What if there is nothing wrong with you? It sounds like a wild idea, especially coming from a psychiatrist. But what if all of your depressed mood, anxiety, insomnia, and whatnot are consequences of a real-life problem that's outside of you and needs to be fixed? In that case, we should not really do a bunch of psychodynamic psychotherapy, identify your childhood trauma, or feed you psychiatric medications to blunt the natural response that is telling you that something needs to change.
But here's what we can do: we can zoom in, identify the problem. We can increase your resilience, work on your coping mechanisms, and treat symptoms. Maybe give you some sleeping pills to ensure that you get good bed rest. So you can improve your energy levels and go out into the world feeling supported, encouraged, and guided to actually fix this problem.
And then you need psychiatrist no more.
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