Posted by egershon on November 10, 2002, at 14:45:30
In reply to Gershon, Dr. - Atypical, social anxiety, poop-out, posted by sjb on November 7, 2002, at 9:28:17
The story of antidepressants working at first and then failing is not, unfortunately, unusual. I'm not aware of any satisfactory biological study of this. Of course, we are only considering adequate dosages and length of trial of each antidepressant.
However, I have had patients rotating among antidepressants every few months, or (alternatively) having interruptions of antidepressants for 3 or 4 days followed by resumption of the same antidepressant. Each of these strategies has been helpful in individual cases. One also could consider maintenance ECT in such cases.
poster:egershon
thread:126807
URL: http://www.dr-bob.org/babble/20021108/msgs/127147.html