Posted by SLS on April 21, 2011, at 8:32:20
In reply to Re: the only way out » SLS, posted by 49er on April 21, 2011, at 2:45:57
Hi 49er.
> In thinking more about your post, let me ask this question. You keep distinguishing between withdrawal symptoms and ones that are post discontinuation adverse effects.
>
> Does it really matter and of so, why?In my way of thinking, facts always matter, even though we don't always know how to apply them at first.
You ask a really good question. I will need to think about it for awhile. Suffice it to say that distinguishing between acute withdrawal and chronic persistent symptoms might influence treatment decisions, especially when one takes depressive rebound into consideration. A more chronic course persisting for weeks or months beyond drug discontinuation is probably best treated by reinstating antidepressant treatment or psychotherapy. Such a chronic course has a good chance of reflecting a relapse of the original depressive disorder. Given this example, at what point would you suggest reinstating treatment for depression? How many weeks do you allow to pass during a drug taper before you elect to treat the reemergence of depression?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.
poster:SLS
thread:983009
URL: http://www.dr-bob.org/babble/20110418/msgs/983411.html