Posted by Caedmon on March 13, 2006, at 0:01:03
In reply to Reason for treatment resistance, posted by scatterbrained on March 8, 2006, at 0:39:59
Some guesses as to why Tx resistance occurs:
1) The meds pretty much suck anyway
2) Major depressive disorder, at least, would seem to be overemphasized as a biological condition. My guess is that most cases are not; rather are circumstantial or learned helplessness.
3) Overreliance on meds reinforces learned helplessness.
4) SSRIs being firstline for... everything these days, it can decrease DA and therefore cause a sort of apathy/poop-out phenomenon. This probably happens an awful lot.
5) Inappropriate medicating for comorbid Sx; e.g. insisting on citalopram for social phobia when a lorazepam might do better, with fewer side effects.
6) Life is just cruel that way.
poster:Caedmon
thread:617343
URL: http://www.dr-bob.org/babble/20060310/msgs/619671.html