Psycho-Babble Medication | about biological treatments | Framed
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Re: Remeron questions

Posted by Toby on November 16, 1998, at 14:30:00

In reply to Remeron questions, posted by DL on November 15, 1998, at 22:59:36

1. They used to think depression could be treated for a year and then stop the medication and all would be well. Now, however, we know that depression tends to recur over and over. Now we say in general that if it's a first episode that fully responds to medication, that a person CAN stop it after about a full year's recovery. If it comes back (even years later) then the person should stay on an antidepressant forever.

2. You may lose weight if you stop the Remeron but you can't predict what would happen to the sleep or depression, but I would bet they would both return, especially if stress is still high in the environment.

3. Many people take Remeron and Klonopin together and do fine. Remember you are sensitive to medications and probably especially combinations of medications, so you would want to take tiny doses of Klonopin during the day for the speech problem if you did decide to try it again.

4. The higher the Remeron dose, the less drowsy and the less weight gain you get.

5. Yes, on the EMDR. The past is still there. If you want to someday decrease the need for meds and therapy and all that, you still need to put the past where it belongs... in the past. My goal is always to get the patient away from psychiatry if they can. I don't feel that people have a "psychiatry deficiency." I don't want repeat business (especially if it's something we could have fixed and just didn't) and I don't think psychiatrists should just treat the symptoms without treating the underlying problems, too. You need to address those abuse issues and once and for all send them packing and then if you need medication because you've got a chemical imbalance, then fine. If the chemical imbalance resolves along with the past, then better.

6. I suppose the new company could refuse therapy if they don't provide for it, but if the policy provides for it, I don't see why or how they could refuse medically necessary treatment.

I'm glad some things are coming together for you. Hope the other things resolve quickly and to your benefit so you can move on to actually living life in the present, rather than haunted by the past or worried to death by the future. Hang in there.




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