I was reading about psychiatry and came across something interesting. There is a concept known as the biopsychosocial model—see the short article from the University of Rochester called The Biopsychosocial Approach.
According to this model, there are three ways to look at mental health. Each of these perspectives is useful in its own way:
- Biological
- Psychological
- Social
So for example, let’s say a person is depressed. You could focus on the person’s biology and prescribe an antidepressant to help retain more happy neurotransmitters in the brain. Or, you could focus on the person’s psychology and address, maybe through psychotherapy, the person’s thought and behavior patterns that may be unhealthy. Or, you could focus on the person’s social milieu and address, maybe through psychotherapy, the person’s relationships with family, friends, coworkers, etc., especially those relationships that are currently problematic, and how to build new, positive relationships.
Ideally, you will think about all three areas and address them accordingly.
I like this model because it makes more sense to recognize that there are multiple ways to help a person feel better, and each of those is important in its own right.
So, instead of focusing only on a chemical imbalance, for example, we can focus on the whole person, including their biology, psychology, and social environment. I especially like the diagram in The Biopsychosocial Approach (check it out), which puts these concepts into a hierarchical order from large to small, all being important.
Are your biology, psychology, and social environment all in good working order?
In drug clinical studies, living well, getting sleep, exercising, being social is rarely an included study arm. Usually just the drug in question and a placebo. Its absence should be telling. Then, after the statistical nod of approval by regulation agencies, you get the warnings, by the fast talking lawyer speak we’re familiar with on TV. What would be the fast talking lawyer speak be of living well?
Right. Those “common sense” strategies are often overlooked in favor of strategies that can make someone big money.
Hi Liza,
So true. Though this article, though, may debunk the chemical imbalance theory. What? https://www.jillcarnahan.com/2023/06/03/can-low-serotonin-really-cause-depression-new-research-reveals-that-the-answer-may-be-no/
Iāve seen Dr. Callahan. Sheās quite known (expensive!) but is brilliant, keeps up on latest research and is warm and friendly. She seems to understand the healing power of being human with patients, excellent bedside manner, so to speak. If nothing else, her medical history in her late 20s and finding healing when conventional medicine, the form she was trained in, failed her.
Sheās recently written a book, so there are annoying pop ups.
Thanks for posting.
Right. The idea of a chemical imbalance is too narrow for reality.