Posted by Geezer on September 23, 2002, at 19:56:54
In reply to atypicals, posted by moxy1000 on September 23, 2002, at 18:11:42
Moxy,
All good points. Drug companies must apply a risk to benefit ratio and if they end up on the wrong side of the profit line they won't be around long.
I think what we are referring to as "atypical depression" is actually the atypical features specifer that might be applied to the major depressive episode in either Unipolar or Bipolar disorder. I have read somewhere that it is very common in Bipolar II (I think-don't have the reference). Atypical Features Specifer appears on page 203 of my DSM-IV-TR/American Psychiatric Association.
The factor of treatment resistance accounts for our smaller numbers - correct too many TRDs would bias the results just as too many normals would - hence my desire for MEDICAL testing. I agree - by definition TRDs have to be treated "off label".
I wouldn't want to point a finger at drug but I would like a less painful trial and error (mostly error) process to arrive at a proper DX and eventually appropriate treatment. Maybe the orthan drug program would be a good plan.
Good cheer
poster:Geezer
thread:109458
URL: http://www.dr-bob.org/babble/20020922/msgs/120870.html