Dani Chammas
speaker
1,436 appearances
4 recordings
1 series
first heard Apr 2020
last heard Dec 2024
Dani Chammas’s voice in public audio — every appearance, attributed to the second.
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Appearances
Yes.
No, but what I want to add to this terminal mental illness thing is I think it's getting a lot of traction and excitement.
And this is such a fraught term.
It's so controversial in ways that are hard to reconcile.
There are some people who feel incredibly strongly that it should not be used.
It's an inappropriate term.
And I was even nervous to talk on this podcast today because I know it's going to elicit strong and very valid feelings in some people.
But some of the nuance I would want to point out is that, like Brent mentioned, first of all, this is not a diagnosis.
It's not a defined entity in the DSM.
It's not something that we have, you know.
statistics or anything around, when people talk about terminal mental illness, it's very different than how we use the word terminal in medical illness.
And I think they generally do really mean patients with serious mental illness for whom the treatments we have available are unable to, we think, ever help them achieve meaningful quality of life or symptom control.
And there are two deeply important perspectives here.
On the one hand,
We don't have an empiric way to classify what's an untreatable mental illness.
Again, some people don't respond for years and then do when we
something else.
And in this really vulnerable population, we don't want to disenfranchise people from treatment that might make a difference.
And psychiatry references, we often have seen times when a patient says, I don't want treatment and we compel them to get it.
And then they profoundly improved.
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