Psycho-Babble Medication | about biological treatments | Framed
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I agree サ linkadge

Posted by pseudoname on November 30, 2005, at 11:00:34

In reply to Re: There is no such thing as a magic pill, posted by linkadge on November 30, 2005, at 9:13:47

> Some people ditch the drug that was most likely their best shot based on their search for something unrealistic.

Linkadge, I think this is a great observation, although I would say it applies even more often to PLAUSIBLE improvements than to "unrealistic" ones.

I think "the perfect becomes the enemy of the good" so easily in psychopharmacy because...
(a) we can usually only work on one regimen at a time, requiring that we ditch a good one if trying another
(b) even when we get partial benefit, unfavorable comparisons are still VERY easy for depressed people to make: 付o our own off-the-chart experiences (religious ecstasy, rec drug highs, hypomania, etc); 付o times in our lives when meds gave more benefit (80% compared to 40%, e.g.); 付o other people who seem happier or better-adjusted than we are; 付o theory-based standards (like how an oedipally-resolved man "should" feel about his lover, or how good an NRI-responder's attention "should" be); 付o others' descriptions of their improvement
(c) we sometimes feel justified putting parts of our lives on hold while we wait for a better drug response.

Of these, I think (c) is the most dangerous.

Unfortunately, I haven't had this dilemma because until this month, meds have never given me enough benefit to trade away. But yesterday (in the thread UgottaHaveHope refused to read) I was considering 40% improvement to be a comparative failure. Then I realized, "two weeks ago I would've killed for 40%!"




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