Posted by Squiggles on November 28, 2005, at 13:15:06
I think that when a patient is
treatment-resistant after the doctor
has tried many drugs and adjuncts,
it may be worthwhile to look at the
patient's attitude. It's possible, for
example, that an adjunct tried with
a basic drug has not worked because of
the dose. But because the patient is
either tired or is actually holding a
grudge, or fearing more experimentation,
the opportunity to juggle the dosage
may be missed. So, a slight variation
is not tried, and the experiment fails
for reasons outside the treatment
strategy.Also, depression, in itself can make
a person lose the motivation or hope
for improvement.This is what I have noticed, and it's
a sad situation. I don't know how doctors
would handle something like that - I think
they are just too busy to cope with
subterfuge as well as depression.Squiggles
poster:Squiggles
thread:583005
URL: http://www.dr-bob.org/babble/20051126/msgs/583005.html