Opinion Today: Seeking medical treatment is not “cheating”

For conditions like obesity and depression, treatment can change lives — even if doctors are not sure how. [View in browser](~/AAAAAQA~/RgRm4tkGP4QpAWh0dHBzOi8vbWVzc2FnaW5nLWN1c3RvbS1uZXdzbGV0dGVycy5ueXRpbWVzLmNvbS90ZW1wbGF0ZS9vYWt2Mj9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZwcm9kdWN0Q29kZT1UWSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXJpPW55dCUzQSUyRiUyRm5ld3NsZXR0ZXIlMkZiYjI4ODU2Yi05NDE3LTVmNDktOTg2Zi1jZGE3MzRhMWM5YmEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~)|[nytimes.com](~/AAAAAQA~/RgRm4tkGP0SxaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjMwOTEyJmluc3RhbmNlX2lkPTEwMjUyOSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xNDQ1MTEmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmT6BlQAZSgL19tSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAw~~)[Continue reading the main story](#a11y-skip-ad-marquee) [Marquee Ad](~/AAAAAQA~/RgRm4tkGP0SYaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MTYyMTM5JmxpPVRZJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1UWV8yMDIzMDkxMiZ0ZT0xJm5sPW9waW5pb24tdG9kYXkmZW1jPWVkaXRfdHlfMjAyMzA5MTJXA255dEIKZPoGVABlKAvX21IbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAD) [Read more from Opinion](~/AAAAAQA~/RgRm4tkGP0TAaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vc2VjdGlvbi9vcGluaW9uP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjMwOTEyJmluc3RhbmNlX2lkPTEwMjUyOSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xNDQ1MTEmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmT6BlQAZSgL19tSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAw~~) September 12, 2023 [Author Headshot] By Alexandra Sifferlin Senior Staff Editor, Opinion Why would a doctor hesitate to use medication for his own health? One such physician, Aaron Carroll, revealed in a Times Opinion [guest essay](~/AAAAAQA~/RgRm4tkGP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8wOS9vcGluaW9uL3dlaWdodC1sb3NzLWFudGlkZXByZXNzYW50cy1zdGlnbWEuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~) that he was once reluctant to publicly share that he’s taking a drug to treat his obesity. “Before writing this essay, I had told just a few people I’m on the drug. I think it’s because, on some level, I still feel shame,” he writes. “I felt the same when I finally started taking an antidepressant.” Carroll argues there are certain health conditions that, because of limited scientific understanding of their causes, have become deeply stigmatized. He shares how, even as a doctor, bias led him to believe that his struggles with obesity and depression were personal failings and seeking treatment would be a form of cheating. Both starting an antidepressant and taking a new drug for obesity improved his health. Carroll isn’t arguing that everyone needs medication. Rather, he points out the perverse ways that medical uncertainty can create opportunity for inaccurate narratives about people’s health to take hold. “Mental health disorders and obesity fall into a bucket of diagnoses that, amid a lack of complete knowledge of their causes, are subject to societal moralizing and stigma,” he writes. “We make assumptions that people with depression aren’t trying hard enough, that people with obesity lack willpower. These stigmas are then compounded by a limited understanding of how their treatments work, leading to further judgments of people who seek them.” Sometimes in medicine there are not clean-cut answers. We don’t know why S.S.R.I.s work for some people and not for others. We don’t know why some people who want to lose weight struggle, and others do not. We don’t know [how](~/AAAAAQA~/RgRm4tkGP0TuaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNi8wNC9vcGluaW9uL296ZW1waWMtd2VpZ2h0LWxvc3MtYWRkaWN0aW9ucy1kZXNpcmUuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~)[exactly popular new drugs for obesity