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cover of episode 308. PSSD, Anti-Depressant Withdrawals & NOT Telling Your Doctor You’re Depressed

308. PSSD, Anti-Depressant Withdrawals & NOT Telling Your Doctor You’re Depressed

2025/3/31
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Boost Your Biology with Lucas Aoun

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Josef Witt-Doerring
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Josef Witt-Doerring: 我是一名精神科医生,但我对传统精神病学实践中过度依赖药物治疗以及忽视根本原因的做法持批判态度。我在美国的精神科住院医师培训期间,发现医生们通常会花很少的时间与病人交流,并且倾向于快速开具处方药,而没有充分评估病人的病史和生活方式。这种做法导致许多病人长期服用药物,并面临各种严重的副作用,例如PSSD(服用选择性血清素再摄取抑制剂后性功能障碍)、耐药性、迟发性抑郁症以及脑萎缩等。此外,许多医生对药物的停药过程过于简化,没有意识到戒断症状的严重性和长期性,这可能会导致病人出现严重的健康问题。因此,我认为有必要对现有的精神医疗体系进行改革,更加关注病人的整体健康,并提供更全面的治疗方案,包括心理治疗、生活方式干预和饮食调整等。 在与许多PSSD患者交流后,我发现这种疾病的症状不仅仅局限于生殖器,还包括广泛的感官和神经系统问题,例如认知障碍和情感分离。目前对PSSD的研究非常不足,缺乏政府资助和系统性研究,这使得许多患者得不到有效的治疗。 关于迷幻药的使用,我认为在专业治疗师的指导下,迷幻药可以作为一种辅助疗法,帮助病人获得新的视角,并找到解决问题的方案。但是,迷幻药的使用也存在风险,例如HPPD(持续性幻觉知觉障碍)等。此外,服用迷幻药时应注意与其他药物的相互作用,避免出现血清素综合征等危及生命的并发症。 在帮助病人停药的过程中,我发现许多人对停药过程存在误解,认为戒断症状是轻微且短暂的。实际上,对于长期服用药物的病人来说,停药过程需要缓慢进行,并根据病人的个体情况进行调整。在停药后期,由于药物浓度降低,病人更容易出现严重的戒断症状,因此需要更加谨慎地控制药物剂量。 我见过许多病人通过饮食干预,例如无麸质饮食或生酮饮食,显著改善了他们的精神疾病症状,甚至成功停药。这些案例表明,生活方式干预和饮食调整在精神疾病治疗中起着重要的作用。 Lucas Aoun: 作为一名播客主持人,我关注到精神健康领域存在许多问题,例如精神药物的过度使用和PSSD等副作用。我很荣幸能够邀请到Josef Witt-Doerring医生来分享他的经验和见解。通过这次访谈,我了解到传统精神病学实践中存在许多不足之处,例如医生缺乏时间和资源来充分评估病人的情况,以及对药物长期影响的忽视。此外,我还了解到PSSD是一种严重的疾病,其症状不仅仅局限于生殖器,还包括广泛的感官和神经系统问题。目前对PSSD的研究非常有限,这使得许多患者得不到有效的治疗。 Witt-Doerring医生还分享了他对迷幻药治疗的看法,他认为在专业治疗师的指导下,迷幻药可以作为一种辅助疗法,帮助病人获得新的视角,并找到解决问题的方案。但是,迷幻药的使用也存在风险,例如HPPD和血清素综合征等。 关于药物停药,Witt-Doerring医生强调了缓慢停药的重要性,并指出在停药后期,病人更容易出现严重的戒断症状,因此需要更加谨慎地控制药物剂量。他还分享了一些病人通过饮食干预成功停药的案例,这表明生活方式干预和饮食调整在精神疾病治疗中起着重要的作用。

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Shownotes Transcript

Lucas Aoun interviews psychiatrist Josef Witt-Doerring, who shares his unique journey in the field of psychiatry. Josef discusses the shortcomings of traditional psychiatric practices, particularly the over-prescription of medications without addressing root causes. He delves into the serious issue of Post-SSRI Sexual Dysfunction (PSSD), explaining its symptoms, prevalence, and the lack of research surrounding it. The conversation highlights the emotional and cognitive impacts of PSSD on patients, as well as the broader implications for mental health treatment. Josef emphasizes the need for more awareness and research in this area, while also discussing the challenges faced by patients in recognizing the side effects of medications. The episode concludes with a discussion on the stigma surrounding mental health labels and their impact on patient care. In this conversation, Josef critiques the current mental health care system, highlighting its dysfunction and the over-reliance on medications. He discusses the potential of psychedelics as a more empowering alternative for mental health treatment, emphasizing the importance of therapy in conjunction with these substances. The conversation also covers the risks of serotonin syndrome associated with certain medications and the critical importance of tapering off psychiatric drugs safely. Josef shares inspiring recovery stories of individuals who have successfully weaned off medications through lifestyle and dietary changes, underscoring the transformative power of holistic approaches to mental health.

Podcast Show Notes/Links:

Dr. Josef’s YouTube Channel: https://www.youtube.com/@taperclinic

Dr Josef’s Free Course: https://www.youtube.com/watch?v=VY820dpjdq8&t=2s

Get Lucas’ New Supplement Here: https://www.inb4supps.com/

Disclaimer:

The information provided in this podcast episode is for entertainment purposes and is NOT MEDICAL ADVICE. If you have any questions about your health, contact a medical professional. This content is strictly the opinions of Lucas Aoun and is for informational and entertainment purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All viewers of this content are advised to consult with their doctors or qualified health professionals regarding specific health questions. Neither Lucas Aoun nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this content. All consumers of this content especially taking prescription or over-the-counter medications should consult their physician before beginning any nutritional, supplement or lifestyle program. Hosted on Acast. See acast.com/privacy) for more information.