Posted by Peter S. on November 29, 2002, at 13:33:28
In reply to Re: Is there a medical term for AD poop-out?, posted by ItsHowdyDudyTime on November 28, 2002, at 23:27:02
I agree that psychiatry is not based in "science" at all. Very little (almost nothing) is understood about why anti-depressants work. Everything is completely speculative at this point. What role does serotonin or norepinphrene have in depression? Who knows? You read a lot of papers and articles and they are very confident in tone that we understand depression or bipolar disorders and that these drugs are great treatments. But when you actually talk to a lot of people you find out about the side effects the poop-out and the general ineffectiveness of many of them.But as far as psychiatrist go, there are huge differences between them. Many have no clue about different meds- they think that MAOIs are extremely dangerous and that you should only prescribe low doses. If traditional anti-depressants don't work, they throw up their hands. They don't bother keeping up with the latest cutting edge treatments because they are'nt required to. Psychiatry started out as primarily talk therapy (Freud) and I think is still rooted in this tradition.
However there are other psychiatrists who are up to date on meds and are willing to be creative and work with you on the meds. My doc is one of these- he is extremely patient and willing to listen to me and try many different alternatives. But even what these doctors do is not based in science. It is more trial and error.
Despite all this it does seem like things are inching forward- hey it's better than it was 100 years ago! I am considering getting a lobotomy though.
Peter
> > I'd like to do a search on the net - but not sure what term to use.
> >
> > Jackie
>
> Jackie, I will reitterate what I said earlier only in simpler terms. Psychiatrists just dont know what causes antidepressant poop out. And they dont seem to be interested in finding out why or caring either. See, psychiatrists dont seem to be very interested in hard research or hard science. Mostly what they are interested in is psychobabble.
>
> Psychiatrists want the same respect as other doctors in other branches of medicine that actually do real scientific research to back up their actions. But psychiatry doesnt do the hardcore kind of scientific research other doctors do in other branches of medicine. Yet they want the same respect, want to be called the title of "Doctor" etc. etc. It just doesnt jibe with me and a lot of others who have been there and done that. It also doesnt jibe with a lot of people who smartly use their internal medicine doctors or family doctors for their mental health needs and who wisely, are intuitively suspicious of psychiatrists and mental health professionals. I have oftentimes admired these kinds of individuals who refuse to see a psychiatrist, yet still are smart enough to get treated for their illness via a family doctor. Family and internal medicine doctors can prescribe many of the same drugs psychiatrists prescribe and in this era of SSRIs and atypical anti-psychotics, that is exactly what is happening oftentimes.
>
> I wouldnt knock yourself out searching for an answer on this one. Because you wont find an answer and you will only be left feeling frustrated.
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> Howdy Doody
>
>
poster:Peter S.
thread:129589
URL: http://www.dr-bob.org/babble/20021127/msgs/129915.html