Happiness Is A Warm Electrode

sufijazz writes "A story by Gregory Mone on the Popular Science website talks about trials to use deep brain stimulation to cure chronic depression. It's a deeper exploration of the 'brain pacemaker' discussed here on the site before, and a practical application of research discussed even earlier. Why the pulses affect mood is still unclear, but scientists believe that they may facilitate chemical communication between brain cells, possibly by forcing ions through nerve fibers called axons. In turn, this may trigger the release of mood-regulating chemicals like serotonin and norepinephrine. Similar trials are being conducted in other places. Exact numbers are hard to ascertain, but it's estimated that fewer than 50 patients in North America are walking around with wires in their brain."

Comments

I used to take anti-depressants

[Das Modell]

When I was on anti-depressants I acted in a way that, in retrospect, wasn't natural for me. I did some very weird things and occasionally embarrased myself, which is something that I don't like to do. What the fuck was I thinking back then? And was it really caused by anti-depressants, or have I simply changed? I don't know, but I'm now very wary of any artificial means of making yourself happy or less depressed. Besides, this technology doesn't address the root cause of why someone is depressed. I suppose it's useful to someone who's really badly depressed, but personally I wouldn't want to try it.

Re:I used to take anti-depressants

[Sunburnt]

this technology doesn't address the root cause of why someone is depressed.

It may, if the root cause of the depression is genetic.

I generally agree with your sentiment, though. A great deal of depression is comorbid with personality disorder, or can be strongly correlated to environmental factors.

In the former instance, there is probably little to be done in the clinical sense. Changing this person's emotional reactivity is likely to just bring different aspects of their disordered personality to light, and the chaos and alienation this can induce in the patient and their social group is probably no healthier than the depression. There's much more to this, but a discussion of therapy for personality disorders would be long and outside the scope of this discussion.

It is the second instance, I believe, where you hit the nail on the head. If a patient gets depressed by their own self-defeating thoughts and patterns of abuse in their life, then it is the role of the therapist to facilitate change in those thoughts and behaviors within the context of everyday life, not to recommend tinkering directly with the patient's neurons.

It is, of course, quite possible that some folks genes provide them with an abnormal system of emotional regulation, and that "rewiring" this system is the best way to enable them to participate in the full range of human experience. Given what I know of ethics review boards, it is likely that the few dozen folks who've undergone this procedure had not responded positively to the normal range of treatment, and that they have not been diagnosed as PD'd. I'll bet that getting cerebral electrodes implanted for depression probably requires at least as much review and investigation as bilateral cingulotomy, for example.

Oh, but it is addressing the root cause

[gbutler69]

If the root cause is that your Axons are not releasing enough neurotransmitters, then this technique is addressing the root cause.

Re:Oh, but it is addressing the root cause

[replicant108]

"If the root cause is that your Axons are not releasing enough neurotransmitters, then this technique is addressing the root cause."

The problem is that modern medicine assumes that this is the root cause.

Re:When antidepressants work, they aren't "artific

[speaker of the truth]

If the brain isn't producing enough chemicals to allow you to experience happiness then no amount of luxury is going to lift you from depression. A common comment from people who have no clue about depression is "what do they have to be depressed about?" The answer to this is typically nothing, except for a brain that isn't working correctly.

Re:When antidepressants work, they aren't "artific

[ScrewMaster]

Do you have any idea what you're talking about? I will rephrase that. You do not have an idea what you're talking about. I'm not even going to debate with you about suffering: I put human beings first and animals second. If it comes down to a choice between a human being and 4,000 animals, I know which way I'd choose. Period. End-of-statement.

When you've finished dealing with the fact that I disagree with you on every point, go read this. After you've educated yourself on how wrong you are, come back tell me that what you said is even slightly relevant. Like the GP, I've had two family members suffer from severe clinical depression, suicide was narrowly averted multiple times. In one case the onset was before the age of antidepressants: he drank to mask the effects of the depression, but overall alcohol simply worsens the problem. When one of the early drugs became available we got him on it (Elevil in the late seventies, I think ... it's been a long time) and the difference was like night and day. "I have my life back" he said, and stopped drinking ... he didn't need it anymore, just to feel normal for a while. It was astonishing, and the relief we all felt was palpable. He still suffered from the effects of his condition 'til he died, but at least he had a life. If that drug hadn't come out when it did he wouldn't have lasted another six months, a year tops. He switched to different drugs over time, as better ones became available, but he got an extra twenty five years because of them.

People who claim that no-one needs antidepressants ("Tom Cruise, are you listening?") are fools. Ignorant assholes who would cheerfully consign other human beings to a living hell contained within their own skulls. I still don't understand how it must feel to suffer from this disease, and yet I had to deal with the consequences of it for almost thirty years. All of us did, and it was ... very difficult. I'm not saying that antidepressants (like virtually all drugs) aren't capable of being abused, but to claim that people suffering from clinical depression should just "get over themselves" is a preposterous falsehood. Period. End of statement.

If there is a God, I hope He delivers people like you a sample of what you say doesn't exist. For just a few years: I wouldn't want you to get so depressed that you actually off yourself. Maybe then you'll understand why what you just said offended me to the core.