Posted by SLS on January 25, 2001, at 10:27:57
In reply to Re: Effexor Poop-Out or situational distress?, posted by Noa on January 24, 2001, at 12:17:14
> Racer, I doubt it is poop out. You have all the MAJOR stressors going on all at once. You uprooted yourself only to find yourself unrooted in your new place. Nothing is anchoring you. YOur horse dying has got to be traumatic. Your SO's possible deportation has got to be frightening. And no job to anchor you, let alone pay the bills and get insurance.
>
> Everything is up in the air, in other words. How much stress can a person take without going nuts (pardon the expression!)??!!
>
> You need some extra help, support to help you figure out how to cope with all of this. Death might seem like a tempting option but it's not, of course. Your mind, if it is like mine, goes in that direction easily now, having been down that road before. Now, when so much is feeling unbearable, it seems natural to start thinking like that.
>
> But if you are thinking like that, it is a MAJOR RED FLAG that you need more support pronto!!!
There is a phenomenon known as medication "break-through". This is not a good thing. Medication break-through can occur due to the development of stress, whether acute or chronic. A previously effective drug and dosage can no longer maintain an equilibrium within the brain, and the depressive dysregulation is allowed to reappear.So, yes, it is very likely that you have experienced a medication break-through due to stress as opposed to a medication "poop-out". One of the strategies used in these situations is to simply raise the dosage of medication.
This dynamic makes a good argument for combining psychotherapy with pharmacotherapy, a treatment strategy that has been demonstrated consistently to be more effective than medication alone.
I hope everything falls into place for you.
Sincerely,
Scott
poster:SLS
thread:52241
URL: http://www.dr-bob.org/babble/20010122/msgs/52512.html