Posted by mtdewcmu on April 14, 2011, at 11:23:44
In reply to Re: Nortriptyline vs reboxetine, posted by SLS on April 14, 2011, at 10:36:13
> > > Does lithium hold enough benefits to justify its toxic effects in MDD? You have to get blood tests, and it causes the shakes, and it dysregulates your kidneys, and it probably has other subtle metabolic effects. But if it works well, I'm interested.
>
> Perhaps if lithium worked for you, you would not vilify it so vehemently. In the good old days of empirical observation, treating MDD by adding lithium to a tricyclic worked often enough to deserve recommendations by many research institutions. I don't think you are in any position to justify my use of lithium, or any other treatment. Your shoes are obviously different than mine.
>I didn't mean to disparage lithium. I said I might be interested, but it's a cost-benefit analysis. I would like to know the costs as well as the benefits and try to balance them. Sorry for the offense, it wasn't intended.
> > This is probably a naive question, and I hope you don't take it the wrong way, but are you able to concentrate on your work? And if so, can't you devote your mental energy to work and not think about depression? If you can't work, do stimulants help? As I said, it's probably naive, and I need to ask only because I have never been able to sustain my concentration on work for an extended period and so I honestly don't know what it would be like. But on the occasions when I have been able to focus on work for a period of several months, during this time I barely think about mood issues. I am hopeful that if a stimulant solves my attention problem, it will go a long way toward ending my depressive ruminations.
>
> I am not so naive as to project my experience with depression upon everyone else.
>
> I get the impression that you don't like me very much. Do you feel challenged by me?
>I was absolutely projecting, and I tried to come clean about that up front so it wouldn't sound like I was diminishing your problems. I am sorry that it didn't come across that way. I am NOT saying that your problems are not real or serious. I just don't know what it's like to be able to work whenever and wherever I want and I was wondering if that could be a successful distraction (more for ME than for you, and just out of curiosity, not judgment). I am genuinely sorry for saying it, even though I didn't mean it that way.
poster:mtdewcmu
thread:981366
URL: http://www.dr-bob.org/babble/20110406/msgs/982795.html