Doctor Mike

And it's an approach that has worked well, but I feel like could not work perfectly every time because patients sometimes say, I don't want to know full on because they believe that they will have that side effect if they're aware of it, almost like they're expecting it.

And that happens to me a lot surrounding pain and discomfort where patients who are guarding, basically if they've had a low back strain and a few days go by and they say, I'm still getting up very slowly and gingerly because I want to protect the area.

And they're almost like putting their antennas out to feel the pain.

And it sets them in the cycle of waiting to feel the pain and they're amplifying the pain.

versus when I say, hey, stand up.

You feel the pain.

You're not going to throw your back out again.

It's such a mild issue.

Just go through it.

That breaks that cycle a bit.

And I wonder if this plays into that psychology of it.

How different is talk therapy in someone who's experiencing a condition like depression, major depressive disorder, generalized anxiety disorder, versus someone who's, let's say, coming to see you with schizophrenia?

Yeah.

I'm crazy.

I'm depressed.

I have PTSD from that date.

All the colloquial terms that people use that are actually words that have meaning in our field.

What do you, what's your take on that?

How do we correct?

Do we need to correct?