Posted by Vincent_QC on March 15, 2009, at 6:52:49
In reply to Re: Scientists ID gene in socially inhibited peopl » desolationrower, posted by Michael Bell on March 8, 2009, at 16:32:16
> Agreed. DSM categories are just labels for conditions that are not fully understood. However, if there are genes that are identified which predispose certain people to develop illneses, whether mental, physical or emotional, then then that is a huge step forward. An even bigger step forward would be development of effective treatment, such as gene therapy, as a result of those findings.
>
> > -d/r
>The DSM is the DSM...mean that even, if you read it, you will be totally lost somewhere between two conditions. That's hard to make a good prognostic about the mental illiness you have when you read that kind of book...who is THE BIBLE for the psychiatric world and psychologist also...
I have the last edition of the book and I never was able to put me in a strict category...I can't even told you if the social phobia is still a real social phobia problem since it can be also an avoindance personnality type of anxiety...I can't told you also if I have agoraphobia or not with my panic disorder, since sometimes I can feel very good in a place where it's full of people and I don't see an escape or I don't do a plan in my head in case I have to escape of that place... but most of the time, if i'm in a social situation or a social context who I have to talk with strangers and interract with other peoples or do a public speech, I will do a panic attack...or have symptoms of the panic attack without having a "real" big panic attack...but those symptoms can last severals hours, until I get out of that social situation.
The DSM is also not very clear about depression...can I put myself in the depressive category because I lack any motivation, I don't have energy, I do insmonia at night and sleep at daytime, I lost interrest in everything I liked before, I don't enjoy my life anymore??? I don't think I fit in the depression category, because all of this are comorbidities that comming directly from an untreat social phobia disorder or social anxiety...I don't know now who to write it...that's so lame...
Anyway, for now, I stay on my position...the SAD is probably one of the hardest mental illiness to treat and I don't think they will find soon others kind of treatments who are linked to genes... That's probably a genetic for sure, but a lot of diseases are also genetic, the research link them to specific genes...but they are not able to developp treatments for those diseases...
The proof for no new treatments is that they continue to do studies who make the older ones not good or usefull or true...like the study about the level of D2 who is now not linked to the SAD problem...and the fact that older drugs like Parnate, Nardil or Marplan seem to be A WAY more usefull for the social anxiety disorder...but not so powerfull for treatment resistant depression.
Well I just feeling I had to write all of this so sorry...lol
Hummm BIG news this morning... A Doctor in research for anastesia and neurotic pain was find guilty because he was giving false results for studies about new treatments to reduce more rapidly the pain after a surgery by using Neurotin, Lyrica and Celebrex!!! Pfizer paid this Doctor for those studies, especially for the ones about the Lyrica poroduct...but they claim that they never uses those studies for the launch of the Lyrica product on the market of the neurotic painkiller and to be approved by the FDA...Anyway, i'm sure some people here see this in news this morning...it's everywhere in the news papers...I can't recall the name of the Doctor but he changed a lot of results in a good amount of studies...
Maybe others studies are not good also, who know??? That's hard to tell when you are not a Doctor... if you don't test a med by yourself, you will never know the answer...and even if you are answering to the med, maybe it will be a placebo reaction or maybe it will be a true reaction about the med... That's make me also a lot septic about the genetics and the SAD problem...some people answer very well to newer drugs like the SSRI's or the SRNI's...or even to the benzos drugs...and others don't answer to anything and will live all their life with the SAD disease... if it's genetic, why someone can answer to a med and someone else don't??? The same apply to a lot of others meds... Did we live in a society where PLACEBO effect is more important than REAL results??? Did ever antidepressants meds works for real or not??? It is just a massive suggestives answer to meds that people experienced because they know the med is suppose to be effective??? That's hard to tell... especially when you seem to be treatment resistant like me!!!
poster:Vincent_QC
thread:883857
URL: http://www.dr-bob.org/babble/20090313/msgs/885437.html