Dr. Dave Rabin

Of course, but once you have a mental illness and you fit into that pattern of somebody who's had six months or more of symptoms, it becomes a little bit more difficult and delicate to treat. So that's why we really try to bring people into treatment earlier before they start developing six plus months of struggles.

Of course, but once you have a mental illness and you fit into that pattern of somebody who's had six months or more of symptoms, it becomes a little bit more difficult and delicate to treat. So that's why we really try to bring people into treatment earlier before they start developing six plus months of struggles.

Yeah, exactly. I mean, if you can identify the root cause, whatever the root cause is, sometimes the root cause of a mental health problem is a thyroid problem, right? This is a very common issue where people have thyroid dysregulation. It's very common.

Yeah, exactly. I mean, if you can identify the root cause, whatever the root cause is, sometimes the root cause of a mental health problem is a thyroid problem, right? This is a very common issue where people have thyroid dysregulation. It's very common.

And if your thyroid is messed up for whatever reason, that impacts everything about your nervous system functioning and your mood and your metabolism and everything. Your entire body is regulated by your thyroid. Everything.

And if your thyroid is messed up for whatever reason, that impacts everything about your nervous system functioning and your mood and your metabolism and everything. Your entire body is regulated by your thyroid. Everything.

So one of the examples that we do in mental health is before we even think about treating you with a mental health as if you have a mental illness, we run a series of labs and we look at, okay, well, is there anything that could be an obvious physical sign of something wrong with your body? That would be why you're coming to me, right?

So one of the examples that we do in mental health is before we even think about treating you with a mental health as if you have a mental illness, we run a series of labs and we look at, okay, well, is there anything that could be an obvious physical sign of something wrong with your body? That would be why you're coming to me, right?

And if you have thyroid issues, that's what we treat first because that's like an easy fix. You may never need to see a therapist if you can fix your thyroid and get everything straightened out, right? But then if we do the medical, full medical workup,

And if you have thyroid issues, that's what we treat first because that's like an easy fix. You may never need to see a therapist if you can fix your thyroid and get everything straightened out, right? But then if we do the medical, full medical workup,

and we realize, oh, you're actually physically, medically healthy, you don't have any issues going on that would result in a mental health problem, then we start to look at, okay, well, what else could be causing the mental health problem? And it's basically like a root cause analysis. So you're really diving into what is at the core of what's happening medically, then psychologically,

and we realize, oh, you're actually physically, medically healthy, you don't have any issues going on that would result in a mental health problem, then we start to look at, okay, well, what else could be causing the mental health problem? And it's basically like a root cause analysis. So you're really diving into what is at the core of what's happening medically, then psychologically,

then emotionally, and then really starting to, and then with stress as a core theme, trying to figure out what's at the core, and then how do we address that first? And that helps us kind of steer the direction of treatment planning for people. And that's what all psychiatrists should be doing. Many of them do, but there are some that don't.

then emotionally, and then really starting to, and then with stress as a core theme, trying to figure out what's at the core, and then how do we address that first? And that helps us kind of steer the direction of treatment planning for people. And that's what all psychiatrists should be doing. Many of them do, but there are some that don't.

Yeah, exactly. Because all medications have side effects. All surgery, as good as the outcomes might sound, have potential risk. And there's no treatment for medication or surgical based treatment that doesn't come with potential risk. And that risk is often not worth taking. So if you can... Work with somebody who understands a diagnostic framework.

Yeah, exactly. Because all medications have side effects. All surgery, as good as the outcomes might sound, have potential risk. And there's no treatment for medication or surgical based treatment that doesn't come with potential risk. And that risk is often not worth taking. So if you can... Work with somebody who understands a diagnostic framework.

It doesn't mean you're going to leave with a diagnosis. It means you want somebody who's going to put their detective hat on. And rather than going straight to the prescription pad, they're going to talk to you enough and gather enough information from you during the history and physical process

It doesn't mean you're going to leave with a diagnosis. It means you want somebody who's going to put their detective hat on. And rather than going straight to the prescription pad, they're going to talk to you enough and gather enough information from you during the history and physical process

to the history and physical exam process to figure out, okay, what is actually going on here before I start handing you treatments, right? That's really the core of medicine that we're all taught throughout our medical doctor training and that most doctors have. The problem is in modern society, medical treatment has been commoditized as a business.

to the history and physical exam process to figure out, okay, what is actually going on here before I start handing you treatments, right? That's really the core of medicine that we're all taught throughout our medical doctor training and that most doctors have. The problem is in modern society, medical treatment has been commoditized as a business.