Posted by Lorraine on August 10, 2001, at 0:21:33
In reply to Re: Update » Lorraine, posted by Elizabeth on August 9, 2001, at 16:42:05
> > > That still leaves room for a lot of diversity. "Depression" is a big umbrella.
Too broad an umbrella for drug selection efficacy, but not for CBT--which is how this group is oriented.
> > I may end up doing that and basically taking my whole dose in the am.
>
> That might be helpful, although once you are at steady state, it shouldn't make much difference at what times you take it.That should have been the case with Effexor also, but wasn't. I think sometimes there is more of a kick shortly after the drug is taken---although, honestly, if I took Effexor at 11 am I was fine with sleep at 3pm, I had difficulties.
>
> > >Some people are just sensitive to side effects without having any sort of metabolic quirk.Wouldn't you then expect that they would not reach a therapeutic dose before having side effects? You're right; it could just be sensitivity to side effects although low doses of some drugs, Effexor and Adderal, did work. I'll have to see what the break down is of drugs I've quit b/c of side effects and drugs I've abandoned b/c I could only achieve a partial response.
>
> > > Clicking is important especially if you need to be vulnerable to make progress, but my experience with CBT is that vulnerability and disclosure aren't as important and so "click" isn't either.
>
> Yes. I think that CBT tries too hard to take the "click" out of the picture -- to be uniform regardless of the personality of the therapist -- probably because cognitive-behavioural psychologists would like to be able to claim "objective" results. (Of course, these results are rated in a completely subjective fashion.)The CBT people I have seen act more like teachers than therapists.
>
> > elizabeth, did you get SA as a result of having early onset depression?
>
> No, I wouldn't say so.That's a stroke of luck, I'd say. The other kids didn't know about your depression and your depression didn't make you an odd duck socially? Good for you.
>
> I've found that most sedating drugs stop working after a couple days, so that I need to increase the dose. Ambien is the one exception.I'll keep that in mind. Thanx.
Lorraine
poster:Lorraine
thread:67742
URL: http://www.dr-bob.org/babble/20010809/msgs/74427.html