Here, I think it was clear that I pointed out the antidepressant effects of sleep deprivation in at least some subjects (before the “and”). So I think it’s misleading to suggest that this section implied that the antidepressant effect does not exist.
I don’t quite follow. The closest you come in the quote is that it can “trigger full-blown mania,” not that it is a depression treatment.
Guzey says:
Lack of sleep is such a potent trigger for mania that acute sleep deprivation is literally used to treat depression. Aside from ketamine, not sleeping for a night is the only medicine we have to quickly – literally overnight – and reliably (in ~50% of patients) improve mood in depressed patients (until they go to bed, unless you keep advancing their sleep phase ). NOTE: DO NOT TRY THIS IF YOU ARE BIPOLAR, YOU MIGHT GET A MANIC EPISODE.
I did not interpret this as saying sleep deprivation treats depression by causing mania. Instead, I think Guzey is suggesting that sleep deprivation treats depression through a neurological pathway that can also lead to mania in bipolar patients. I think it’s fine to ignore this point if you’re not interested in addressing it, but I don’t think it’s fair to characterize your reference to “trigger full-blown mania” as a clear acknowledgement of sleep deprivation’s therapeutic benefits for some depressed patients. If that was indeed your conscious intent, then my feedback is that your writing was illegible in this area.
As a caveat, it seems like you might have inferred from Guzey’s overall post that he has a positive impression of mania. I think this is belied by phrases like “DO NOT TRY THIS IF YOU ARE BIPOLAR, YOU MIGHT GET A MANIC EPISODE,” but not an impossible takeaway.
Overall, I don’t think the errors you pointed out so far were particularly glaring… I think it’s a little unfair to say “The fact that I spotted these three points after spending ~3 minutes skimming the post do not make me optimistic about the rest of the critique” when your points were individually and together, quite weak. However, I am hopeful that we can have a productive dialogue about this subject soon, and get closer to our cruxes on these issues.
I agree with your assessment, and Guzey really ought to read your article in depth before throwing shade on it. I think your commitment to constructive dialog is admirable here.
Switching to mania from depression usually (though not always) means that the depressive symptoms went away. But I agree that my phrasing was poor and I’ll edit it.
I don’t quite follow. The closest you come in the quote is that it can “trigger full-blown mania,” not that it is a depression treatment.
Guzey says:
I did not interpret this as saying sleep deprivation treats depression by causing mania. Instead, I think Guzey is suggesting that sleep deprivation treats depression through a neurological pathway that can also lead to mania in bipolar patients. I think it’s fine to ignore this point if you’re not interested in addressing it, but I don’t think it’s fair to characterize your reference to “trigger full-blown mania” as a clear acknowledgement of sleep deprivation’s therapeutic benefits for some depressed patients. If that was indeed your conscious intent, then my feedback is that your writing was illegible in this area.
As a caveat, it seems like you might have inferred from Guzey’s overall post that he has a positive impression of mania. I think this is belied by phrases like “DO NOT TRY THIS IF YOU ARE BIPOLAR, YOU MIGHT GET A MANIC EPISODE,” but not an impossible takeaway.
I agree with your assessment, and Guzey really ought to read your article in depth before throwing shade on it. I think your commitment to constructive dialog is admirable here.
Switching to mania from depression usually (though not always) means that the depressive symptoms went away. But I agree that my phrasing was poor and I’ll edit it.