Posted by bulldog2 on May 15, 2010, at 18:17:33
In reply to depression + mental exhaustion, posted by g_g_g_unit on May 11, 2010, at 22:09:11
> this may sound like a naive question, but is mental exhaustion a primary symptom of depression that should be as equally responsive to AD's as other symptoms?
>
> my psychiatrist has told me i am only moderately depressed (as opposed to severely, which my psychologist indicated several months ago), and would prefer not to prescribe medication, though ultimately it is up to me.
>
> but i find the sheer mental exhaustion really difficult to live with. what further confuses is that i have had all those (two year-spanning) symptoms of cognitive sluggishness disappear within hours upon administration of certain (pseudo-)stimulants (nicotine, ritalin, memantine). i am not trying to treat this as some justification for stimulant use, but does that mean anything?Wow is the ship tilting in the other direction? After the discovery of the ssris even the mildly depressed were getting ads. Some suicides have been blamed on ssris and the ship is tilting the other way.
These p-docs have to learn how to prescribe meds correctly and not go by the current fad! I think prescribing ads is not just a function of how severe the depression is. You need to determine how long the depression is. Several weeks may just need some talk therapy. Several months or years may require some meds initially along with talk therapy. Chronic moderate depression can still take a toll on the body and mind. The difference between mod and severe depression can just be several points on a test.
A person who has been moderately depressed for years has paid a terrible price in terms of quality of life . You would think a good p-doc would factor this into their decision about wether to prescribe meds. Perhaps this shows that the person does not have good skills.
poster:bulldog2
thread:947174
URL: http://www.dr-bob.org/babble/20100514/msgs/947532.html