote:
Lawyerlady wrote:

Gynos screening for post-partum depression should be a part of every delivery follow-up appointment for at least a year. But that's basic.

Other than that - the government should get the hell out of the doctor/patient relationship.

 About two seconds ago the tv showed a news clip that they are going to make depression screening a mandatory part of pregnancy and childbirth.  I think that's an excellent idea.  How many mom's feel that way and don't mention it?  If we can save one baby from being killed or neglected because a doctor asked I'm all for it.

My family doctor has always asked if I am depressed or down.  I say no and she moves on.  Once I answered no and we talked about my symptoms and she told me I was stressed and it was causing depression.  Guess what advice she gave me?  She said to exercise, get out of the house, meet up friends, and find someone to talk to.  She never prescribed a pill.  I joined church that month.

And that's part of the discussion you have with your doctor.  Did you need to fill out a form for her to ask that?   

 No.  I never fill out a form when I go in.  We've been seeing her for seven years.  Whenever I go in, or anyone in my family, she asks the same questions.  It's like three or four.  I know two of them are "Do you have an extra amount of stress in your life right now." and "Have you been feeling depressed or down lately."  I have been honest with her about stressful times.  I really don't see what the big deal about that is.  Stress can make your BP soar among many other things.  Same with depression.  But no, I don't fill out a paper.  She just asks.

And that is between you and your doctor.  The government doesn't need to be mandating a form about depression.   

 I do think they should be mandated to ask pregnant and post partum women.  But yes.  The government doesn't need to make me fill out a form.

 I would think current medical standards already do that. 

 Not here they don't.  Maybe they do some places but not everywhere.  I think the government is going to mandate it.



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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!”
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flan327


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Lawyerlady wrote:
huskerbb wrote:
Lady Gaga Snerd wrote:
huskerbb wrote:

LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

 No, the ignorant "do you want a cookie" comment.  Rude beyond belief.

 LOL!!!!  She wants recognition for doing what a hell of a lot of people do.  

Bull, Husker.  You called people with depression WEAK.  She had every right to defend that.  She wasn't asking for a "participation trophy" - she was pointing out that your over generalization of people with a chemical imbalance as "weak" is stupid beyond measure.  Because even WITH depression, she was able to struggle through difficult times and do all that.   

 I really didn't mean to make this thread about ME...but, yes, it was the "weak" comment that set me off.

flan



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flan327 wrote:
Tinydancer wrote:
flan327 wrote:
Lady Gaga Snerd wrote:
Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?

 It's nothing I haven't talked about HERE before.

And thanks, LGS!

flan

 I know it's nothing you haven't talked about here. I'm just saying if you put it out there people will use it. Others told me all about you when I joined so things do get said. If you're ok with that more power to you.

 Awesome sauce...

flan

That's actually really sh!tty.  Who knew?   



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PROFESSIONALS are licensed by governing bodies in that field to set guidelines on what is considered the proper things to do.

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LawyerLady

 

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huskerbb


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Lawyerlady wrote:
huskerbb wrote:
Lady Gaga Snerd wrote:
huskerbb wrote:

LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

 No, the ignorant "do you want a cookie" comment.  Rude beyond belief.

 LOL!!!!  She wants recognition for doing what a hell of a lot of people do.  

Bull, Husker.  You called people with depression WEAK.  She had every right to defend that.  She wasn't asking for a "participation trophy" - she was pointing out that your over generalization of people with a chemical imbalance as "weak" is stupid beyond measure.  Because even WITH depression, she was able to struggle through difficult times and do all that.   

 Yeah, and of course NOBODY else has ever done any of those things or experienced bad events.



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huskerbb wrote:
Lawyerlady wrote:
huskerbb wrote:
Lady Gaga Snerd wrote:
huskerbb wrote:

LOL!!! A "horrible " thing to point out that lots of people have jobs, kids, and houses, or that lots of people have lost someone close to them?

Those are called FACTS.

 No, the ignorant "do you want a cookie" comment.  Rude beyond belief.

 LOL!!!!  She wants recognition for doing what a hell of a lot of people do.  

Bull, Husker.  You called people with depression WEAK.  She had every right to defend that.  She wasn't asking for a "participation trophy" - she was pointing out that your over generalization of people with a chemical imbalance as "weak" is stupid beyond measure.  Because even WITH depression, she was able to struggle through difficult times and do all that.   

 Yeah, and of course NOBODY else has ever done any of those things or experienced bad events.

Nobody said that.  But your generalizations that depressed people are nothing but weak is ****ty.  



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msrock wrote:
flan327 wrote:
Tinydancer wrote:
flan327 wrote:
Lady Gaga Snerd wrote:
Tinydancer wrote:

You sure do like to put your whole life out there on this message board. That's probably not a good idea. People will use it against you if they can. JMHO.

 Well, they they are arseholes sooo who cares what they think?

 It's nothing I haven't talked about HERE before.

And thanks, LGS!

flan

 I know it's nothing you haven't talked about here. I'm just saying if you put it out there people will use it. Others told me all about you when I joined so things do get said. If you're ok with that more power to you.

 Awesome sauce...

flan

That's actually really sh!tty.  Who knew?   

 Yeah, it is.



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FNW


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I wouldn't call anyone with depression or a physical disability "weak", however it could mean a temporary "weakness" or set-back which can be overcome. And overcoming it would make one stronger, IMO. Falling back on your disability without doing anything about it, or trying anyway, and choosing to wallow makes that person weak, IMO.

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