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man4allcats Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:17 AM
Original message
What was really wrong with House?
For those who watched the season opener of House last night, particularly those who may be psychiatrists or psychologists, I'm just a bit curious. I liked the episode, especially seeing House become someone who doesn't mind admitting that he actually gives a damn about another human being, but what the heck was really wrong with him that led to his breakdown? Clearly his hallucinations of Wilson's deceased girlfriend, Amber, and also of the late Dr. Kuttner, presumably a victim of suicide, were symptoms, but what role did those hallucinations play in House's overall pathology? He likely did feel some guilt over Amber's death perhaps offering some insight into that series of visions; the situation with Kuttner is less clear. Having successfully completed his treatment at the psychiatric hospital, House is now seemingly free of those ghosts. Any thoughts as to a likely diagnosis and how the hallucinations played into the illness?
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MineralMan Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:25 AM
Response to Original message
1. He's a freaking drug addict...
That explains it all. He eats oxycodone like candy. That stuff's gonna mess you up, big-time.
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derby378 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:31 AM
Response to Reply #1
2. Actually, it was Vicodin
Edited on Tue Sep-22-09 09:32 AM by derby378
A mixture of hydrocodone and acetaminophen.

I only used it briefly for some really bad pain that was keeping me from sleeping (with a prescription, of course). I didn't get a huge amount of sleep from it, but the Vicodin did make the world look a little brighter and friendlier for a while.
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MineralMan Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:39 AM
Response to Reply #2
3. Hydrocodone.... Oxycodone... both are opiate analogs.
Both are addictive. Long-term use can lead to some pretty weird stuff. That's what got House. I haven't seen the opening episode yet...it's on my DVR.
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11 Bravo Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:42 AM
Response to Reply #1
4. In that case, lets hope Pigboy Limbaugh is trolling today. He could straighten it all out for us.
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sarge43 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:47 AM
Response to Reply #1
5. He only popped oxycodone when he couldn't get a script for Vicodin.
He's reckless and desperate; he's not stupid.
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man4allcats Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:54 AM
Response to Reply #1
7. Well, of course, I did think about that, but
as House's psychiatrist pointed out to him, he had been abusing Vicodin for a long time before his breakdown and the hallucinations that accompanied it. I'm sure the abuse didn't help, but I wonder if there wasn't more to it than that, and if so, I wonder further whether there will be more psychological trauma ahead for Dr. Greg House.
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sarge43 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 10:21 AM
Response to Reply #7
11. There's more. "People lie."
He can't trust anyone, even the people he loves. Consider he was twelve when he figured out his mother lied to both his father and him; he's another man's child. Not only did it destroy his trust, it made him deeply skeptical of motives and 'surface' truths. That and his remarkable intelligence made him a great diagnostician, but he has emotional fire walls ten feet thick. People lie and lies can hurt and he's already hurting about as much as he can bear.

Big trauma bomb for him waiting to happen: An ice cube in hell has a better chance of surviving than a stable relationship with Cuddy.

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man4allcats Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 05:12 PM
Response to Reply #11
16. Yes. Good observations.
I, too, expect we haven't seen the last of Greg House meltdowns.
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undeterred Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:50 AM
Response to Original message
6. Did they ever give a label to it?
It seems like he should have been treated for addiction and therefore put into rehab. But since the cure was partly the use of SSRIs I am thinking that the only thing wrong is some maladaptive personality traits upon which he finally got insight.
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man4allcats Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 10:04 AM
Response to Reply #6
9. I heard no mention of any specific diagnostic label, but
your reference to the SSRI therapy seems like a good clue. I was not familiar with that class of drug, but I wiki'ed it per your post and learned that it is commonly used to treat depression which, given House's notoriously misanthropic nature, might explain a lot. Thanks for the heads up.
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AlienGirl Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 03:53 PM
Response to Reply #9
14. SSRI therapy is also commonly given to people who are recovering from addiction. nt
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mudplanet Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 10:12 AM
Response to Reply #6
10. That's it exactly. As an MD he has the authority to write prescriptions
and his judgment is questionable if he's self prescribing narcotics. It would be reasonable to require him to undergo treatment (I'm not sure in-patient hospitalization, but with addiction, it might be called for) before they lift the suspension of his license to practice. A doctor that treats himself is like a defendant that represents himself in court, or a psychotherapist that practices without supervision.

Point of fact - Oxycodone is safer than Vicodin. You can od on acetaminophen a lot easier than on opiates, and the effect of long term overuse is much worse (dead liver).

If its use is monitored carefully, you can take opiates for years and years without negative effects.
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sarge43 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:56 AM
Response to Original message
8. ODing Vicodin can and does affect mental processes.
Long term over use of V can cause hallucinations, even paranoia. He was also risking permanent liver damage which may be his next crisis.

