Posted by John locke on December 22, 2015, at 9:36:52
In reply to Re: Nardil washout and then restart » john locke, posted by SLS on December 22, 2015, at 7:08:12
> > > Anxiety and depression can reinforce each other. It is possible that reducing one will improve the other.
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> > --My first ever therapist was of the belief that depression is always a symptom of chronic anxiety. I completely agree with this. She seemed very confident that this is becoming the accepted truth in psychiatry nowadays.
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> This is not quite true. First of all, "always" is a big word. Secondly, it is true that many - perhaps most - but not all depressions are due to chronic psychosocial stress (especially early in life), of which anxiety is just one type. Not all psychosocial stress manifests as chronic anxiety. Learned negative thinking without anxiety is one example.
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> Not all anxiety disorders manifest as chronic anxiety. Not all chronic anxiety represent an anxiety disorder.
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> Depression is depression. When anxiety is a component or symptom of depression, it tends to resolve when the depression resolves. This is not true when an anxiety disorder is comorbid with depression.
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> Depression in young people often begins as anxiety and insomnia; the anxiety to later disappear and leave depression only - even without treatment.
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> Things are not so simple. In this case, I don't think the word "always" is at all helpful.
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> Sorry for the strong language, John, but I really object to your doctor's characterization. It is, in my opinion, counterproductive. Getting rid of anxiety will not automatically get rid of depression. In the absence of an anxiety disorder, it is more often the other way around.
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> Anyway, good luck on your continuing Nardil trial. As was mentioned, dizziness and urinary retention can be problematic. If you choose to addresss these things pharmacologically, the dizziness can be dealt with by using either Florinef (fludrocortisone) or Ritalin (methylphenidate). Hopefully, any urinary retention can be remedied by taking Urecholine (bethanechol). I came close to going to the hospital a number of times for a catheter. Bethanechol helped with this enough that I was able to urinate. I was taking a TCA along with the Nardil at the time, which most likely made things worse. I never had a problem with Nardil monotherapy. Even with the combination, urinary retention subsided after a few weeks.
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> - ScottBut why/how would someone become depressed without anxiety?
poster:John locke
thread:1084766
URL: http://www.dr-bob.org/babble/20151119/msgs/1084872.html