Posted by Don_Bristol on May 11, 2006, at 8:52:45
In reply to Re: Will Parnate *prevent* a major depression?, posted by willyee on May 10, 2006, at 22:29:20
> I agree with linkadge,a long depression episode
> doesent neccsarly mean the drug did not do its job,
> like he said for all unknown purposes the med could
> have prevented numerous breakdowns, unfortantly
> depression does break through most barriers, meaning
> even the best drug is unlikly to keep one from
> totaly relapse ever.
>
> To change it that quickly is drastic, id instead see
> if it continues, unless u respond well in the past
> to most meds,u wanna stay on a drug if possable.Willyee thanks for your reply and thanks to others too who have replied. I'll reply only to you (but I also intend this to be to the other people too) as you have sort of included some of the other comments.
I have dysthymia and anxiety attacks. I also have an obsessive personality (which is not OCD). I had a major depression after my father died 5 years ago.
This year I had all sorts of stuff happening in my life like suicides of family members an my girlfriend leaving me (I then became isolated as Ihave no other friends locally) etc etc etc. I slipped into a really bad major depression.
I got a new p-doc. He is experienced and is the head p-doc of a reasonably large psychiatric hospital. But he is not perfect and he is also very busy with hospital things and he can not spend a lot of time on each of his patients.
He says that in some parts of the world there are people going through mega-crises (such as civilians in horrific war zones) and many of those people do not need the degree of support I seem to need and they don't go into depression the way I did.
He kind of sees it as inevitable that I (as a more fragil eperson) went into depression on account of the life crises which occurred.
He then says that this is due in large part to my neurological makeup (I think he doesn't want me not to feel too much personal blame for life experiences and traumas and all that formative stuff so he is sticking to biochemistry).
And so he then concludes that the meds were no help to me and so I should change them.
WELL .... I kind of feel that most people in the same circumstances might well have gone into depression as I had no community support and the health services did not provide any social support which most people would have in normal life.
Who is to say any othe med might have been better in my case? I want to know from him why some sort of supportive interventions were not undertaken. but this is the UK and we have state health provider and not having enough resources is sort of acceptable in the way that it migth not be an acceptable explanation from a private health provider who gets money precisely to provide a result.
So my question is ... will a med (Parnate in my case) prevent depression because if so then he might be right in switching me away from it as it didn't work. However I am only on 50mg Parnate so I suppose he could increase it.
HMMMM ... I wonder why it was not increased at the time I was having trouble and slipping into depression? What I was given was some olanzapine which I found VERY sedating even at very low doses and could not continue to take.
Oh well. I hope some of that makes sense as I feel I am starting to ramble a bit and I am coming up with new thoughts as I write so it might seem that the topic is shifting and the questions are not closely related.
Don
poster:Don_Bristol
thread:642302
URL: http://www.dr-bob.org/babble/20060510/msgs/642532.html