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Fire Walk With Me Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 02:32 PM
Response to Original message
12. I saw last night's two episodes (been away for far too long)
last season's finale, and the new season opener. Excellent television, as always. Magnificent show.

I cannot voice as to a diagnosis or the process involved, but I was bothered enough by the imaginary institution that I wanted to mention...it was total nonsense. I could go on and on and on...really. They could really have broken some ground through introducing the monstrosity of the mental "health care" system, instead of a "One Flew...Lite"...

Anyway, it was wonderful to see Andre at work again. I miss him from the early, magnificent years of "Homicide: Life on the Streets".
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Silver Swan Donating Member (805 posts) Send PM | Profile | Ignore Wed Sep-23-09 11:56 AM
Response to Reply #12
28. My daughter,
Who is a therapist in a hospital mental health unit, assured everyone via Facebook, that her unit was nothing like that portrayed on the House episode!
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AlienGirl Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 03:49 PM
Response to Original message
13. Those weren't hallucinations! He was seeing ghosts! nt
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La Lioness Priyanka Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 03:56 PM
Response to Original message
15. depression and drug addiction?
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HiFructosePronSyrup Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 05:16 PM
Response to Original message
17. Lupus
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Rabrrrrrr Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 09:15 AM
Response to Reply #17
27. But that doesn't explain the bleeding ulcers on the feet! It's heavy metal poisoning!
Edited on Wed Sep-23-09 09:15 AM by Rabrrrrrr
Of course, that doesn't explain the bloody vomiting at the 27-minute mark.
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rcrush Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 05:24 PM
Response to Original message
18. Spoilerific title thanks
I havent seen the new season premier yet.
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man4allcats Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 05:50 PM
Response to Reply #18
19. I didn't mean to ruin it for you, but come on.
You knew from last season that there was something seriously wrong with his mental state, even for House, and further that such unbalance would lead to his institutionalization. Additionally, since it is a highly successful show entering a brand new season, one would reasonably assume there would have to be a good outcome to the treatment he received while hospitalized. The question was never whether he would be hospitalized and subsequently released to resume his practice, but rather what happened, what revelations he discovered during his care. That still remains for you to enjoy. Nothing has been spoiled, so go enjoy it.
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sarge43 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 08:53 AM
Response to Reply #18
24. You can't watch a production of Hamlet or Death of a Salesman
again because you know the protagonist will die?

Ooops, sorry.
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elocs Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 07:40 PM
Response to Reply #24
31. My senior year in college I had to take "Shakespeare's Tragedies" for my English minor.
What a downer that was.
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GreatCaesarsGhost Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 08:24 PM
Response to Original message
20. it was nice to see Franka Potente.
Edited on Tue Sep-22-09 08:29 PM by GreatCaesarsGhost
.edit sp
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Tangerine LaBamba Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 08:47 PM
Response to Reply #20
21. BOURNE!!!!!!!
I was trying to remember where I knew that face from, and that's it. She's terrific, isn't she? Just so beautiful.

And her character was just the one to bring House around - gentle, unyielding, sure of herself, aware of her faults, dedicated to others. Remarkable.

Great show...........

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GreatCaesarsGhost Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 09:11 PM
Response to Reply #21
23. i had the same feeling that she looked familar but couldn't place her
too bad she probably won't be back since her character moved to Arizona.

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peekaloo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 09:12 AM
Response to Reply #20
26. Run Lola Run
loved that film.
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Odin2005 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-22-09 08:50 PM
Response to Original message
22. His addiction caught up to him, methinks.
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NJmaverick Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 08:58 AM
Response to Original message
25. House prided himself on having all the answers and being the one that was always right
those two deaths really hit him hard both in from guilt and that he failed to have all the answers or was the one that was right. It was a huge thing form him to deal with, as he defined himself by his mental abilities. As a result he probably hit the pills even harder and suffered the break down.
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theNotoriousP.I.G. Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 04:58 PM
Response to Original message
29. The drug addiction really had nothing to do with it
He was using vicodin to mask his unhappiness and keep people at arms length. He doesn't trust anybody and pushes people away or manipulates them to suit his own needs. It will be interesting to see how this new "house" fits in with the old crew.
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KT2000 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-23-09 06:42 PM
Response to Original message
30. too many things happened
that he could not control by taking more vicodin. He did have feelings of guilt over Amber and Kutner too but those feelings could not be dealt with using logic so amped up the vicodin use. Vicodin hallucinations ensued - with the fantasy of Cuddy being the salve for his broken heart.

I really hope they bring Andre Brauer (the psychiatrist) back - he is great!

That was a really good premier episode.
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