Posted by linkadge on January 15, 2007, at 13:20:44
In reply to Re: Depressives' sensitivity to stimulants! » med_empowered, posted by SLS on January 15, 2007, at 10:27:31
Not, med empowered, but I am going to comment on various comments.
>For what percentage of people suffering with MDD >or BD do you think they would be good >antidepressants?I think it was interesting that on remedy find, a stimulant was more highly rated than all other antidepressants. Like was mentioned, some of those people had been on one for years.
>Why did they stop?I think they stopped because they found a drug that couldn't get you high. Antidepressants aren't really in the patients best interest, they are just more practical.
>I have seen quite a few. I think you'll find, >though, that the majority have found through >experience that amphetamine monotherapy does not >produce a persistent antidepressant response for >MDD and BD.
To be fair, many of the doctors willing to experiment with stimulants are probably dealing with treatment resistant patients. Treatment resistant patients aren't a fair way to compare drugs, since they have often failed conventional treatments too. Stimulants are never prescribed first line.
>Why the quotation marks given your above >statement?Just becasue a substance has a potential for abuse, doesn't mean that it always leads to abuse.
The benzos are a good example. There are people who have used theraputic doses for years. I don't think a doctor should cut off a trial of a benzodiazapine just because it has abuse potential.The SSRI's have become the treatment modality for anxiety disorders to replace the benzodiazapines for the express reason that they are less addictive. This doesn't imply that the SSRI's are any more effective for anxiety disorders, only thay they are perhaps safer (or at least they are promoted as being safer). Another example would be how the SSRI's have replaced the TCA's dispite any significant proof of superior efficacy.
>Perhaps you are - not me, thanks.Well it seems SLS, that you have had some of the most open, understanding, and experiementive doctors available. If your doctor said, I won't prescribe an MAOI because they are unsafe, then you would have been screwed.
>Too apathetic to function? Too damn bad. Take >your Paxil and shut up.Its true. With depression, doctors just reach a point, then they conclude you are a complainer and that your suffering is somehow your own fault.
>This has not been my experience with >psychiatrists, and I don't think I could agree >with such a generalization. If you have been >treated this way, then you have not been given a >fair opportunity to achieve wellness.There are a lot of people who have not been given a fair opportunity to achieve wellness. 3-5 minaute psychiatris appointments once every 6 months would be a perfect example.
> That, I think, is the problem: shrinks really >don't respect or value their patients.I would agree. I think they just get tired of hearing people complain, esp. since they know most of their drugs are placebos.
Linkadge
poster:linkadge
thread:721931
URL: http://www.dr-bob.org/babble/20070113/msgs/722546.html