WHEN DEPRESSED, WHY WASTE YOUR MONEY ON A PSYCHIATRIST? ISN’T HE JUST A PAID FRIEND? by Art Smukler MD

Are psychiatrists simply highly educated bartenders or hairdressers, where for insurance subsidized fees people can safely pour out their hearts and get sympathetic nods and sage words of advice?

Hang in their Buddy, life’s tough, but you’ll make it.

Yeah, your husband’s a real jerk; you deserve better.

Plus, as an added bonus, the shrink will toss in a dozen tranquilizers or sleeping pills…

The answer is not complicated. It’s NO!

Most people who use the “paid friend” analogy are either ignorant of what psychiatrists do or are very defensive and fearful  of what issues are lurking within themselves.

The symptoms of depression, such as sadness, loss of energy, negativity, and sleep disturbances, just to name a few, can be transient, chronic, mild or severe. There are numerous types of depression — Dysthymia, Major Depression, Bipolar Disorders, postpartum depression, cyclothymic disorder, psychotic and non-psychotic types, suicidal, non-suicidal, substance abuse induced depression, depression associated with medical disorders etc. etc. Each type and each individual requires a different form of treatment.

It’s true that Louie the bartender can try and cheer you up with a free drink (although alcohol makes depression worse). Jacques the hairdresser can flatter you with a new look and distract you from the negative feelings that are so haunting that sometimes life feels unbearable. But, it’s often only a psychiatrist or other mental health professional that can make a clear diagnosis and recommend a form of treatment that will address the underlying problem and personalize the treatment depending on each person’s needs.

Imagine the relief of finally knowing what you’re suffering from and getting the appropriate help.

On second thought, I think I’m being a little too rigid. Getting a new haircut is definitely not off the table… Maybe after treatment is successful, you’ll look in the mirror and decide you need to look more positive, or wild, or unique and give Jacques a call. Fine! See Jacques whenever you want. He is very charming, and it feels especially good to get your hair washed and your scalp massaged…

YOU DON’T UNDERSTAND, I AM IRONMAN! by Art Smukler MD

A few months ago, I was watching the Adventures of Ironman, with Dylan, the 3-year-old son of a friend. As we sat together in the dark family room, Dylan said, “Uncle Art, I like Ironman.”

“He is cool,” I answered.

A short time later, Dylan said, “I really like him.”

“Me too.”

After another series showing Ironman whipping the bad guys into submission, Dylan said, “I think I want to be him.” He sat riveted on the sofa, his eyes never leaving the TV screen.

“That would definitely be interesting.”

A minute later, Dylan got off the sofa and stood in front of me. “I am Ironman,” he said.

I nodded and smiled at him.

“You don’t understand, Uncle Art, “I AM IRONMAN. I really am.” His little chest was all puffed out and he was flexing both his arms, showing me how huge his biceps were.

“Sometimes I wish I could him too,” I answered.

A few weeks later when I saw Dylan again, he was all decked out wearing a Spiderman costume. “What happened to Ironman?” I asked.

“I’m Spiderman now. Watch!” He bent his legs, spread his arms, and assumed a perfect Spiderman pose. He WAS Spiderman, and I was stuck still being me.

Why do most kids develop a passion for superheroes? To me, the answer is pretty obvious. The world is a scary place. Really scary and really violent. The “mature” adults don’t believe in superheroes, they believe that their religion or religious sect or religious patron is more powerful than their competitors’ religion. They are willing to die for it, and see the rest of us non-believers or different-believers as the enemy.

If only we could choose to be Ironman or Spiderman or Everyman and give everyone the free choice to be whoever they want to be. Maybe, if I were Joe Belmont…