Posted by linkadge on August 13, 2010, at 19:42:23
In reply to Treatment Resistant Depression., posted by bleauberry on August 13, 2010, at 19:33:52
I think its more complicated than that. I think that TRD is more hardwired.
"You can mess around all you want with serotonin, norepinephrine, dopamine etc. but if you don't have the right circutry in place, its not going to do anything" - a quote by Dr. Manjii.
I think TRD is probably related to mitochondrial decay, glial reductions, prefronal atrophy, decreased limbic interconnectivity, enlarged amygdala volume, decreased cortical grey matter, white matter hyperintensities, vascular insufficiancy etc. etc.
I personally think its a myth to believe that some magic chemical is going to come along and make it all better. It may take years of rehabilitative therapty for the brain to overcome such alterations.
Linakadge
poster:linkadge
thread:958488
URL: http://www.dr-bob.org/babble/20100811/msgs/958491.html