Jerry Garcia said...
2. I'm quite open to the possibility that UC may be related to levels of seratonin and may be influenced by mood and or anti depressants. However, stress and depression are two completely different issues and I only seem to get depressed after I start flaring (due to obvious reasons).
Jerry, I'm not quoting your post to highlight anything "wrong." And my response below is not really directed toward anything you said.
I post articles like this on here to get people's comments, if I don't often make myself clear as to what "the point" is, it's because I often don't know - if I did I'd be publishing for a medical journal. I also want to show people that the medical and psychiatric community by no means have a complete or even reasonable conception of why things go wrong, or how to make them better.
So I'm prone to being misunderstood, for instance, with this article I was in no way endorsing antidepressant meds, and now that I think about it a little more, an article like this could well have been sponsored by a company making anti-depressants, who knows.
One thing I am certainly not saying is that UC is caused (or even initially triggered) by Stress. That is just not my view. And this is another reason I post articles like the one above. Because I want people (maybe people who are trying to figure out UC after diagnosis) to question the use of the term "stress" and how it is so ambiguous it's not funny, and not scientific. For those of us who believe this magical "S" word triggers our flares, (which implies that one way of treatment is to improve coping skills) we might do well to realize that this idea of stress might be indistinguishale from the release of adrenalin, cortisol, higher blood pressure, etc. And it could interact with UC by any matter of means, through vascular action, proteins, anything.
There is a whole field of science on the enteric nervous system. It could well end up being a brain in our guts.
So instead of me wearing myself out getting misunderstood, and splitting hairs with people who probably wouldn't even disagree with me if they understood what I was saying and why I was saying it, possibly fighting ghosts, I'll summarize my whole point of all this blabber and then I wont post about it here anymore. I'll just post here for actual every day questions about UC management.
The thing I've been trying to communicate is opening people's minds to the idea of:
1. UC disease process --> physiological anxiety etc
instead of anxiety --> UC disease process
I am also quite sure that having UC can cause one to be anxious or depressed as well.
To me these posts are intellectual discussions. I am certainly not trying to forcibly deconstruct someone's personal worldviews or beliefs, or force anyone to change the concept of the world they've formed to understand and cope with UC.
And why am I so interested in beating a dead horse? Well, part of me thinks that they might find better treatments for people suffering from any variety of mental illness by "thinking outside of the box" and seeing how things (like the enteric nervous system) effect the mind.
But I guess I should enroll in a masters program or just quit the idea altogether.