Posted by yxibow on October 21, 2006, at 1:59:24
In reply to Re: seroquel..., posted by Phillipa on October 20, 2006, at 19:09:50
> Why is schizophrenia being compared to depression? Anxiety leads to depression. Control anxiety and hence no depression at least that's the way it works for me. I guess I must be a wierdo. Love Phillipa
Everybody comes into this life with a different package... you're not a wierdo and you know that, Jan. What I think you're implying is that you have secondary depression concommittant with primary anxiety. That is, the fact that you have an anxiety disorder and you have challenged various medications, depresses and worries you. That isn't so hard to believe. But I would argue that medication is not the only part of a treatment plan in that case. Therapy can play a crucial role too.
Schizophrenia isn't per se being compared to depression at least from my take; it is just that some forms of psychotic depression, manic depression, and even MDD may require augmentation with a neuroleptic, hopefully an atypical to reduce the chance of EPS in affective disorder patients. And yes, I know, Ed, that atypicals carry a greater risk of diabetes. That is why it is important to have a collaborative relationship between your psychiatrist/psychopharmacologist and your general practitioner. I get regular screenings more than once a year. I also spend hard hours when I can in the gym and I attempt but dont always succeed to control my intake, which is definately enhanced in my opinion with Seroquel. This doesn't mean it can't occur all of its own; in fact it is. I'm fighting intake, and lipid changes as well. Excercise does do it, but I'm talking about flat out 15% grade walking at a clip in the gym. This isn't a one size fits all solution for some people -- genetics partially will determine diabetes risk in the first place.
Its a tradeoff; unknown to 2%+ or so TD risk (done with several studies, including a British journal), with lipid changes in -some- of the atypicals, or 10%, 20%, 30% TD risk, or more with high potency old line drugs.
Everything is a tradeoff; drugs that are meant to save peoples lives like chemotherapy, or amiodarone for arrythmia (the thought of my father having to inject himself for two weeks with that medication was mind boggling to say the least) which carries big side effects, it is an informed consent to take, and a choice to weigh sometimes between life with some negative outcomes, or death, which is entirely in the choices we make. I digress, but it is a frequent topic.-- tidings
Jay
poster:yxibow
thread:696107
URL: http://www.dr-bob.org/babble/20061020/msgs/696457.html