Posted by Bob on March 27, 2002, at 22:13:16
In reply to What causes med poopout the worst, posted by OldSchool on March 27, 2002, at 21:04:17
> However, I have my own personal beliefs concerning the biggest reason why meds poop out. I believe the SINGLE biggest reason why ADs stop working good is what I dub the "start and stop" phenomenon. When you go on an antidepressant for a while, even for a short period of a few weeks, then stop it, then restart it, it seems like it almost never has the same original "punch" or activation it had in the beginning. one of my psychiatrists once told me that repeatedly starting and stopping the same antidepressant, particularly within a short time frame, was one of the worst things you can do if you are depressed. I agree with him. He told me that doing this, "does things" which makes the meds not work good.
> Old School
Well that's just f'in great. If psychiatry thinks it's so bad to start and stop meds, then what the f are we supposed to do when all they can offer someone is trial and error to find the correct med, or med combo. What is their solution to the med merry-go-round lottery??? Saying you shouldn't start and stop meds is like saying you shouldn't breath any polluted air because it might give you cancer. Sorry, but that's life, and there's no way around it right now.
Until the meds themselves get more effective with less debilitating side effects, and they come up with some way to figure out what med is good for what individual on the first try (which could be a hundred or more years off the way it's progressing), there's no use in even making that statement!!! Say the first med they gave you was Remeron, and it caused you to gain 35% body weight, as well as gave you anger problems, and didn't control your OCD problem, what would you do... continue on that med until the end of your life so that you wouldn't have to change and make it worse? No. The meds today are often leave us so compromised, that we as human beings eventually feel that there has to be something better than what we are going through. The fact that people are going on and off meds is a giant red flag for the inability to diagnose, describe or understand our diseases and the treatments. How many other diseases are there where people feel the need to go on and off meds?
This is not a personal attack on you, Old School - I'm just venting about the state of psychiatry and our plights.