Posted by linkadge on November 5, 2006, at 21:07:26
In reply to Re: wait a second? » linkadge, posted by Squiggles on November 5, 2006, at 16:54:05
>Even if you are right, which in some
>of the more extreme examples you are--
>once depression or anxiety or manic-depression
>begins, there is a change in the brain which
>may not be irreversible;
Not necessarily if the mania is drug induced. There is no evidence that drug induced mania is associated with all of the of biochemical abnormalities seen in geniune bipolar.
>no more irreversible
>than if it were genetic or "endogenous".
>You still need to be treated as if you
>were a natural born bipolar.
Thats where I disagree. Consider an anticholinergic drug like cogentin. It will make people really dumb. Drug induced dementia. But it is not permanant, and while it may look exactly like alzheimers, it abates completely when the drug is removed.
Same thing goes for stimulant psychosis. Stimulant psychosis eventually abates upon withdrawl of the stimulant. Antipsychotics are not necessary long term.
So, if you treat a drug induced state like a real one, you may not be doing the right thing. You may be drugging somebody unnessicarily.