(POTS): Professional bias or mysterious illness?
Doctors learn from evidence, experience, education,
and their patients. Of course, professional biases exist. You
may have heard “I don’t understand your illness; therefor
you are not ill” or “You have too many symptoms, you
report your symptoms as too severe, you act too diabled, etc;
therefor you are making things up” or even “This is
too mysterious to be a medical problem, therefor it is a psychiatric
It is estimated that over one million Americans
are impacted by a primary autonomic system disorder. Autonomic
dysfunction can occur as a secondary condition of another disease
process, like diabetes, or as a primary disorder where the autonomic
nervous system is the only system impacted. These conditions are
While some physician will tell you “it
is all in your head” there are some conditions of Dysautonomia
and POTS that are best treated by psychiatrists.
How can Dysautonomia (POTS) be something for
Like any disease, physicians often measure
the disease perspective and how it is uniquely presenting in the
patient. Psychiatrists are also uniquely trained in measuring
the different dimensions of you; your personality, how you conduct
yourself, you life experiences, and then combining that information
with the science of available medicines and technologies.
a psychiatrist can help with someone with Dysautonomia (POTS)?
When something looks like POTS and masquerades.
When something overlaps with POTS and co-exists. For example,
patients who are “tired” can also have depression,
patients who are “anxious” can also have an anxiety
disorder, patients who are “foggy” can also have ADHD
or a learning difference, and patients who are “sick and
tired” of being sick and tired can get demoralized.
Why is it important to see a psychiatrist with
knowledge of Dysautonomia (POTS)?
You are not your illness. Physicians with insights
into Dysautonomia (POTS) know the importance of managing the illness.
They recognize that diseases require treatment, personality dimensions
require guidance and behaviors require modification. These providers
recognize the role of autonomy in living all aspects of your life.