A Little Bit is Not Enough – Claim Full Health

The good news is, I just ate 3 chocolate chip cookies.  You already know the bad news.  Has nothing to do with my post.  I’m just sharing it for the sake of your own

Schadenfreude 🙂

…Onward.  Question:

Does emotional disease get worse even while on medication therapy?  Sometimes.  It does so more often when the disease process is treated but only partially treated.  Read a little more about this in this post if your interested.  A primary care physician recently told me, “I think the term ‘Partial Responder’ is a marketing gimmick to get physicians to prescribe more medications.  I don’t think it even exists.”

There’s a lot to be said about interview skills in sussing out the partial responder.  If I asked someone if they felt better, many things play into their response. Everyone’s responses are biased of course.  We don’t have sterile minds.  For example there’s the patient who wants to please their physician.  “Yes I’m better!”  i.e. “Yes you’re a good doctor!”  There are the patients who don’t want to be patients and minimize whatever they’re going through.  There is the physician who leads the interview.  “So, you’re feeling better?”  “The medication is helping?”

Partial response means that at the end of a full treatment initiation period, there is some disease remaining but a reduction of disease.  For example, in depression, I may no longer be suicidal, but I still have trouble feeling pleasure in life.  In cancer it means that there is tumor reduction of at least 30%.

Now why would a physician presumably agree that there is a partial response in cancer, but not agree that it happens in mental health?  Anyways….  (Ahem.)  When we partly respond to mental health treatment and don’t push further for full response, about 70% will relapse.  Versus maybe 25% in those who reached their pre-disease baseline emotional health through treatment.

Don’t get lost in this.  The point is, get treated and get fully treated.  Mental illness is progressive and causes changes at the cell level.  The brain is connected to the rest of our body.  The brain is human.  A bit better, is not enough.

Self Care Tip #61 – Go all the way!  Claim health.  Be a friend to yourself.

Question:  Did you find this to be true in yourself or someone you know?  Please tell me your story.

5 thoughts on “A Little Bit is Not Enough – Claim Full Health

  1. I think it might be difficult to know what 100% response feels like if you have always had the condition and haven’t known (or forgot) a normal baseline. When discontinuing medication in an attempt to qualify for a pilot’s license and then restarting on an even higher dose some of the gains seemed lost.

    • i’m w you. that’s like saying “the whole world is touched except for me and thee!” what’s our goal here? i had a pt the other day say frustrated “i don’t know where i’m going!?? Where am i going in life?!” it’s a related concept i think. when we are reconnected w our journey, not a beginning and ending so to speak, we are closer to full treatment. but there’s no blood test for it! argh!
      thank u so much richard for reading and commenting! keep on!

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    • So there you have it folks! lifeassistcoach.wordpress.com
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      thank you Life Assist Coach for perusing my own site and commenting.

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