Posted by SLS on January 17, 2013, at 5:05:56
In reply to Lou's response-ehynupsng » schleprock, posted by Lou Pilder on January 16, 2013, at 20:05:04
> > Looks like Lou was right...
> schleprock,
> You wrote,
> [...Looks like Lou was right..].
> Friends, if you look at the liturature in regards to psychiaric drugs, a lot of them have in their PI that the drug could worsen depression.Yes, when an antidepressant is not a good match for the idiosyncrasies of one's neurobiology, a worsening of depression is a possible outcome. We see this here quite often amongst a population of treatment-resistant people who have been exposed to numerous drugs. I think this association is an artifact of the greater number of drugs tried per individual. Along with this is the supposition that the biological diatheses of treatment resistant cases leaves one more likely to display unusual neurobiological states in reaction to specific drugs. However, this cannot be generalized. Two people can react in opposite ways to the same drug.
One thing that is too-often overlooked is that there are cases in which a severely depressed individual longs for death, but who doesn't have the energy nor cognitive resources to plan and attempt a suicide. It is this severe depression that actually prevents the individual from forming a plan and having the energy to executing that plan. It happens quite often that as someone is just beginning to respond to treatment, they gain the ability to form plans and have the energy to succeed. At this point, the individual may not be well enough to feel any less frustrated, demoralized, sad, angry, helpless, or hopeless. In his mind, nothing has changed in his life in the 14 days it takes to begin responding to drug treatment. The first 3 - 4 weeks period is therefore a dangerous time for people who are just beginning to feel more intellectually and physically energetic. It is incumbent upon the doctor to explain this before initiating treatment, and to schedule weekly visits to evaluate the extent to which the patient is experiencing sucidal thoughts. A doctor might treat a patient with a drug to reduce the anger and anxiety that is driving such thoughts by using a short course of benzodiazepine treatment. Psychotherapy can be very important during this time. Once through this dangerous period, an antidepressant drug can rescue someone from their disabling and painful existence and transform their life into one of joy and fulfillment.
Lou Pilder: When you were treated with psychotropic medications, in what ways did you become suicidal?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1035620
URL: http://www.dr-bob.org/babble/20130112/msgs/1035666.html