Posted by bleauberry on March 25, 2018, at 6:10:56
In reply to Re: Lyme disease - a neuropsychiatric disease, posted by SLS on March 24, 2018, at 8:48:40
> > That is very interesting. Thank you for that.
> >
> > My personal hypothesis is that most - maybe 7 of 10 - suicides are actually due to a serious brain insult from an ongoing unsuspected tick-born infection, not due to a life crisis.
>
> Where did you get the "7 of 10" statistic? That seems rather high.Good question. Just instinct. Wisdom guided by hard knocks and experience. Maybe it's 8 out of 10, maybe it's 3 out 10, I estimate 7 out of 10, but I think the point that matters is that lyme causes the deep dark depression that leads to hopelessness and suicide. A very popular musician in my area recently blew his head off following 20 years of battling what he suspected was lyme (he had a regular doctor not a LLMD). So I have seen it.
Just an instinctual guess.
>
> > I also commonly see the 'molehill to mountain' phenomenon, where normal every day things which are molehills in your life - issues but not big issues - become unsurmountable mountains. Nothing actually changed except your perception.
>
> Depending on the underlying pathology, CBT will help some people while antidepressants will help others. Ideally, pharmacotherapy and psychotherapy can be employed together.
>
> > For short term or acute management of symptoms these are my general population favorites:
> >
> > Prozac first, Zoloft 2nd.
> > Zyprexa first, Abilify or Seroquel 2nd.
> > Ritalin first, Adderall second.
> > Nortriptyline
> > Alprazolam or Lorazepam
>
> Nice list.
>
> Why did you choose Prozac over Lexapro?I like the way prozac boosts levels of all the neurotransmitters, not just serotonin, and how it synergies with antipsychotics to increase neurotransmitters in ways other SSRI/AP combinations don't. Prozac+Zyprexa for example is amazing on paper. I like that prozac has some extra mechanisms to it besides just serotonin reuptake inhibition. While Lexapro is helpful to many people, I think prozac would have been better for many of them. Prozac has less sexual dysfunction than lexapro and less of the numbing effect, anecdotally speaking. I like the long half life of prozac. And that it is easy to dissolve in juice for custom dosing for sensitive patients to get started or to wean off.
>
>
> - Scott
poster:bleauberry
thread:1097634
URL: http://www.dr-bob.org/babble/20180212/msgs/1097680.html