Posted by SLS on September 10, 2023, at 6:31:27
In reply to Re: nortriptyline+sertraline+methylphendate » SLS, posted by undopaminergic on September 10, 2023, at 1:02:02
> > >
> > > 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
This is a good thing. Replay it in your mind from time to time. It is a concrete reason to have hope and make that state of mind your goal - minus the manic reaction (if you can).
As always, I wish you luck in finding what you are looking for. For some reason, I have an easy time praying for you - much more so than I can muster for myself. Strange.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.The only thing necessary for the triumph of evil is that good men do nothing.
poster:SLS
thread:1122193
URL: http://www.dr-bob.org/babble/20230117/msgs/1122201.html