Hello to everyone who happened upon this blog. My name is Alex Mendelsohn*. There isn’t much here in the form of sunshine and flowers (unfortunately, I couldn’t find those emoji’s – all I could find were these red flags: 🚩🚩🚩). Instead, you are free to feast on a collection of thoughts from a physicist going through severe mental illness. Yippee!**
Continue readingI received an email from a very nice person seeking advice and help
about their future career choice. I replied saying that I don’t usually give
advice because of how complex individuals can be. One piece of advice that
might work for one person, may be detrimental to another. However, what I did
do was speak from my own experiences – hoping that themes within them apply to
their personal situation. I noted that what I wrote could be utter rubbish!
The email correspondence between us helped me to get some of my thoughts down on paper. And, I would like to put them up on my blog just in case someone else finds value in my experiences. This is the third of five blog posts.
As much as the motivational videos try to make it out that you can go it alone through force of will, I have most definitely found that you can’t. The strongest motivational mood state I have experienced is when I’ve been trying to help someone else. The emotional reward is even stronger when a group of us work together to try to help someone or a group of people I care about. The emotional reward I receive lasts, it pervades through the years.
Continue readingThis article is about the recently published article Dr Aftab and I have published in the Psychiatric Times: Future Proofing Lithium Pharmacokinetic Research
I know that lithium pharmacokinetics is not exactly the sexiest subject in the world. I definitely know that the proper use of notation isn’t.
However, improper (or lack of) use of notations in research can cause an otherwise good research paper to be uninterpretable.
Continue readingI received an email from a very nice person seeking advice and help about their future career choice. I replied saying that I don’t usually give advice because of how complex individuals can be. One piece of advice that might work for one person, may be detrimental to another. However, what I did do was speak from my own experiences – hoping that themes within them apply to their personal situation. I noted that what I wrote could be complete rubbish!
The email correspondence between us helped me to get some of my thoughts down on paper. And, I would like to put them up on my blog just in case someone else finds value in my experiences. This is the fourth of five blog posts.
When I became severely anxious overnight, suddenly, some of the big questions became extremely important. But funnily enough, they all seemed to revolve around death and dying. After my severe reaction, I have given no thought at all as to whether free will exists or the hallmark of a life well lived.
Continue readingI received an email from a very nice person seeking advice and help
about their future career choice. I replied saying that I don’t usually give
advice because of how complex individuals can be. One piece of advice that
might work for one person, may be detrimental to another. However, what I did
do was speak from my own experiences – hoping that themes within them apply to
their personal situation. I noted that what I wrote could be utter rubbish!
The email correspondence between us helped me to get some of my thoughts
down on paper. And, I would like to put them up on my blog just in case someone
else finds value in my experiences. This is the second of five blog posts.
Before my rare severe reaction to an antidepressant, I used to define myself through what I did. i.e. “I am a physicist”. This, I found, was quite dangerous for my mental wellbeing. I would take criticism of my work really heavily – it was one of the many factors that contributed to my growing depression (which ultimately led me to take an antidepressant that caused my severe reaction). I was unable to separate who I was from what I did.
Continue readingI received an email from a very nice person seeking advice and help about their future career choice. I replied saying that I don’t usually give advice because of how complex individuals can be. One piece of advice that might work for one person, may be detrimental to another. However, what I did do was speak from my own experiences – hoping that themes within them apply to their personal situation. I noted that what I wrote could be utter rubbish!
The email correspondence between us helped me to get some of my thoughts down on paper. And, I would like to put them up on my blog just in case someone else finds value in my experiences. This is the first of five blog posts.
Up until my severe reaction to an antidepressant, I viewed the ‘career’ question as: What do I want to do with my life? After around a hundred sessions of counselling or so, this question changed to: Who do I want to work with for the rest of my life?
Continue readingI believe that physicists can help with the education process of both clinicians and research psychiatrists. However, I can only go on my experience of being treated by psychiatrists and the papers I have read within the psychiatric literature. I have very little knowledge of how psychiatrists are trained or of psychiatric research culture.
This blog post was adapted from notes I sent to one of the editors when constructing my Lancet Psychiatry article in the May 2023 edition –“Lithium Story: Eight Guidelines, Eight Recommendations“.
Clinicians
It was clear to me during my lithium treatment that clinicians would be using words to describe certain practices, without understanding the meaning behind those words. For example, using the phrase “morning trough1 level” to apply to a 12-hour level approximately halfway between peak and trough lithium concentrations in my bloodstream. I believe physicists can help clinicians to think about the meaning behind guidelines.
Continue readingThis is an update to a previous post titled: Nearly a year on, Bupropion is still not available
I was worried the previous post might cause confusion to those who came across it hoping for the return of bupropion. Below, I’ve tried to go into a little detail about the potential reasons for the announced return – but please bear in mind I might have easily misinterpreted certain details, and an announcement from a secondary source does not mean resupply is confirmed. I’ve also given an update on the current availability of bupropion in the UK.
UPDATE: Zyban might be back in stock already, GSK‘s medications out-of-stock page has removed Zyban, and the NCSCT has put a notice up on October 16th saying that Zyban is back in stock and being supplied – check with your local pharmacy to confirm if this is in fact true.
UPDATE #2: GSK‘s medications out-of-stock page now says that Zyban will return in late November 2023
So, a notice popped up about a week ago in the form of an exclusive article by David Lipanovic of the Pharmaceutical Journal. It announced that bupropion will once again be supplied to the UK starting around December 2023.
Continue readingSmartphones are the devil.
Okay, bit harsh. Smartphones are undoubtedly very useful. The “I got lost” excuse for arriving late is not valid anymore – a quick few taps in your mobile map app of choice and you can instantly find out where you are (and where you should be).
In terms of good mental health, however, smartphones are one of the fiercest opponents I have encountered. It isn’t necessarily the magnitude of the effect they have on my mood. It is the smartphone’s ability to cling to my brain like a leech. They are almost impossible to remove once latched. The short, sharp and seemingly neverending rewards smartphones offer are intoxicating. And this is putting it mildly.
Continue readingUpdate: GSK announced UK and EU resupply of Zyban (bupropion) for December 2023, see this blog post for more details
It has been just over eight months since GSK announced they were halting the supply of Bupropion (the brand name is “Zyban”) due to nitrosamine impurities. Since my previous blog post about the supply shortage, I have heard very little.
Continue readingOne of my worries when writing articles about the psychiatric system is that a reader will interpret arguments I make as a form of advice. I want to make clear I am not in the position to make any recommendations. I write from my current experience as a patient and past experience as a physics researcher to hopefully add a few insights where psychiatric research, lived experience and physics meet.
So, when someone seemingly mis-read and mis-interpreted my Lithium Story article, I was a little distressed. I re-read the opening paragraph of my article. While I was telling a story of my opinions at the time, I could see how it might have been possible to interpret it as a recommendation for twice daily dosing. This was not my intention. I am not against once daily dosing.
I realised this was an opportunity to look back and clarify past statements I have made in both my Physics World and Lancet Psychiatry articles.
Continue reading