Posted by Cairo on January 16, 2006, at 22:34:37
In reply to Re: Social Anxiety -- Out of options... » Cairo, posted by mattw84 on January 16, 2006, at 1:28:52
One thing I've thought about is that older pdocs who were around before SSRIs showed up may have had experience with BZDs, while younger ones only were breastfed with SSRIs in their training. My 50ish pdoc isn't afraid to prescribe them because he said he had extensive experience with them before many of the SSRIs came out and that some of his patients simply do better on them than SSRIs. Good guy who listens to his patients, not the drug reps.
The contrast is my daughter's FORMER pdoc, younger fellow, who rolled his eyes when I mentioned BZD for social anxiety as being a "gold standard". He wanted to know where I heard that and said that he hasn't had a patient who didn't respond to an SSRI. Poor chap musn't have had much of a practice load to come across those who don't respond to SSRIs. He rolled his eyes alot at many of my questions. If he does that with everybody, maybe his patients don't want to tell him they're not responding well to SSRIs 'cause they might get the 'ole eyeball treatment (makes you feel like you did something wrong or stupid).
We found an older female pdoc now who is more open in her prescribing habits, but appropriately cautious. It was actually my daughter who did not want to continue taking the Librium prescribed for her for social anxiety in an acute situation.
We've been through three pdocs for her. Someone once said on this forum that for every graduating medical class, remember that 50% are the LOWER half of the class. I'll add that pdocs are not immune to the same foibles as regular folks. Some don't listen, some are hard-headed.
Cairo
poster:Cairo
thread:598894
URL: http://www.dr-bob.org/babble/20060115/msgs/599855.html