Back from the Abyss: Psychiatry in Stories

When a tree falls twice-- OCD, emotional neglect, and resilience


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The root system of a tree is its hidden protection against the harsh realities of wind and drought and disease.  For people, loving and healthy childhood  attachments are our central hidden protection against the inevitable losses and tragedies of life. But what happens when these early attachments aren't safe and secure?

Jami's childhood emotional neglect and abuse and profound loneliness left her attachment roots shallow and damaged, yet her inner fire and natural resilience helped her to grow up strong and healthy despite the childhood challenges. When the winds of loss and grief started to blow, she came toppling down, twice. This led to a long list of failed treatments, benzodiazepine dependence and its horrors, and even a brief course of ECT (electroconvulsive therapy) when seemingly all other options had failed.

And today, she again stands strong and tall, a testament to her refusal to give up and to relationships that have helped to scaffold her and compensate for those early traumas.


Adverse childhood experiences and effects on long-term resilience and risk of chronic illness
https://www.acesconnection.com/blog/got-your-ace-resilience-scores

Major depressive episode vs "nervous breakdown"
https://www.psychologytoday.com/us/blog/how-everyone-became-depressed/201309/bring-back-the-nervous-breakdown

Ketamine vs ECT
https://www.psychiatryadvisor.com/home/topics/mood-disorders/depressive-disorder/short-term-treatments-for-depression-ketamine-vs-ect/

Dr. H
https://www.craigheacockmd.com

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Back from the Abyss: Psychiatry in StoriesBy Craig Heacock MD

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