Dr. Austin
Region: US
Tuesday 29 July 2025 22:50:49 GMT
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rabbitfooted :
For me it’s because I’m already doing everything I can about my anxiety. I appreciate it’s not helping my other condition but sometimes it feels like just one more person piling on telling me to ‘just feel better’. I’m taking the meds, doing the meditation, talking to a therapist. Telling me to do what I’m already doing isn’t very helpful.
2025-07-29 23:15:36
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🧚🏾♀️ :
unless EVERYTHING ELSE has been thoroughly ruled out, most patients wouldn't accept this as an answer. because they expect providers to actually rule everything else out first.
2025-07-30 18:32:44
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zamzzz99 :
Because most people actually don’t REALLY believe mental health issues/illness is real, many physicians may hold this belief too and they way they speak about also conveys this sentiment to the patient thus it comes across as “brushing off”. You know how I know even doctors or non-doctors who say they know mental health is real and important may not actually comprehend how real it is? Look at their reaction when you teach them that schizophrenia actually has associated signs on brain imaging or that the heritability rate/risk/ratio of mental illnesses is typically MUCH higher than for non-mental illnesses even when controlling for growing up in different environments showed by the monozygotic twin studies (basically you’re more likely to inherit your dad’s depression than his type 2 diabetes even if you don’t ever meet him or grow up in the same environment he did), etc. Most doctors that are not psychiatrists or neurologists don’t know that actual reasons why antidepressants are helpful (they think it helps only because “they block reuptake of a NT and depression is associated less of that NT”), they don’t know that the reason you need long trials of the medication is because it helps supports selective synaptic growth and plasticity in the locations and patterns that support healthier NT activity that you didn’t have or have enough up when depressed. If patients were taught in layman terms the interplay of the brain and inflammation/chronic pain/autonomic system/metabolism/reproductive organs/digestion/eating habits, etc. perhaps it would make the connection of stress worsening their other medical conditions worse clearer to them and will not think you’re just blowing them off.
2025-07-30 20:34:47
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STEM Girl :
I think mental health and gut health are deeply interconnected in a bi-directional relationship. For me, my anxiety induces gut symptoms and sometimes my gut induces worse anxiety.
2025-07-30 02:15:39
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Seth :
Agreed! What do you think about the reverse? Poor diet and gut health worsening mental health symptoms?
2025-07-29 22:57:35
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Dr. Julia | Psychologist :
It’s definitely a hard conversation, but your health psychology colleagues appreciate you!! I think MH is becoming more normalized BUT at the same time people dismiss it and say that there is a medical “root cause”
2025-07-30 01:29:36
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Dr. Austin :
We all perceive our symptoms differently
2025-07-29 22:51:04
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Cooperhikes :
Totally agree. It’s such a delicate balance in validating their physical symptoms while gently helping them understand the role mental health might be playing. The resistance often comes from fear or shame.
2025-08-01 04:04:55
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claudcog :
Thank you for this 🙏🏻
2025-07-30 19:01:45
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Dr. Joe, M.D. 🩺 :
10000000%
2025-07-30 06:20:47
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LvckyBitch :
I watched my mother get told that everything was in her head or all due to her depression. She was a Type 2 Diabetic who went 10 yrs without a diagnosis bc her doc was so insistent it was mental health & could be nothing else. So for me personally, being told that mental health is causing issues with health often makes me wonder if they’re trying to just say “it’s all in your head”. When I began to recently learn what it really means to have things stored in the body, that are physically real but may have originated from trauma etc, it didn’t feel quite so judgmental or soapbox-ish. Women are often not taken as seriously by medical professionals as well, and I do think that colors how some of us perceive being told our mental health is causing physical issues.
2025-07-30 19:51:38
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ElizabethFightsColonCancer :
Anxiety meds have definitely helped.
2025-07-29 22:55:42
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juliemarcinkiewic :
Body head all connected
2025-07-29 23:02:41
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linnylou :
In my case it was. I finally found the right medication and I feel so much better and I've lost weight so much easier now that I'm not in fight or flight anymore. Our brains don't know it's not real. I'm so much better with my chemicals balanced
2025-07-31 09:19:31
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laura🆘🇺🇸 :
Pcos girl here. Mental health plays a huge role (in my experience) because poor sleep, racing thoughts, etc was ruining my moods, my hormones, and I couldn't lose weight as effectively. It's so intertwined!
2025-07-30 17:32:02
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W :
I think if it was phrased as, “I’m not sure what’s causing your symptoms, but I wonder whether your mental health is part of the picture—what if we get you some support and see whether that illuminates some things & helps you feel better and go from there?” it would be a different conversation. So often attributing sx to MH is the end of any curiosity about what is going on physically.
2025-07-31 02:48:52
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Madisonxx0 :
Id been dealing w chronic nausea & got on lexapro & boom, nausea is 100x better. I wasn’t surprised at all bc the nausea would get worse during times I was anxious. I was honestly relieved that it was only my anxiety
2025-07-30 19:09:06
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Pleasurefaith :
It’s rough when stress and anxiety are completely rational reactions to have when a condition is impacting ur daily life, job and relationships and u know there is not an easy cure. Who wouldn’t feel worried about that haha
2025-07-30 23:21:41
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Hatithef :
I couldn’t eat for 2 weeks without pain and went to my pediatrician and he told me it was anxiety and we was right 😳 I never forgot that lol the body is weird
2025-07-30 19:09:07
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Amanda :
Lately, I've been having to convince patients it's not anxiety causing their symptoms.
2025-07-30 01:11:26
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SewGirlWYD on Twitch :
Cause it’s so much to worry about really. Outs so much going in personally and in this country drives a lot of decisions on health, housing, and work
2025-07-30 00:34:12
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donnacharcuterie :
I had one recently tell me “remember how we couldn’t figure out what’s was wrong with me? I’m back seeing the psychiatrist now and in IOP”. I remember when YOU didn’t know why you couldn’t get your fibromyalgia and insomnia under control while I ordered tests and did exams to rule out pathological things for you each time encouraging you to return to psych so we could keep all of you healthy, body and mind together. Because gawd forbid we acknowledge mental health as that dismisses systems. That doesn’t mean I’m not making sure you don’t have an organic cause. Like, your mental health is a big part of your health. I remember that, but either way I’m glad we are on that track now and getting better.
2025-07-30 17:27:02
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juliemarcinkiewic :
Mental health has never been treated as a disease
2025-07-29 23:02:23
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A Lifetime of Lemonade :
It took so long to figure out the GI part of my puzzle. I have esophageal structures and IBS symptoms….and OCD…and the IBS stuff is awful when the OCD is bad…AND my OCD doesn’t respond to SSRIs because it’s from vasculitis (Behcet’s and RP) on my brain and I need AZA and Cimzia AND ERP therapy. So greatful to doctors who know I’m both sick AND anxious.
2025-07-30 18:58:44
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chensclerosis :
Welcome to ego defenses
2025-07-30 12:23:34
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