Posted by SLS on September 20, 2015, at 18:28:12
In reply to Re: Young people on SSRI's commit more crimes?, posted by Hello321 on September 20, 2015, at 17:26:29
It may no longer be productive to continue this conversation. I guess we simply don't hear each other. I will try to reply to further posts, though.
I don't think you should demand from other people's doctors that which you don't demand or receive from your own. There is a lack of connection there somewhere. Perhaps this is an artifact of what I feel are the unrealistic demands you place on psychiatrists. Of course, a doctor should provide information to their patients. However, I don't see the expediency in sending their patients to medical school for each prescription they write.
It can be a monumental task to find a good doctor - one whose expertise and motivations you can trust. A good doctor will send you to the pharmacy with information along with the prescription script. A good doctor will answer your questions. A good doctor will provide you information, even if you don't have questions. In this case, a good doctor will exercise his judgement to determine what to tell you and what not to tell you.
Generally speaking, I would like to see the average psychiatrist avail themselves of the latest findings regarding drug side effects, and prepare their patients for the more common ones, including an exacerbation of the original illness. A good psychiatrist will also monitor their patient closely early in treatment, when suicidal ideations are most likely to occur. Weekly or biweekly visits seem prudent.
Regarding ECT, treatment protocols have changed since 1991. Even 15 years ago, Max Fink advised me to give it a try again based upon new information. For instance, I was given unilateral left. Unilateral right is now recommended. There have been changes in dosage and frequency. There are now bitemporal and bifrontal placements in addition to bilateral. Supposedly, high-dosage unilateral right is almost as efficacious as bilateral, but with much reduced cognitive side effects. Even this information is not the most current. I have not researched ECT recently. I will be interested to know what type of treatment they choose for you.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1082509
URL: http://www.dr-bob.org/babble/20150901/msgs/1082752.html