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Re: Scott- what to add? » Christ_empowered

Posted by SLS on May 20, 2012, at 0:29:35

In reply to Re: Scott- what to add?, posted by Christ_empowered on May 19, 2012, at 21:33:31

> All I ws trying to say is that if you can get things under control with a couple of pleasant drugs,

What things need to be controlled? Which of these things would tramadol be able to control?

> that beats cocktails with less-then-pleasant drugs.

That depends upon the objective. If the objective is to put out a forest fire, you don't show up with a tiny squirt-gun. The fire will surely spread and cause damage if the squirt-gun is tried first. So, I feel that the less-than-pleasant drugs that you refer to do indeed beat tramadol.

> Since sheila doesn't seem to have full-blown mania

How would you characterize it, then.

> psychosis

Psychosis is not a required symptom to make a diagnosis of mania. and is not necessary to justify its aggressive treatment.

> agitation

Even agitation is not a required symptom for diagnosis. There are very happy manics who are not psychotic or agitated who can function despite their delusions of grandeur and expansive, racing thoughts. Of course, their lives often fall apart. Not good.

I don't know what SC experiences, but, apparently, it is significant enough to require treatment with two mood-stabilizers that are currently judged to be effective for treating mania. Perhaps tramadol could be considered for the depressive symptoms of the illness. As I said, though, without control of the mania, affective stability is compromised, and depression will often emerge as a result.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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