Page 112 - Men’s Health - USA (December 2019)
P. 112

7           I have CBD for that.                   +          8             I have VODKA for that.






             HMM . . . BOTH CBD and alcohol may help       causes, and the best chance at sustainable     medical professionals, can recom-
             temporarily alleviate symptoms of depres-     recovery is to get at those.” Now, of the two,   mend it,” says Dr. Brown. “The thing
             sion and anxiety, according to Gregory Scott   the jury is still out on the long-term effects   we know about alcohol for sure is that
             Brown, M.D., an integrative psychiatrist based  of CBD use. “There’s simply not enough       someone who abuses it increases
             in Austin, “but neither helps address the root   evidence about CBD and anxiety that we, as   their risk for depression and suicide.”






                                                                          10                                               11

                                                                                                            I don’t want to complain.


                                                              Sitting in a room                                           12
        9                                                    like it just gets you                      “YOU DON’T HAVE TO COMPLAIN,”
                                                              to delve into your
         I WENT, BUT THE
                                                                                                                I don’t want to talk
                                                               own MUCK seems
                                                                                                                shit about anyone.
         THERAPIST JUST SAT
         THERE AND DIDN’T

         SAY ANYTHING.
                                                               covered in MUCK.
                                                                                                        about other people.” You get to talk how
                                                                                                        you want to talk.
                                                        SUBSTITUTE “physical therapist” for             says Morin. “You don’t have to talk shit
         WE ASKED DAVID WEXLER,
         PH.D., FOR HIS THOUGHTS.                       “psychotherapist” and see if this makes
         Q: Why is it that you just sit there           sense: Physical therapy can be painful,
         and make vaguely sympathetic                   sure, but it helps you get better. Same              13 ONCE YOU START
         noises but don’t speak?                        thing with your mind. “Sometimes,”                           THERAPY,
         A: [Silence.]                                  says Morin, “when you have a cut, you              YOU’RE NEVER DONE.
         Q: No, but seriously.                          just get a Band-Aid and it’s okay. Some-        NOT ALL THERAPY has to be long-
         A: [Silence.]                                  times it’s a deeper wound and you have to       term. As few as eight weekly sessions
         Q: Oh, I get it. I guess it’s because          go to the doctor. And if you don’t address      can be effective, and for certain fears
         in some types of therapy, your                 the problem, it’s not going to heal. So you     (like flying, elevators, and the like) and
         job isn’t so much to direct me as              might experience pain in the short term,        issues (OCD), three hours of intense
         it is to allow me to unpeel the                but it makes life much better.”                 therapy might be all you need.
         layers of my mind. It’s as if all
         these words I’m saying are clear-
         ing out the tubes of my mind like
         an emotional bilge pump until,                                 I DON’T EVEN KNOW WHERE TO
         exhausted, we start getting down                  14           START. M.D., PSY.D., PH.D., L.C.S.W.?
         to some real issues, issues I’ve
         long kept hidden either because                   “THERE’S MASSIVE confusion                 medical doctors, they tend to explore
         they seem so trifling—like when                   around what the different mental-          the link between neurochemistry
         I was eight and fell off my bike                  health disciplines do,” says               and mental health—e.g., consider-
         and started crying and instead                    Dutton. In some ways, the degrees          ing a thyroid problem as a cause for
         of empathizing with me, my dad                    are just a bunch of letters at the end     depression—whereas psychologists
         sarcastically said, “How many                     of the person’s name. What matters         consider behavioral patterns as
         wah-wahs?”—or because they’re                     more is your connection with the           you work together. It’s basically the
         shameful, like the fact that I                    therapist. (See No. 16.) But generally,    difference between hardware and
         think I’m fundamentally unlov-                    psychologists  (Ph.D.’s, Psy.D.’s) and     software. Don’t worry too much
         able and that if I ever let anyone                social workers (L.C.S.W.’s) are not        about which type of therapist you
         know me, like really know me,                     medical doctors and cannot prescribe       should try first. “We all talk to each
         with all my defenses down, they’d                 medication, although there are some        other,” says Kate Lowe, L.C.S.W., a
         see that. Is that it?                             exceptions. Psychiatrists (M.D.’s), on     licensed psychotherapist in New
         A: [Silence.]                                     the other hand, can and do prescribe       York City. “Often I’ll refer a patient
         Q: [Weeping.]                                     medication when needed. Being              out to a psychiatrist or vice versa.”
         A: [Hands a box of tissues.]


         114 December 2019 / MEN’S HEALTH
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