Posted by Cairo on March 9, 2006, at 20:44:27
In reply to Re: The Truth Do SSRI's and SSNRI's Work For Anyon, posted by linkadge on February 27, 2006, at 17:42:53
In many families, support is there for depression/anxiety before meds are tried, so I think you can tell if it's the medication that is helping.
We have jumped through hoops with social skills training, CBT, diet, etc. for my daughter's social phobia. Tried Librium, and school refusal disappeared immediately. Started her later on Lexapro and she was a different kid (not 100%, but at least 40% better). Same social skills training, same CBT, etc. Switched her to Zoloft because Lexapro was way too sedating and voila, we've added another 30% within a week. I don't believe she is that disingenuous to fake getting better or not.
I think in some people who are sensitive to doses, the side effects or quitting prematurely prevent them from ever reaching a therapeutic level so they don't see improvement, but label it a "failure". In others, it just simply may not be the right SSRI/med. Granted, there are those whose situation is so multifaceted that they may not do well on any med. But why generalize about meds? You'll get the good, the bad, and the ugly with all meds, depending on the patient you're looking at. We're still in the dark ages, as far as meds go.
"Can'st thou not minister to a mind diseased?
Pluck from the memory a rooted sorow,
Raze out the written troubles of the brain,
And with some sweet oblivious antidote
Cleanse the stuff'd bosom of that perilous stuff
Which weighs upon the heart?" - MacBethWe all wish.
Cairo
> Well, just to play the devils advokate:
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> >Friend #1: Same family and social circle as >before Paxil. There were mprovements in his >social life that kicked in after his depression >improved.
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> Depression resolved on its own, or due to the system of reassurance provided by a caring physician plus placebo effect.
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> >Friend #2: Given the same life circumstances, >she is calmer and more balanced on meds. She's >gone on and off enough to clearly know the >difference.
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> She's gone on and off enought to know she's addicted.
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> >Same friends, same family, same doctor, same >job. Different drug.
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> Different drug = new placebo with a less burdonsom side effect profile.
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> >Her husband and kids were always good. She said >had a good life and was chronically depressed >and anxious for no apparent reason. Enter Prozac.
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> Again. Enters a system of support.
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> >At least for these folks, it's not coincidence.
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> Theres no way to proove either way. The placebo effect is very strong. So strong, that study designers look for good ways to downplay their effects. I watched a show. Its funny to see how people will swear by their placebo's!
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> Linkadge
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poster:Cairo
thread:613775
URL: http://www.dr-bob.org/babble/20060304/msgs/618104.html