![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Squiggles on August 26, 2007, at 0:05:28
In reply to Re: My Feelings Are Hurt, posted by sam123 on August 24, 2007, at 17:41:22
I am hoping that the mental health departments have resources ready to prevent suicide when discontinuing patients from chronic antidepressant medication.
This kind of practice is now done on an out-patient basis these modern times, which can have its advantages, as well as disadvantages; for example Dr. Torrey's caution about anasognsosia[?] of a suicidal state.
I am putting my trust in the hands of the professionals now as i have been asked to.
http://www.bcma.org/public/bc_medical_journal/BCMJ/2002/november_2002/Part2Principles.asp
Posted by sam123 on August 26, 2007, at 0:05:28
In reply to The Psychiatric Mystique » sam123, posted by Squiggles on August 24, 2007, at 18:10:59
> I am hoping that the mental health departments have resources ready to prevent suicide when discontinuing patients from chronic antidepressant medication.
>I hope so, too. However, take a look at the withdrawal page. Countless people, despite being told not to stop cold turkey, do just that.
Posted by Squiggles on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique, posted by sam123 on August 24, 2007, at 18:17:57
> > I am hoping that the mental health departments have resources ready to prevent suicide when discontinuing patients from chronic antidepressant medication.
> >
>
> I hope so, too. However, take a look at the withdrawal page. Countless people, despite being told not to stop cold turkey, do just that.
Even with a gradual discontinuation, the onset of an abrupt dive into the abyss, can happen; prodromal signs can and have taken place for months, but without being covered by an antidepressant, it's Russian Roullette. When I first experienced depression it was out of the blue and direct sinking into an altered and dangerous state of consciousness. Does the patient have the presence of mind to even pick up the phone in that state? I didn't. I actually rushed into the road in front of a car to escape the suicidal feeling, but (someone must have guided me) decided to make a righ turn to what then to my great serendipity, was an existing nearby hospital.
Posted by jhj on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique » sam123, posted by Squiggles on August 24, 2007, at 18:35:40
Hi folks,If I am not mistaken, this thread was started by fivefires and is about joining the trial of drug which fivefires is taking and now you have started discussing about suicide prevention.What is this?
Posted by Squiggles on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique, posted by jhj on August 25, 2007, at 2:46:01
Sorry, don't know how that happened-- can i erase
the post or move it?Squiggles
Posted by jhj on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique » jhj, posted by Squiggles on August 25, 2007, at 6:50:28
Hi Squiggles
i do not think there is any need to do either of those things.I just wanted to say that what fivefires has said is very emotional.So,it does not look good to start discussing other topic.That person might feel hurt that nobody is paying attention to the things said by him or her.Thanks
Posted by sam123 on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique » sam123, posted by Squiggles on August 24, 2007, at 18:35:40
> > > I am hoping that the mental health departments have resources ready to prevent suicide when discontinuing patients from chronic antidepressant medication.
> > >
Does the patient have the presence of mind to even pick up the phone in that state? I didn't.So how can mental health departments help if you will or cannot ask for help ?
Posted by Squiggles on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique, posted by sam123 on August 25, 2007, at 12:41:22
> So how can mental health departments help if you will or cannot ask for help ?In cases of withdrawal, being treated in a hospital until the job is done, would eliminate the dangers of street accidents or lone self-help situtations. As things stand a patient in withdrawal, or a risky med switch may get as much as a visit a month at most. I think that mental health care has become casual and given the public impression of safety under the new "superiour and safer medications", so that hospital care is no longer needed.
Money is probably at the bottom of it or lack of it, and fortified by the idea that freedom is what the system is really giving to the patient on drugs. He can do as he likes is equivalent to he needs less expensive hospital care to make sure that what he is doing is safe.
Squiggles
Posted by Fivefires on August 26, 2007, at 0:05:29
In reply to Re: The Psychiatric Mystique, posted by jhj on August 25, 2007, at 2:46:01
Yes ur correct jhj.
I posted, I think the wording was, Abilify Day 1.
I am not discontinuing anything.
I don't have suicidal ideation.
tks
5f
Posted by 10derheart on August 26, 2007, at 0:05:29
In reply to The Psychiatric Mystique » sam123, posted by Squiggles on August 24, 2007, at 18:10:59
Did you post your post re: The Psychiatric Mystique as a reply to Fivefires by accident? That is, you really intended to start a new thread?
If so, I can put on my deputy hat and try to separate these posts out as a separate thread. Not sure if I can make it work, but I can try, if you like?
Posted by Squiggles on August 26, 2007, at 0:05:30
In reply to Squiggles - a question » Squiggles, posted by 10derheart on August 25, 2007, at 22:04:54
> Did you post your post re: The Psychiatric Mystique as a reply to Fivefires by accident? That is, you really intended to start a new thread?
>
> If so, I can put on my deputy hat and try to separate these posts out as a separate thread. Not sure if I can make it work, but I can try, if you like?Yes, that's right; i think i had landed on that post and posted my own topic -- but no relation;
sorry about that;Squiggles
Posted by 10derheart on August 26, 2007, at 0:05:30
In reply to Re: Squiggles - a question » 10derheart, posted by Squiggles on August 25, 2007, at 22:09:34
Posted by sam123 on August 26, 2007, at 14:03:04
In reply to Re: The Psychiatric Mystique » sam123, posted by Squiggles on August 26, 2007, at 0:05:29
I think piutting everyone in the hospital when they change meds is unreasonable and is likely to cause people to not seek treatment. Some may need this level of monitoring but many change meds without significant trouble.
You are slamming mental health professionals but they are not the ones who PAY for hospitalizations. Patients and insururers pay, and often neither will or can afford this.
Absolving patients of any responsibility in their treatment does not sound reasonable.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.