I have soured a bit on rural America. More than half of my patients who are younger than 60 appear to all have schizophrenia. I don’t understand why there are so many psychotics there. Maybe it is early use of marijuana, or maybe there is something in the genes there.
You interact with a very selected group through this portal. Outside of the internet portal, you deal with clients who had to be productive enough to have the means to hire you. I run in similar circles socially but at work I deal with sick people. Young sick people who need hospitalization seem to have a disproportionate amount of mental illness. It all makes theoretical sense. What I was shocked about is just how much mental illness is out there in rural US, There are towns where businesses have closed and it seems like most of the young people aren’t working. They all drink and smoke pot. I see them when they get hurt. It seems like 1 in 10 are on meds for schizophrenia. They all take stimulants for adhd and sedatives for anxiety. These are your devoted Sanders and Hillary supporters. The marginally more functional ones who were able to secure a low paying job, are probably your Trump supporters. In NYC it was somehow easier to insulate yourself from interacting with them. In rural America, it is harder. Maybe because there, everyone seems to be related and the schizoid trying to eat a mattress while high on synthetic marijuana is going to be related to one of your co-workers. I always thought schizophrenia was rare- about 1 in 200. One in 10 makes no sense to me, but maybe that explains why so much of the country is not working. These folks are not employable. Maybe it is because they didn’t live as long previously because there wasn’t so much support for them. I don’t know but you can make your theories. I just see it as very prevalent there.
Then you don’t interact enough with people in hi-stress jobs, NYC people. Bankers, traders, CEO and COO, advertisement executives – they take meds for anxiety by ton. Architects are all paranoid. I’ve had one boss who seemed to be bipolar, or maybe just on xtasy, and another was clearly a schizophrenic. And don’t tell me about doctors! You probably know rates for suicides in medical profession. How many surgeons are junkies or alcoholics? I knew one who worked on ambulance and overdosed on stolen drugs. Although that was back in Russia.
Maybe all adults are nuts. I know I’ve had some anxiety-related symptoms (mostly GI) this spring and am considering breaking down and asking my doctor for the name of a counselor at my next check-up. Not QUITE ready to go on yet another med to control it….
There’s too damn much bad stuff going on in the world and it’s hard to insulate yourself from it.
Oh yes, Nero Wolfe! Done deal, too. Funny story: one time I almost bought an apartment in Manhattan “extreme West Side” right across the brownstone housing the namesake society. Was not approved by the board, for not being a “minority”. That was from a committee of Sanders-like elderly lefties, all whites. I said “on the contrary, I am the only one in this room not ashamed of my race and the only one working at real job. I am a minority of one”.