Posted by Christ_empowered on July 25, 2011, at 21:33:02
In reply to Re: Tardive Dysphoria Meaning of » jono_in_adelaide, posted by Phillipa on July 25, 2011, at 21:18:28
I'm hoping that tardive dysphoria is relatively rare. I mean, I have to personally accept the risks of tardive psychosis because I have to take a relatively high dose (30mgs/day) of Abilify to stay OK. For me, staying out of the hospital is worth the risk, and I know about it. With all these millions of people on ADs, I'm not sure you can make the argument that benefits outweigh the risks. I also sometimes need antidepressants for psychotic depression.
I think maybe the solution would be to emphasize therapy and other forms of non-medical treatment, along with maybe using other kinds of drugs (stimulants, benzos...hell, medical marijuana. Whatever works, right?) besides or in addition to antidepressants. If you go back to when the MAOIs and the TCAs were first introduced, docs didn't have this idea that depression=antidepressant treatment. It might mean ECT, neuroleptics, meprobamate, stimulants, uppers and downers together. Of course, back then, it could also mean a lobotomy was in order, but you get the idea--they targeted symptoms.
These days, you hear about people going from AD to AD or mixing and matching them. If the ADs don't work they're told they have "treatment-resistant depression," or that its a personality disorder (gotta love axis II). Honestly, I think a lot of "depressed" people these days could benefit from talking to somebody (maybe not even a therapist--just somebody who's reasonably empathetic) and taking some Valium.
Anyway, that's my rant on the subject.
poster:Christ_empowered
thread:991841
URL: http://www.dr-bob.org/babble/20110714/msgs/991857.html