My city has some of the cleanest water in the world. ADHD is still here and actually probably worse than when I lived here as a teen.
PFS caused shrinkage and suicidal ideation. Manic depression caused major issues... never suicidal planning nor extreme mania. Effexor did, as per like 100000 people complaining that it caused it to them. As per my medical records which I likely did not listen to (as I was 19).
Still, I do agree a huge part of PFS is psychological but the smarter doctors I’ve seen (talked to; certainly didn’t ask for help), agree it’s possible. Only the idiotic ones outright rejected it. That rate is likely higher, but I tend not to see such docs.
I have like 50-60 medical notes from 18-20 something about adhd. Have that time I didn’t know what it was nor did they, and severe disorganization was part of it. Also... aspects of BPII were too, like racing thoughts, anxiety attacks, significant memory deficits, and risk issues. As I went from hell to 5% adhd came on as did some of the hypo stuff. As I got to 30 and 80 and whatever, it did come on again.
(Still tho can be tough, severe pfs was way worse). There’s likely 20+ things that mimic adhd and indeed probably water, head trauma can cause that, even random rare things like taxi plasmodia can causes symptoms of mental disorders... but that’s just a label. Surely other types of androgen deprivation cause the corollary issues that are symptomatic of pfs. And like adhd, bipolar, schizophrenia, autism,.. etc, there’s a range of what’s affected.
Someone with decent or high iq adhd doesn’t have the exact same developmental delays as someone with severe cognitive developmental delays.
Like someone with just 4/10 depression or slightly worse e.q. Doesn’t have the same issues as someone with every single symptom listed on PH etc.
Also knowing a TON of specialists, it’s clear that it’s easier to reject something exists than to admit insufficient knowledge and understanding. Narcissism, arroagance, and belief that they know best is involved. Like ,Amy professions, and people In general.
Surely a less terrible shrink after pfs or pois can only help rather than seeing the offending one.
However, clearly it’s multifaceted and it’s impossible to put together exactly precise x to y causal relationships.
I do know I have never acted remotely like I did while crashing from fin OUTSIDE of Effexor (it was worse tho).
And I know I was extremely scared to try adderall, some other things too, like Lamo. And yet they didn’t cause reactions anywhere near what Effexor and fin caused. They may have changed personality 5-20% or even less. And they went away. Effexor felt permanent and life destroying, as did Finasteride.
No vision changes for like half my life - worsened in days.
Feeling more competent than ever to believing death is the only option in days/weeks was definitely not entirely psychosomatic. Let alone facial changes and burning testes for weeks or months.
Sure just treating things as not in ones control is very damaging. However a middle way can be taken.
Edit- written on iPad touchscreen hence 4 errors I can see and may correct later (and grammar but who cares).