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Re: nortriptyline+sertraline+methylphendate SLS

Posted by undopaminergic on September 10, 2023, at 1:02:02

In reply to Re: nortriptyline+sertraline+methylphendate undopaminergic, posted by SLS on September 5, 2023, at 7:50:28

> >
> > I'm not sure how you differentiate palliative and therapeutic.
> This might be a useful example:
> Social Anxiety Disorder:
> - Therapeutic (Nardil): The remission of all psychological and somatic symptoms of Social Anxiety Disorder.
> - Palliative (Xanax): A treatment modality that is meant to reduce the symptoms of anxiety in Social Anxiety Disorder while searching for an effective treatment for the disorder itself.
> > Methylphenidate (and the like) produces a fast response.
> Absolutely, but you have not attained remission with any of them.

Complete remission? No. Partial remission? Yes.

In fact, methylphenidate (and the like) attacks the absolute *core* symptoms right away.

> Why else would you stop taking them?

It wasn't my intention to do so.

> These drugs are only of palliative value to you. Any other semantics are moot.
> Like I said, you can give 10 different people the same drug and get 10 different reactions. I imagine a very, very small percentage of people glean a true therapeutic antidepressant response using methylphenidate monotherapy. At best, methylphenidate serves as a true adjunct to other drugs to produce a true remission. This is not the case with you, though. For you, I see methylphenadate as being palliative.
> Since I'm not inside you, I can't know what remission feels like for you. I only know what it feels like for me. I'm not entirely sure that you know what remission feels like for you, though. You may have forgotten.

I have an abstract understanding of what remission is for me, but I can't recall the feeling itself.

> If you can remember a time when you felt best, either before or after the onset of your illness, it might be critically important for you to re-experience that state of consciousness.

I did re-experience it once, when I was (hypo)manic.





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