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Re: The Truth Do SSRI's and SSNRI's Work For Anyon » Phillipa

Posted by yxibow on February 27, 2006, at 19:08:31

In reply to Re: The Truth Do SSRI's and SSNRI's Work For Anyon » linkadge, posted by Phillipa on February 27, 2006, at 18:50:20

> Link that's exactly what the Resident said. That a placebo works as well as the meds. And this is not about me as I've been taking my luvox as prescribed without side effects and it doesn't do a thing positive or negative. Seriously this is not about me it was told to me be a Medical Resident just when I was starting to believe in the meds. He feels theraphy is much more beneficial. Fondly, Phillipa ps he said it's all about the money the pharmatical companies are making

A placebo will work as well as medication 1/3 of the time. This is very well known. SSRIs have a wide variety of reasons for taking them, so they have a wide variety of successors and failures. Panic Disorder, OCD, Depression, etc.

I'm assuring you, Jan, that you can believe what you want from a medical resident, but was this an M1, M2 ? There are 4 years of medical residency in general, sometimes less, sometimes more. Not to mention specialization of career goals towards psychiatry or towards 100s of other disciplines. Then you begin your practice and you build trust with other psychiatrists. You attend Grand Rounds. You take CEs. Trusting the words of a Medical Resident, though they may be a newly minted M.D., may have some words of wisdom, but not the wisdom of someone who has been through 15 years of practice. Trust me, because there are even differences in those who get beyond their apprenticeship.

And I'm no drug company shill, you know that Jan. SSRIs may not work for everyone -- there is treatment resistant depression. SSRIs work best for people with dysthimia, and modest to medium severe depression. For those with extreme depression, a tough choice to take an MAOI may be necessary. Its better than not being here and enjoying life -- life is for living. And there are other things besides MAOIs -- going back to a TCA, Remeron and a strict low calorie diet, Effexor, Celexa -- and maybe EMSAM if it comes out. There are drugs on the horizon too... some of them are only European oriented, so you may have to have a savvy doctor import them. There's always something. And then there's just plain old therapy. Which works, and works in conjunction with SSRIs as well, as I know with the horrible OCD I conquered before, with CBT.

I think while I respect the opinions of everyone who has contributed to this thread, the negativity towards an entire class of drugs does a disservice. But everyone is entitled to their own opinion, and I wish them well.

 

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