Posted by SLS on January 10, 2001, at 18:10:26
In reply to Re: Stuff., posted by MarkinBoston on January 10, 2001, at 13:18:12
Dear Mark,
> > 1. The treatment resistant are a minority to begin with, so each subcatagory is yet smaller.You are right. I sometimes lose perspective regarding treatment of the general population during their first episode. I have been so focused on treatment-resistant cases, that I often think of them as the reference population.
I don't understand what you mean in the clause, "so each subcatagory is yet smaller".
> > 2. My doc, at the signs of 1-2 SSRI non-response will go to multi-drug therapies blanketing what the failed drugs do not affect, and to a high dose in order to elicit the fastest response. The components with intolerable or undesireable side effects as noted while titrating up can be dropped or substituted. Provided a response occurs, eliminating non-contributing drugs (usually starting with the one's least tolerated) then reducing dosage can be done until response declines. Shoot first and ask questions later when finesse' fails.
> I like this approach if the patient is informed & consensenting. Particularly if, as in my case, only meds will provide relief from a lifetime of chronic depression (& there are no 'issues' involved).
>
> I only wish this sort of approach (where appropriate) was practised more widely over here in Britain. There's just NO sense of urgency.
>
> Jah.
I'm with Jah. I really, really like this approach.Thanks.
- Scott
poster:SLS
thread:51307
URL: http://www.dr-bob.org/babble/20001231/msgs/51396.html