Posted by Christ_empowered on January 22, 2019, at 17:14:52
In reply to So what's the general consensus on SSRIs?, posted by Martinchen978 on January 22, 2019, at 13:31:06
the drugs are known to cause apathy. kind of like...in schizophrenia, one hears talk of 'negative symptoms,' but tranquilizers can cause those and/or exacerbate whatever deficits are already present. and yet...
ssris remain popular, and the neuroleptics are used for all kinds of 'issues.'
i think it is the disease model. if depression is treated as a disease, then treatment may have 'side effects,' but those are understood to be part of the package deal.
other psych experts want to shift back towards a drug-centered approach in dealing with people. truth be told, that's what many psych experts do, anyway. so, if by 'depression' someone means ruminations and anxiety, an ssri might be OK, perhaps. if 'depression' means fatigue and lethargy and anhedonia, then...no, no...please God, no.
this also plays into power issues. i now go to a clinic. if i didnt have a 'good family' behind me, id be pumped full of haldol via injections. but...while stigmatized and low status, i have higher status people protecting me, so i am a 'voluntary outpatient' on acceptable dosages of modern drugs. similarly...
go to a clinic, dont expect much more than Prozac. insurance...changes things. the no insurance, self-pay psych doctors are more apt to actually listen and tailor the drugs to what the person is seeking, but even there...
by virtue of being in the psych patient role, one loses some bargaining power. not too bad outpatient, can be hell inpatient.
and that is my take on it. :-)
poster:Christ_empowered
thread:1102905
URL: http://www.dr-bob.org/babble/20181024/msgs/1102909.html