Posted by undopaminergic on September 10, 2023, at 1:02:02
In reply to Re: nortriptyline+sertraline+methylphendate » undopaminergic, posted by SLS on September 5, 2023, at 7:50:28
> >
> > I'm not sure how you differentiate palliative and therapeutic.
>
>
> This might be a useful example:
>
> Social Anxiety Disorder:
>
> - Therapeutic (Nardil): The remission of all psychological and somatic symptoms of Social Anxiety Disorder.
>
> - Palliative (Xanax): A treatment modality that is meant to reduce the symptoms of anxiety in Social Anxiety Disorder while searching for an effective treatment for the disorder itself.
>
>
> > Methylphenidate (and the like) produces a fast response.
>
> Absolutely, but you have not attained remission with any of them.Complete remission? No. Partial remission? Yes.
In fact, methylphenidate (and the like) attacks the absolute *core* symptoms right away.
> Why else would you stop taking them?
It wasn't my intention to do so.
> These drugs are only of palliative value to you. Any other semantics are moot.
>
> Like I said, you can give 10 different people the same drug and get 10 different reactions. I imagine a very, very small percentage of people glean a true therapeutic antidepressant response using methylphenidate monotherapy. At best, methylphenidate serves as a true adjunct to other drugs to produce a true remission. This is not the case with you, though. For you, I see methylphenadate as being palliative.
>
> Since I'm not inside you, I can't know what remission feels like for you. I only know what it feels like for me. I'm not entirely sure that you know what remission feels like for you, though. You may have forgotten.
>I have an abstract understanding of what remission is for me, but I can't recall the feeling itself.
> If you can remember a time when you felt best, either before or after the onset of your illness, it might be critically important for you to re-experience that state of consciousness.
>I did re-experience it once, when I was (hypo)manic.
-undopaminergic
poster:undopaminergic
thread:1122193
URL: http://www.dr-bob.org/babble/20230117/msgs/1122200.html