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Back from the Abyss: Psychiatry in Stories

A Psychiatrist Goes to War

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8452 Ratings

🗓️ 3 May 2024

⏱️ 49 minutes

🧾️ Download transcript

Summary

Dr. Russell Carr was a career Navy psychiatrist for 20 years and served in Iraq, where today’s story begins. This is a story of a healer, then a terrible wounding, then the healer trying to find his way amidst the chaos of war. This story is about a rite of passage, one that not every psychiatrist faces, but most do at some point-- that of losing the first patient to suicide, then trying to find the strength to move forward.Dr. Russell CarrA Psychiatrist Returns from War-- on Substackht...

Transcript

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0:00.0

Welcome to Back from the Abyss. I'm Dr. Craig Hecock.

0:17.7

Before we start today's story, I wanted to share with you an email I got from a listener.

0:22.1

It was really moving and I thought you all might want to hear it.

0:26.6

Dear Craig, I just wanted to thank you for conveying the message that if you've only ever been on SSRIs, you've never really been treated for depression.

0:35.6

That statement is completely accurate with my

0:38.7

experiences. SSRIs helped me with short-term anxiety, but they don't help me stop crying all the

0:44.4

time or being fatigued or wanting to end my life. I asked my GP if I could start Lamotrigin,

0:51.4

and he was apprehensive, but my psychiatrist agreed straight away.

0:54.8

I took a microdose on Sunday night. I wasn't expecting any effects for it at least a month of

0:59.7

titrating up, but I started getting benefits pretty soon after I took it. I've never been as productive

1:04.8

at work as I have been this week. I've much, much more mental energy. I've gone almost three days

1:10.4

without crying, which is a two-year

1:11.9

record. I've had these issues on and off since I was a teenager. I think you've saved my life.

1:18.2

Honestly, I had plans, not short term, but when there would be no family left to be traumatized.

1:25.5

I'm 49. It is astonishing to be getting these effects now, but man oh man,

1:30.8

is it frustrating that none of the 30 clinicians I've sought help from, including many psychiatrists,

1:35.8

have ever considered a mood stabilizer for me. Now, note from me here, I think you all know that I

1:41.9

don't consider the mocha gene a mood stabilizer.

1:50.0

In any case, it's an antidepressant. You deserve the fees I paid to all of them. Oh, no, I just deserve this letter. Thank you for writing it. What my life could have been if I'd had the right

1:54.9

treatment in time to build a life. I've also had EMDR over the past 12 months. It's astonishing has has set me up well to get the most out of Lomotra gene.

2:03.6

Another therapy that's been around for the three decades that I've needed it, but it's only just been offered to me.

2:08.6

I've told a few people about your glorious podcast, and they were really keen to be told the name of it so they could listen.

...

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