Burnout and stress related disorders are very real, but trying to explain them away as purely physical illnesses isn’t accurate, nor does it help with finding a resolution.
> It is a physical thing. I’m not sure it’s caused by burning out all the glucose or whatever (as that is short term addressable). Dopamine, that’s possible.
No, you don’t simply run out of dopamine, nor can you use it up by thinking too hard. The body is extremely good at keeping the brain fed and stocked with neurotransmitters, even between meals.
This pop-science concept of running out of dopamine isn’t real.
The real problem here is that mental illness still carries too much stigma. Some people are so resistant to accepting a mental health diagnosis and treatment that they will go to great lengths to reframe their problems in physical terms, thereby dodging what they feel (incorrectly) would be an admission of mental weakness.
Even this Tweet author’s doctor diagnosed him with a mental illness, and he even cites the diagnosis from the DSM. However, for some reason he still tries to reframe it as what he calls a “physical” thing.
> The real problem here is that mental illness still carries too much stigma. Some people are so resistant to accepting a mental health diagnosis and treatment that they will go to great lengths to reframe their problems in physical terms, thereby dodging what they feel (incorrectly) would be an admission of mental weakness.
I feel like suggesting that someone would try to ‘reframe’ their condition to avoid stigma inadvertently perpetuates stigmas by reinforcing the false dichotomy of mental vs physical illness.
Cognition is an extremely complex and poorly understood physical system, but a physical system nonetheless. There’s no separate ethereal plane where consciousness lives, no great uniqueness to its dysfunction. It’s not surprising to me that some people would introduce their own worse pseudoscience when physicians claim their problems are not physical problems, and I think that can happen regardless of stigma.
I believe we would do well to stop cleaving ‘mental illness’ (and, you know, ‘dentistry’) into a separate category from any other physical health problem. These conditions are physical conditions, just with such complexity that we’re not currently able to measure, understand, or treat them with the same level of precision as others. This sucks, but at least it’s honest.
I don't agree with the OP's interpretation of the organic causes, but:
The PTSD seems quite plausible, as either a consequence of the original phenomenon or, yes, even a factor in it.
For an organic component, if any, I prefer hypoperfusion & ischemia.
I wonder if circulation can be impaired by chronic high levels of stress (and the inflammation caused by stress).
If so, I wonder if this can happen selectively, affecting most strongly the areas used most intensively during stressful times (and receiving the most exposure to high-cortisol blood).
I wonder if narcolepsy and/or something like this may work to protect the brain (from whatever mechanisms) during periods of high stress.
If ketogenic diet helps with narcolepsy, I wonder if one mechanism is that burning glucose is a source of oxidative stress...
> It is a physical thing. I’m not sure it’s caused by burning out all the glucose or whatever (as that is short term addressable). Dopamine, that’s possible.
No, you don’t simply run out of dopamine, nor can you use it up by thinking too hard. The body is extremely good at keeping the brain fed and stocked with neurotransmitters, even between meals.
This pop-science concept of running out of dopamine isn’t real.
The real problem here is that mental illness still carries too much stigma. Some people are so resistant to accepting a mental health diagnosis and treatment that they will go to great lengths to reframe their problems in physical terms, thereby dodging what they feel (incorrectly) would be an admission of mental weakness.
Even this Tweet author’s doctor diagnosed him with a mental illness, and he even cites the diagnosis from the DSM. However, for some reason he still tries to reframe it as what he calls a “physical” thing.