Posted by poser938 on May 17, 2013, at 17:37:14
In reply to Re: Antidepressants and suicide - Corrections » poser938, posted by SLS on May 16, 2013, at 22:39:49
I've always thought antidepressants worked better for severe depression because severe depression is much less likely to respond to a placebo. Especially if its biological.
But it was odd when about 2 months ago I called a hospital in my state where a DBS clinical trial was being done. The guy I talked to told me the trial was not accepting more patients. Then he asked me if I had any questions about it. I asked if DBS seems to be more affective than AD's. He just said AD's are very effective for depression except for biological depression, that it doesn't work well in those cases. This confused me.I can't remember where I read that antidepressants were once thought to only be needed by about 1 in 1000. I tried to find the article but I couldn't. I think it was on the Huffington. But it was talking about the very early days. Like, back in the early 1950's.
And for how these meds should be used, at least in my opinion, they would only be used by about half the people that are currently taking them. I believe the rest would either have their depression clear up on its own or with seeing a good psychologist. The system is backwards. When entering the mental health system, someone should start out seeing a psychologist for mood problems. And if the psychologist comes to the conclusion that medication is needed, then send him to the psychiatrist. But many see a psychiatrist and more often than not, they leave with a prescription.
But like I said, there is a near complete conflict of interest in the mental health treatment system. The drug companies are training the psychiatrists. The drug companies decide on what information the FDA needs to see. And if I can't get a halfway decent evaluation on how I respond to a certain med by my psychiatrist, why would a drug company be doing the most ethical evaluation of how someone responds in a clinical trial?
Where there are billions of dollars to be made, there is likely to be cheating, lies, and information withheld. The rule that clinical trials are to be listed on clinivaltrials.gov is being bypassed. I know this because the clinical trial I called about DBS wasn't listed on there.And the biggest problem, the psychiatrist just doesn't listen to the patient. For the majority of psychiatrists, if they hear something that is contrary to their "knowledge" they either let it go in one ear and out the other OR tell the patient that he's mistaken or delusional.
poster:poser938
thread:1043726
URL: http://www.dr-bob.org/babble/20130501/msgs/1043833.html