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Re: Drugs versus Psychotherapy - Backlash? » linkadge

Posted by zeugma on April 20, 2006, at 9:02:56

In reply to Re: Drugs versus Psychotherapy - Backlash?, posted by linkadge on April 20, 2006, at 8:15:27

> In either case, I don't really see the problem as lying in a malfunctioning uptake system.>>

The evidence seems to be that the uptake systems are associated with drug response, if not with the disorder itself:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15939518&query_hl=211&itool=pubmed_docsum

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16005136&query_hl=212&itool=pubmed_docsum

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15993855&query_hl=215&itool=pubmed_docsum

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15337646&query_hl=230&itool=pubmed_docsum


I suppose the key is the ability to attain a homeostatic state that has the same functionality as an euthymic individual's.
>
> I remember reading somewhere that a fair portion of tested depressed patients had an abnormality in the TPH-2 gene (tryptophan hydroxylase)(or something like that) which coded for a much lower level of serotonin synthesis. That might explain things better.>>
>

There are likely abnormalities at all levels of neurotransmission. At some point psychiatrists will stop using trial and error and use genomic evidence to treat particular patients. I believe very strongly that the current pharmocopoeia is not used to maximum benefit because this information is not routinely used to guide treatment. It is certainly easier to study gene effects on treatment response, than to design new drugs.

-z
>


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