Psycho-Babble Medication | about biological treatments | Framed
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Re: Andrew

Posted by SLS on May 20, 2000, at 15:47:32

In reply to Re: Amineptine substitutes - Andrew, posted by AndrewB on May 19, 2000, at 16:05:10

Dear Andrew,


I hope you are feeling a bit better today.

I wanted to write just to offer some comfort and support.

I wouldn't want to comment at this point on the desirability for you to receive psychotherapy. I just would like to say that having a healthy brain does not guarantee having a healthy mind. The mind is a dynamic entity. I am always seeking to improve the way I interact with myself and my constantly changing environment. It is a skill that can be developed.

The depressive state produced by autonomous anomalies of physiology alters the workings of the mind. You already know this. It very difficult, perhaps impossible for some, to separate the biological from the psychological as they are inextricably linked. The potential to successfully address the psychological, emotional, and behavioral is limited by the alterations of the conscious state produced by depression. If one is refractory to treatment and must endure such a depressed state, they have no better option than to attack their psychological issues despite it. For you, this is not entirely the case.

Your conscious state is alterable by the drugs you now have in your possession. I recommend that you first optimize your biological state before you attempt to evaluate and treat the psychological (should you feel the need to). For now, I would just look to recover the best antidepressant response you know how to achieve, and make stability your immediate goal. Don't worry too much yet about how much residual dysthymia, social anxiety, or other features of depression/fatigue that will remain. You will be in a better position to decide how to deal with it once you are out of the darkness and recover your good judgment.

Reboxetine + amisulpride

No amineptine.

St. John's Wort sounds good. I am eager to find out how you respond to it. I would think it a good potentiator of amisulpride.

I have some thoughts regarding you Mirapex experience, but I'll leave that for some future correspondence.

You can write me if you want to.

There is no need for you to feel disparate.

Please get well.


Sincerely
Scott

sl.schofield@worldnet.att.net

 

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