Posted by OldSchool on December 30, 2001, at 14:06:53
In reply to When One Doesn't Respond Well to ADs , posted by IsoM on December 30, 2001, at 0:35:02
> I don't know if anyone's ever heard of Dr. Sheldon H. Preskorn of the University of Kansas School of Medicine at Wichita. I haven't but there must be scads of pdocs out there who've written books, articles, & columns.
>
> I came across his site in doing a search about diff SSRIs & thought someone may be interested in the information he provides on treating depression when one doesn't respond well to initial treatment. He mentions the combinations that can be used & the strategies used for treating adverse reactions as they arise. He gives a whole range of diff meds & augmentation that could help.
>
> It's the first time I've found such detailed information in one place on the net. It may prove beneficial for those who'd like to discuss further treatments with their doctor. Now you may not need to ply her/him with so many questions that aren't always answered clearly by them.
>
> The site is a chapter out of one of his books. If you're interested, go to the home page & look at the other book & columns he's written that are available on the net.
>
> Cam, Elizabeth, Spike, & anyone else knowledgable, I'm curious what you may think.
> http://www.preskorn.com/books/omd_s11.htmlOne idea when one doesnt respond to meds is to have a SPECT scan and have it analyzed. Sometimes your doctor just cannot accurately diagnose you by going purely by "outward" behavioral symptoms, as is so common in clinical psychiatry. You might have unusual brain function unique only to yourself, detectable via high tech brain scans such as SPECT or PET. Unless you know where you stand as far as a correct dx goes, you probably wont be able to achieve effective treatment.
Poor diagnosis is a common cause of not responding well to your meds. Maybe you were misdiagnosed and are on the wrong type of meds. Or certain meds should be added to your cocktail which you currently are not taking. Or certain meds should be removed and replaced by other meds. Only SPECT and PET scans can really tell your doctor specifically whats going on deep inside that mentally ill brain of yours. Dont take that as a slight...if you have severe mental illness you have poor brain function.
Yes siree, those of us with major forms of mental illness have poorly functioning brains. Like it or not. SPECT can reveal the biological specifics and get you pointed on a more exact dx.
Old School
poster:OldSchool
thread:88204
URL: http://www.dr-bob.org/babble/20011222/msgs/88244.html