Dr. Mike Trangle

So depending what it is you want to change from your armamentarium, if somebody just got found out about divorce, I think talking it through with somebody and having some therapy and some context is probably the preferred method.

So depending what it is you want to change from your armamentarium, if somebody just got found out about divorce, I think talking it through with somebody and having some therapy and some context is probably the preferred method.

You know, if it's all of a sudden there was no medical thing and you weren't using drugs, but all of a sudden you have a manic episode, that's probably biological and genetic. And you want to approach that by doing sort of a workup to make sure it's not a physical and that drugs, you know, either they're taking certain things or withdrawing from them that could cause manic reactions.

You know, if it's all of a sudden there was no medical thing and you weren't using drugs, but all of a sudden you have a manic episode, that's probably biological and genetic. And you want to approach that by doing sort of a workup to make sure it's not a physical and that drugs, you know, either they're taking certain things or withdrawing from them that could cause manic reactions.

But it's still more in the medication realm. If it's, oh, my God, this person has been using meth and other amphetamines constantly, and now they're deeply depressed, it's probably withdrawal. And it's sort of how are you going to get them through withdrawal and get them to sort of get off the meth? And it's still sort of more medical, but it's not medications per se, you know.

But it's still more in the medication realm. If it's, oh, my God, this person has been using meth and other amphetamines constantly, and now they're deeply depressed, it's probably withdrawal. And it's sort of how are you going to get them through withdrawal and get them to sort of get off the meth? And it's still sort of more medical, but it's not medications per se, you know.

So I guess to answer your question is yes to all of them because it depends on the individual and what's going on with them. And they're all necessary. And the bigger issue sociologically these days is people have a hard time accessing mental health, substance use, medications, therapy, inpatient beds or treatment programs in the mental health realm, you know.

So I guess to answer your question is yes to all of them because it depends on the individual and what's going on with them. And they're all necessary. And the bigger issue sociologically these days is people have a hard time accessing mental health, substance use, medications, therapy, inpatient beds or treatment programs in the mental health realm, you know.

I think you're right. I mean, as we learn more and, and, and more research comes out, you find those connections and realize it's an integral part of what you need to work up to see if it's an issue of causing things, uh, or treat. So like sleep is a great, is a great one, you know, where, um,

I think you're right. I mean, as we learn more and, and, and more research comes out, you find those connections and realize it's an integral part of what you need to work up to see if it's an issue of causing things, uh, or treat. So like sleep is a great, is a great one, you know, where, um,

lately we've been seeing sort of how the effects of lack of sleep and significant insomnia affects your mood, you're much more irritable, potentially higher risk of depression, higher risk of cardiovascular problems and strokes. But even it's not just that, I mean, you could say that if you have very poor gums and teeth,

lately we've been seeing sort of how the effects of lack of sleep and significant insomnia affects your mood, you're much more irritable, potentially higher risk of depression, higher risk of cardiovascular problems and strokes. But even it's not just that, I mean, you could say that if you have very poor gums and teeth,

that increases risk for certain kinds of things that we didn't know about before 15 years ago, you know?

that increases risk for certain kinds of things that we didn't know about before 15 years ago, you know?

Yeah, you know, and once again, it's like, if you take pain, you know, how much of it is genetic? How much of it is learned in your family? You know, if you would be a... old bachelor farmer that's Finnish or something, you know, and it's very stoical, you were taught to ignore that and don't complain about it. You know, if you grew up in a different family, it might be the opposite.

Yeah, you know, and once again, it's like, if you take pain, you know, how much of it is genetic? How much of it is learned in your family? You know, if you would be a... old bachelor farmer that's Finnish or something, you know, and it's very stoical, you were taught to ignore that and don't complain about it. You know, if you grew up in a different family, it might be the opposite.

You know, it's a huge thing. You can't stop talking about it. I need to leave. Give me those pills. I don't care if I get addicted, whatever, you know. Yeah, yeah, yeah, yeah.

You know, it's a huge thing. You can't stop talking about it. I need to leave. Give me those pills. I don't care if I get addicted, whatever, you know. Yeah, yeah, yeah, yeah.

Well, it's kind of like I'm saying, you got to give me a context and a situation and I can tell you how we would treat it optimally. But if you say mental health in general, kind of what I'm highlighting is sometimes it might be therapy because I just learned about my divorce and I need to kind of think it through. Sometimes it might be I'm manic and I need to sort of decrease stimulation.

Well, it's kind of like I'm saying, you got to give me a context and a situation and I can tell you how we would treat it optimally. But if you say mental health in general, kind of what I'm highlighting is sometimes it might be therapy because I just learned about my divorce and I need to kind of think it through. Sometimes it might be I'm manic and I need to sort of decrease stimulation.