看隔壁那个贴，很多人说那个lz的小孩很可能是因为chemical imbalance导致抑郁，大概率和他的生活环境无关。这是个概念上的误区。个人经历和chemical imbalance都有可能导致抑郁。 作为一个在complex PTSD中挣扎多年的人，我过去数年的therapy都确认我没有chemical imbalance, 但是有抑郁。 PTSD大家都听说过。Department of Veteran Affairs定义抑郁为：Depression is a common problem that can occur following trauma. It involves feelings of sadness or low mood that last more than just a few days. Unlike a blue mood that comes and goes, depression is longer lasting. Depression can get in the way of daily life and make it hard to function. It can affect your eating and sleeping, how you think, and how you feel about yourself. https://www.ptsd.va.gov/understand/related/depression_trauma.asp 和PTSD相比，CPTSD在儿童中更为普遍，因为儿童对父母有绝对的依赖，且儿童的心智在快速成长的过程中更容易受到家庭环境的影响。以下是Psychology Today对CPTSD的解释：Complex PTSD, or cPTSD, is a subset of PTSD. Whereas PTSD is a fear-based disorder, cPTSD is often referred to as a shame-based disorder originating from a history of chronic, and long-term exposure to traumatic events such as ongoing severe child abuse or long-term relationship abuse. Those who have experienced repeated trauma at a young age and/or where escape from the situation was not possible are at a greater risk for developing cPTSD, such as children who cannot escape their home environment. Symptoms include flashbacks of the events, fear, despair, shame, chronic devaluation of self, terror, and avoidance of socialization or relationships. Unfortunately, those who have experienced severe ongoing trauma in childhood are at an increased risk for being re-traumatized in adulthood—especially in romantic relationships—thus increasing their risk of developing cPTSD or a worsening of existing symptoms. https://www.psychologytoday.com/us/blog/understanding-ptsd/202006/is-it-bpd-or-cptsd 隔壁楼里说那孩子大概率是chemical imbalance的，忽视了家庭环境在孩子成长过程中的绝对地位。因为类似的观念，很多包括我在内的有CPTSD经历的人都对自己的心理问题羞于启齿。 长期的压抑会衍生出各种更严重的心理问题，包括自虐，反社会人格，自杀，等。如果你身边有人抑郁，请不要嘲笑，不要以己度人，因为你不知道这些看似生活在蜜罐里的人在默默承受些什么。你不经意的，甚至是好心的一句“现在的小孩真脆弱”，“你看起来过得不错，怎么就抑郁了呢”很可能就是压断骆驼的最后那根稻草。 我在接受治疗前有严重的讨好型人格，经常有panic attack，经常会想着就这么死了也不错，做梦经常梦见被母亲抛弃，哭醒。在外人看来，我的生活很不错，有份体面的工作，长得不丑，家庭在外看似和睦。但是我老公把一切看在眼里。我开始恢复后，他跟我说每次看见我妈隔着视频骂我，讽刺我，然后我还维护她，他都气的牙痒痒，觉得这种变态的母女关系早晚得把我毁了。现在和母亲断联一年多了，同事，朋友都说我好像变了个人，变得自信开朗好相处了。整个治疗过程，我没用任何药物，chemical imbalance无从谈起。
作为一个在complex PTSD中挣扎多年的人，我过去数年的therapy都确认我没有chemical imbalance, 但是有抑郁。
PTSD大家都听说过。Department of Veteran Affairs定义抑郁为：Depression is a common problem that can occur following trauma. It involves feelings of sadness or low mood that last more than just a few days. Unlike a blue mood that comes and goes, depression is longer lasting. Depression can get in the way of daily life and make it hard to function. It can affect your eating and sleeping, how you think, and how you feel about yourself. https://www.ptsd.va.gov/understand/related/depression_trauma.asp
和PTSD相比，CPTSD在儿童中更为普遍，因为儿童对父母有绝对的依赖，且儿童的心智在快速成长的过程中更容易受到家庭环境的影响。以下是Psychology Today对CPTSD的解释：Complex PTSD, or cPTSD, is a subset of PTSD. Whereas PTSD is a fear-based disorder, cPTSD is often referred to as a shame-based disorder originating from a history of chronic, and long-term exposure to traumatic events such as ongoing severe child abuse or long-term relationship abuse. Those who have experienced repeated trauma at a young age and/or where escape from the situation was not possible are at a greater risk for developing cPTSD, such as children who cannot escape their home environment. Symptoms include flashbacks of the events, fear, despair, shame, chronic devaluation of self, terror, and avoidance of socialization or relationships. Unfortunately, those who have experienced severe ongoing trauma in childhood are at an increased risk for being re-traumatized in adulthood—especially in romantic relationships—thus increasing their risk of developing cPTSD or a worsening of existing symptoms. https://www.psychologytoday.com/us/blog/understanding-ptsd/202006/is-it-bpd-or-cptsd
隔壁楼里说那孩子大概率是chemical imbalance的，忽视了家庭环境在孩子成长过程中的绝对地位。因为类似的观念，很多包括我在内的有CPTSD经历的人都对自己的心理问题羞于启齿。
长期的压抑会衍生出各种更严重的心理问题，包括自虐，反社会人格，自杀，等。如果你身边有人抑郁，请不要嘲笑，不要以己度人，因为你不知道这些看似生活在蜜罐里的人在默默承受些什么。你不经意的，甚至是好心的一句“现在的小孩真脆弱”，“你看起来过得不错，怎么就抑郁了呢”很可能就是压断骆驼的最后那根稻草。
我在接受治疗前有严重的讨好型人格，经常有panic attack，经常会想着就这么死了也不错，做梦经常梦见被母亲抛弃，哭醒。在外人看来，我的生活很不错，有份体面的工作，长得不丑，家庭在外看似和睦。但是我老公把一切看在眼里。我开始恢复后，他跟我说每次看见我妈隔着视频骂我，讽刺我，然后我还维护她，他都气的牙痒痒，觉得这种变态的母女关系早晚得把我毁了。现在和母亲断联一年多了，同事，朋友都说我好像变了个人，变得自信开朗好相处了。整个治疗过程，我没用任何药物，chemical imbalance无从谈起。
一般是做therapy（心理辅导/咨询）看有没有效果，没效果的话再去看psychiatrist，看需不需要吃药。我有几个朋友做pharmacist和clinical trial的，当年建议我能不吃药就尽量不吃药，还给我看副作用列表。有的药能导人suicidal。当然如果真的是chemical imbalance，只能吃药，therapy是没用的。