work](~/AAAAAQA~/RgRm4tkGP0TuaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wNi8wNC9vcGluaW9uL296ZW1waWMtd2VpZ2h0LWxvc3MtYWRkaWN0aW9ucy1kZXNpcmUuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~); we just know that they do for many. “What we should focus on is their potential to improve lives significantly, much as they have for me,” Carroll writes. “Medical treatments should not be dismissed just because we don’t fully grasp their mechanisms; people who use them are not cheating.” [Read the guest essay here](~/AAAAAQA~/RgRm4tkGP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8wOS9vcGluaW9uL3dlaWdodC1sb3NzLWFudGlkZXByZXNzYW50cy1zdGlnbWEuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~). 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Carroll](~/AAAAAQA~/RgRm4tkGP0TraHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8wOS9vcGluaW9uL3dlaWdodC1sb3NzLWFudGlkZXByZXNzYW50cy1zdGlnbWEuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~) [Continue reading the main story](#a11y-skip-universal-0) ADVERTISEMENT [Ad](~/AAAAAQA~/RgRm4tkGP0SXaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9NTk3ODUmbGk9VFkmbT1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkNyZwPVRZXzIwMjMwOTEyJnRlPTEmbmw9b3Bpbmlvbi10b2RheSZlbWM9ZWRpdF90eV8yMDIzMDkxMlcDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~) Here’s what we’re focusing on today: Editors’ Picks [To Save My Sister, and Myself, I Had to Walk Away Two siblings learn to balance love and self-preservation. 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Roth](~/AAAAAQA~/RgRm4tkGP0TtaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8xMi9vcGluaW9uL2VkdWNhdGlvbi1wZXJwZXR1YWwtc3R1ZGVudC1sZWFybmluZy5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjMwOTEyJmluc3RhbmNlX2lkPTEwMjUyOSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xNDQ1MTEmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmT6BlQAZSgL19tSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAw~~) [Article Image](~/AAAAAQA~/RgRm4tkGP0TtaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8xMi9vcGluaW9uL2VkdWNhdGlvbi1wZXJwZXR1YWwtc3R1ZGVudC1sZWFybmluZy5odG1sP2NhbXBhaWduX2lkPTM5JmVtYz1lZGl0X3R5XzIwMjMwOTEyJmluc3RhbmNlX2lkPTEwMjUyOSZubD1vcGluaW9uLXRvZGF5JnJlZ2lfaWQ9Nzc2NzQ5NTImc2VnbWVudF9pZD0xNDQ1MTEmdGU9MSZ1c2VyX2lkPWFhNDkxZWY3ZjFkOTY0ZTQ5NzlmYjc4NGU3NGUwMWQ3VwNueXRCCmT6BlQAZSgL19tSG3RyaXN0cmFtYmFsZHdpbjkwQGdtYWlsLmNvbVgEAAAAAw~~) [Continue reading the main story](#a11y-skip-universal-1) ADVERTISEMENT [Ad](~/AAAAAQA~/RgRm4tkGP0SYaHR0cHM6Ly9saXZlaW50ZW50Lm5ld3lvcmt0aW1lc2luZm8uY29tL2NsaWNrP3M9MjAxODEyJmxpPVRZJm09YWE0OTFlZjdmMWQ5NjRlNDk3OWZiNzg0ZTc0ZTAxZDcmcD1UWV8yMDIzMDkxMiZ0ZT0xJm5sPW9waW5pb24tdG9kYXkmZW1jPWVkaXRfdHlfMjAyMzA5MTJXA255dEIKZPoGVABlKAvX21IbdHJpc3RyYW1iYWxkd2luOTBAZ21haWwuY29tWAQAAAAD) [GUEST ESSAY Bayard Rustin Challenged Progressive Orthodoxies Bayard Rustin has been extolled as an avatar of “intersectionality,” yet throughout his career he repeatedly challenged progressive orthodoxies. 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Also: President Biden’s silence on the Trump indictments; football; pornography; plastics.](~/AAAAAQA~/RgRm4tkGP0TuaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8xMS9vcGluaW9uL2xldHRlcnMvbWF5b3ItYWRhbXMtbWlncmFudHMtbmV3LXlvcmsuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~) [Article Image](~/AAAAAQA~/RgRm4tkGP0TuaHR0cHM6Ly93d3cubnl0aW1lcy5jb20vMjAyMy8wOS8xMS9vcGluaW9uL2xldHRlcnMvbWF5b3ItYWRhbXMtbWlncmFudHMtbmV3LXlvcmsuaHRtbD9jYW1wYWlnbl9pZD0zOSZlbWM9ZWRpdF90eV8yMDIzMDkxMiZpbnN0YW5jZV9pZD0xMDI1Mjkmbmw9b3Bpbmlvbi10b2RheSZyZWdpX2lkPTc3Njc0OTUyJnNlZ21lbnRfaWQ9MTQ0NTExJnRlPTEmdXNlcl9pZD1hYTQ5MWVmN2YxZDk2NGU0OTc5ZmI3ODRlNzRlMDFkN1cDbnl0Qgpk-gZUAGUoC9fbUht0cmlzdHJhbWJhbGR3aW45MEBnbWFpbC5jb21YBAAAAAM~) Subscribe Today New York Times Opinion curates a wide range of views, inviting rich discussion and debate that help readers analyze the world. 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