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The Carlat Psychiatry Podcast

Throwback Thursday: Neuroticism and SSRIs

The Carlat Psychiatry Podcast

Pocket Psychiatry: A Carlat Podcast

Health & Fitness, Mental Health, Medicine, Alternative Health

4.8440 Ratings

🗓️ 7 September 2023

⏱️ 22 minutes

🧾️ Download transcript

Summary

"I think that anxiety is the fever of psychiatry, not a disease, it's not a diagnosis, it's not an illness. It's just a symptom, usually of other illnesses or condition." - Nassir GhaemiCME: Take the CME Post-Test for this EpisodePublished On: 09/07/2023Duration: 21 minutes, 46 secondsChris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Transcript

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0:00.0

I think that anxiety is the fever of psychiatry, not a disease, it's not a diagnosis,

0:05.4

it's not an illness.

0:06.3

It's just a symptom usually of other illnesses or condition.

0:16.6

Welcome to the Carlyte Psychiatry Podcast, keeping Psychiatry honest since 2003.

0:22.1

And this is a throwback Thursday episode where we're going to update this 2019 classic

0:27.2

with new research and semi credits at the end.

0:32.1

This month we are focusing on the fever of psychiatry.

0:36.2

Anxiety.

0:37.5

Our opening quote is from a recent interview we did with Nassiragami.

0:42.3

He reminded us that anxiety can be caused by just about every psychiatric disorder,

0:47.7

including one that's not in the DSM.

0:51.5

The most common cause of anxiety is depression and depressive-related mood illness with mania and depression can cause anxiety.

0:59.6

Psychosis can make someone anxious, obviously.

1:02.5

And another common risk scenario is neuroticism as a personality trait.

1:07.5

A person with neuroticism experiences negative emotions more intensely.

1:13.5

Emotions like anger, anxiety, depression, jealousy, guilt.

1:19.8

Unfortunately, the list just goes on.

1:23.0

People with neuroticism take things personally, and they're often dissatisfied with life.

1:29.1

People with this trait see the world as a dangerous place and feel unable to cope with those

1:33.1

dangers. They sweat the small stuff. Minor frustrations feel hopelessly difficult.

1:38.6

Neuroticism is not in the DSM because it's not a disorder. It's a temperament, which means it's a personality trait with a strong

1:46.6

biological basis that doesn't change much over time. People have tried to narrow down the core

...

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