Posted by jay on August 2, 2003, at 2:38:27
In reply to Re: Some hope and help for an anxious-depressive.... » jay, posted by Dinah on August 1, 2003, at 2:55:29
> I'm glad you had a positive experience, and got some useful ideas for your medication management.
> What they said about NE certainly holds true for me. I appear to have about as much NE as my body can stand. Any medication that targets it immediately makes me unbelievably agitated.
> Good luck!
Hey thanks very much Dinah. As I said above, there is something very therapeutic about 'purging' you story, and having professionals inquire deeply into it. Plus, the medication analysis was really awesome, very "evidence based", which seems to be a key word in most good high quality research centers. There was very little room for a prejudice judgment, and very open minds using the arts of science and empathy. An amazing combination, for sure. It sure beats my last two psychiatrists (whom I don't see anymore...as my GP looks after my medication 100's of times better than those arrogant, condescending old men.) And yes, I wish there was more research about possible problems with norepinephrine targets and certain meds. Hopefully, it may be something folks can keep in mind, and maybe use this as a guide. I have had problems with both Zoloft and Paxil, and I remember reading that Paxil in particular has some norephinephrine based qualities. I honestly suspect that may be why for it's indication of 'Anxiety States' and 'Social Phobia' haven't worked out in terms of massive amounts of people praising Paxil. Zoloft had this up/down effect that someone else mentioned, on me. I think it may have something to do with it's short half-life, as well as it's effect on Dopamine. If you can imagine say a small amount of dopamine receptor stimulation spread through a short half-life, plus it's powerful effect on Serotonin, that could have many different, uneaven effects during the day. Maybe they need a Zoloft ER/XR?
It also reminds me to say, folks, if you are unhappy with your current treatment and mental health provider, you *deserve* much *better*...you deserve *the best*. Fire them, and don't stop seeking further help until you feel you are getting the best. I am actually quite stunned of the deeply restrictive and paternalistic, demeaning attitude of many psychiatrists. Not only should they take some time in each session to ask *you* how you feel, but should lose the attitude when it comes to your treatment. What I don't understand, in particular about treatment with benzos and even opioids, is there *is* some research that extends their validity in psychiatry. I find it *really* sad that doctors in the U.S. have to submit their paperwork to another government agency. It further creates an atmosphere of judgment, fear and even shame. For the most part, *good* doctors are by nature most likely to use excellent judgment when it comes to prescribing benzos and narcotics. Just because the rare ones can be 'bought' doesn't mean everyone should suffer. I'd really like to hear from others about mental health treatment in Europe, besides the U.K., as those countries general 'openness' and progressive social systems may offer even further great benefits.