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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
Verified account
@gorskon

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David Gorski, MD, PhDVerified account

@gorskon

Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.

Michigan, USA
sciencebasedmedicine.org
Joined October 2009

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    1. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      Therapy alone didn’t do it, because it fought an uphill battle against brain chemistry. Meds alone didn’t do it, because while they level off the chemistry they do nothing for the patterns of thought. So that combination is, for me, essential to my survival. Without it... 8/17

      1 reply 0 retweets 0 likes
    2. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      There was a constant argument in my head. If you could listen in you would have heard absolutely horrible things about me. Who I am. What I am. My place in the world and my effect on the people around me. 9/17

      1 reply 0 retweets 0 likes
    3. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      And at regular intervals beginning when I woke up and ending when I went to sleep, the constant refrain “I want to die”. Then you would hear the other side of it. That was an internal scream, which was the only way I could put that thought down. 10/17

      1 reply 0 retweets 1 like
    4. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      First came the meds. Because I was not in a position to address the patterns of thought while my brain chemistry was providing rewards for them. It took years to find the right combination. 11/17

      1 reply 0 retweets 0 likes
    5. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      Then came relearning to think. I learned that the “I want to die” message was a remnant of a primitive part of my brain that could only communicate in binary terms. Yes/No On/Off Live/Die That’s how deep these patterns of thought run. 12/17

      1 reply 0 retweets 0 likes
    6. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      There is no subtlety, no nuance. It’s one or the other. That is the only way that part of my brain could communicate the more complex thought “I want change.” 13/17

      1 reply 0 retweets 0 likes
    7. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      I don’t want to live this way. I don’t want to hear that argument in my head. I don’t want to lead the life those thoughts force me to lead. 14/17

      1 reply 0 retweets 0 likes
    8. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      When I was able to make that adjustment, when my brain chemistry had stabilized to the point that I could replace “I want to die” with the more nuanced and accurate thought “I want change”, I began to make progress. 15/17

      1 reply 0 retweets 0 likes
    9. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      This process took me 40+ years. 16/17

      1 reply 0 retweets 0 likes
    10. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
      Replying to @MichaelKuhl @gorskon

      Do not attempt to oversimplify depression. It is not “just feeling sad”, and for people who live with it the experience is overwhelming an far more complex than “Do this.” To diminish it in that way is to diminish the struggle, and does far more harm than good. 17/17

      2 replies 0 retweets 1 like
      David Gorski, MD, PhD‏Verified account @gorskon 14 Sep 2020
      Replying to @MichaelKuhl

      Unfortunately, that’s what that naturopath was doing, hence my snarky question.

      12:54 PM - 14 Sep 2020
      • 2 Likes
      • JuliadolanGreen 🌊🎶✡️☘️🌻🦋📷 Krista Tee
      1 reply 0 retweets 2 likes
        1. MichaelKuhl‏ @MichaelKuhl 14 Sep 2020
          Replying to @gorskon

          Oh I know. That’s one of my biggest peeves. “Depression is just you with sad face.”

          0 replies 0 retweets 1 like
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