SOMETIMES IT ONLY TAKES A FEW MINUTES OF REFLECTION IN ORDER TO SEE THE “STUCKEDNESS” IN THINKING, BEHAVIORS, AND ROUTINES. FOR INSTANCE, I DO NOT MIND COLLECTING MY FAMILY’S LAUNDRY, WALKING IT DOWN THE STAIRS, SEPARATING OUT THE DIFFERENT COLORS AND FABRICS, WASHING THE LOADS, MOVING THEM TO THE DRYER, PULLING OUT THE LOADS, FOLDING THEM AND TAKING THE CLEAN AND FOLDED ITEMS BACK UPSTAIRS. WHAT I DESPISE, AND I AM NOT PROFICIENT AT, IS THAT I DO NOT DO A GOOD JOB PUTTING AWAY ANYONE ELSE’S CLOTHES. BECAUSE OF MY DEFICIENCY IN THIS FINAL STEP, I WILL NOT EVEN START THE FIRST STEP OF THE PROCESS. NOW, THAT’S NUTTY.

Charles Tadros M.D.

June 20, 2022

Saint Louis, Missouri

READ MORE, ASK MORE, LEARN MORE…ABOUT EVERYTHING. NOT BECAUSE WE WILL BE TESTED ON ANY SUBJECT MATTER, OR THAT WE WILL BECOME EXPERTS, OR BECAUSE WE WILL NEED TO APPLY THE INFORMATION. IT’S IN ORDER FOR US TO PRACTICE ASKING MORE INTELLIGENT AND PENETRATING QUESTIONS, IN ORDER TO STIMULATE THOUGHT, STRENGTHEN RIGOROUS THINKING, AND IN ORDER TO DEVELOP RICHER IMAGINATIONS AND DEEPER INSIGHTS AND CONNECTIONS. MAYBE, JUST AS IMPORTANTLY, IT IS IN ORDER TO KEEP WONDER ALIVE AND FOR US NOT TO BE SO EASILY FOOLED, OR FOR US TO BECOME FOOLS.

Charles Tadros, M.D.

June 18, 2022

Saint Louis, Missouri

PEOPLE DESPERATELY NEED REASONABLE STORIES (vivid, memorable explanations, which flow and have some semblance of internal consistency, and consistency with their world) IN ORDER TO HELP THEM UNDERSTAND AND ACCEPT, EVERYTHING FROM THE ORDINARY TO THE EXTRAORDINARY, DRAMATIC, DISASTROUS, RARE, AND UNEXPECTED. “MYTHS”, ARE ANOTHER NAME FOR THESE PROFOUND AND INSIGHTFUL STORIES.

Charles Tadros, M.D.

June 16, 2022

Saint Louis, Missouri

DO SOMETHING POSITIVE, WHICH IS ALSO, DIFFICULT, UNUSUAL, DIFFERENT, RARE, OR SPECIAL. ANOTHER VERSION OF THIS IS TO DO SOMETHING ROUTINE, BUT MUCH FASTER OR COMPLETE IT MUCH EARLIER THAN EXPECTED. THESE ACTIONS TEND TO GIVE US AN EDGE WITH RESPECT TO FOCUS, ENERGY, INTEREST, ACCOLADES, REWARDS, AND SELF ESTEEM.

Most of us want to be known as someone special, and remembered for positive statements, traits, and accomplishments.

Charles Tadros, M.D.

June 16, 2022

Saint Louis, Missouri

S.A.D. (SEASONAL AFFECTIVE DISORDER):

Depressive symptoms which happen during the shortened daylight period between November and February.

Is treatable with 30 minutes of light/light box therapy used in the morning. ( therapyhttps://northernlighttechnologies.com/product-category/nlt-products )

Of importance… if a person has depression throughout the year, but symptoms are worsened during November to February, then this is not seasonal affective disorder, but a common worsening of symptoms of his/her chronic depression.

Charles Tadros, M.D.

June 16, 2022

Saint Louis, Missouri

MANY TREATMENT RESISTANT, DEPRESSED PATIENTS HAVE INERTIA AND ANHEDONIA. INERTIA IS THE INABILITY TO GET STARTED. ANHEDONIA IS THE INABILITY TO DERIVE PLEASURE FROM ACTIVITIES. WHAT THE REST OF US SEE IN THESE PEOPLE ARE:

Procrastination

Tardiness

Exhaustion

Altered sleep-wake patterns

Quickly starting (forced), but quickly ending in incompleteness (inability to sustain effort)

Finishing a project or reaching a goal, but deriving no satisfaction or pleasure in their accomplishments. This lack of a sense of reward reinforces not trying again in the future.

Charles Tadros, M.D.

June 16, 2022

Saint Louis, Missouri

SOME PEOPLE’S UNDIAGNOSED READING DISABILITIES, ADHD-INATTENTIVE TYPE, OR GENERAL DISTRACTIBILITY ARE SO SEVERE THAT THEY CAN’T REMEMBER WHAT THEY HAD READ AT THE BEGINNING OF THE SENTENCE BY THE TIME THAT THEY HAVE REACHED THE END OF THE SENTENCE.

If mental health professionals have difficulty understanding the cause(s) of reading difficulties, comprehension difficulties, memory issues, etc., there are formal neuropsychological tests which can be administered, by a psychologist, to help differentiate the potential root cause(s) of these problem(s).

Charles Tadros, M.D.

June 16, 2022

Saint Louis, Missouri

SOME OF MY ROUTINE QUESTIONS WHEN I INITIALLY INTERVIEW OUR TREATMENT RESISTANT, DEPRESSED PATIENTS:

Do you think you’re a good person?

What do you believe happened (if anything) to your body, spirit, or mind that led to your coming to see us about your depression? Why do you think you are depressed? (For now, disregard what medical professionals have told you, tested you for, or treated you for.)

When was the last time you felt, “good”, “good enough”, or “better than” you feel today?

Charles Tadros, M.D.

June 15, 2022

Saint Louis, Missouri

SO MANY PEOPLE WITH PROCRASTINATION HAVE A SIGNIFICANT STREAK OF PERFECTIONISM (not for most of the actions in their lives, but just for a few of them). THE ABILITY TO RECOGNIZE THIS AND TO ASK FOR, AND TO ACCEPT HELP ARE THE FIRST STEPS TO IMPROVING THEIR SITUATIONS. NEXT IS TO FORGIVE THEMSELVES FOR THEIR IMPERFECTIONS, WHILE STILL BEING ABLE TO START AND WORK ON A PROJECTS WITHOUT ALL THE TOOLS, KNOWLEDGE, GAME PLANS, OR HELP BEING IN PLACE FROM THE START.

This is how we learn, and iterate (repeat efforts after small changes are made due to lessons learned).

Making educated mistakes, learning, and repeating one’s efforts, in better directions with better information, is key to getting started, and eventually, reaching one’s goals.

THE MOST IMPORTANT ASPECT IS TO ACCEPT THE SHAME, EMBARRASSMENT, AND GUILT…and to still be able to act while releasing these unpleasant thoughts and feelings.

Charles Tadros, M.D.

June 14, 2022

Saint Louis, Missouri

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