Posted by Tony P on March 24, 2006, at 2:39:10
In reply to Re: Never thought I'd hear this..... » linkadge, posted by SLS on March 23, 2006, at 7:54:53
A fascinating thread ... I'm one of those diagnosed with _maybe_ BP3 (or 4 depending how the classification shakes out) -- certainly I react badly to most of the common AD's. Paxil made me sweat nails, Celexa gave me an out-of-body experience, Wellbutrin pushed me manic (according to my family -- I felt _fine_ ;), and Effexor induced terror. Luckily my pdoc, while convinced I fit somewhere on the BP spectrum, is open to trying alternatives (after 2 years on Lamictal I'm experimenting with tianeptine at the moment).
...to go back to the original post, I've read of studies showing that AD therapy alone and counselling/psychotherapy alone each have about a 30-50% remission rate in depression, but AD + counselling is much more successful than either alone. Sorry no references -- I plead guilty in advance to quoting the conventional wisdom here. Perhaps others have citations.
What matters, of course, is treating people. You can go ahead and diagnose me as bipolar mixed treatment-resistant cyclothymic XVII as long as the treatment makes me feel better and function better!
Hopefully,
Tony
poster:Tony P
thread:620137
URL: http://www.dr-bob.org/babble/20060322/msgs/624075.html