Posted by Shirley on November 18, 2000, at 7:29:42
In reply to Summary of Dr. Jansen's ideas, please!!! (np), posted by pullmarine on November 16, 2000, at 23:41:51
I think John L. could a better job than me but I'll take a quick shot at it.
Basically, before doing what traditional psychiatry does with standard 6 week medicine trials, Dr. Jensen will have you compare different medicines from the same class.
For example, based on the clues that you provide in your history, if he thinks that you may respond well to SSRI drugs, he will have you try Zoloft, Pazil, Prozac, Serzone, and Luvoz for three to five days. He will also provide an antidote of a small dose of stelazine or xanax in case of severe side effects. Prozac is used last because it has the longest half life.
You should know when a match is found because you will feel good instantly. If you find a drug before trying all of them, Dr. Jensen will have you then engage in a full trial for the standard 6 weeks. If none of the SSRI's work, he will move on to a different class of drugs, based on the clues that you provide him.
According to the abstracts that I have seen in Medline, there seem to be other psychiatrists who are doing similar work. But unfortunately, there don't seem to be too many.
My psychiatrist feels that someone can feel well pretty quickly on an antidepressant and says that person will do the best in treatment. He does not attribute it to a placebo effect because he says the good feeling continues. But what's interesting is he says there is no way of knowing which medicines will provide quick relief. I was afraid of mentioning Dr. Jensen but I am going to at my next visit and see what happens.
I wasn't as quick as I thought I would be. Hope this helps.