Psycho-Babble Medication Thread 133201

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Re: I agree with johnj

Posted by syringachalet on January 3, 2003, at 13:23:04

In reply to I agree with johnj » syringachalet, posted by ZeeZee on January 3, 2003, at 13:07:18

ZeeZee,

You and I have never had the opportunity to
know much about our presonal pasts.
I have, however, posted several times about
it here at PSB.

I dont continue to bore readers about my
sorted past.
I ask only that before they sit in judgement
of me, they read some of the many posts I
have shared my personal past.

I know I cant fix my past. I can only try to learn from it and work on today and the future.


syringachalet

 

Re: I agree with johnj » syringachalet

Posted by ZeeZee on January 3, 2003, at 13:28:37

In reply to Re: I agree with johnj, posted by syringachalet on January 3, 2003, at 13:23:04

I'm not judging you. I'm telling you the feeling tone *I* and possibly others may get from reading your posts. You don't have to bore others or repeat your history to personalize your messages.

 

Re: I agree with johnj

Posted by gabbix2 on January 3, 2003, at 14:41:45

In reply to Re: I agree with johnj » syringachalet, posted by ZeeZee on January 3, 2003, at 13:28:37

I agree, cognitive therapy may well help one
learn to live with it, may even prevent a relapse, still one is filtering the information
through a depression "lense", and the results are going to reflect that
To help ones self during a depression sounds great, however when the depression becomes a fungus which has become entertwined with the entire plant you have very little of your original 'self' to help.
What I percieve, is a great part of "me" and when my perception is negatively altered I still feel I'm seeing the truth. I can't talk myself into thinking I'm not anxious, or terribly depressed any more then I can convince myself the apple I'm eating tastes like roast beef. Its the way my brain is wired at the time.
Benzodiazepines are not an 'answer'to everything I don't think anyone claims they are. They have
however saved me from indescribable anxiety which would only have pitched me headlong into another depression, reducing my sense of control even further. Until there is an answer I'll take it.

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet

Posted by johnj on January 3, 2003, at 15:24:03

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by syringachalet on January 3, 2003, at 12:31:40

Sorry I havent' had time to read all of your past post, but did you read all of mine?

You say judging, but I just plain disagree with what you said. It would help if you would not be so vauge about what you do. Since you are a nurse, and have experiences, I am shocked at how you feel. "only you can heal you" is most far from my thoughts. I need a balanced life with meds and help from other people to do it. Also, I do think that you questioning patients about what their doctors prescribe could be damaging to their confidence in their doctor. Again this is MY opinion, which you as well as I, are allowed to have. For me, meds are not equal to therapy, they are better.

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER

Posted by syringachalet on January 3, 2003, at 18:07:25

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet, posted by johnj on January 3, 2003, at 15:24:03

dear johnj,(no pun intended)

I think that each of us needs to do what works for us....

Over the years, I and many of my patients have benefited from benzos. I have also had a few that benefited only for a short time and then they need something else.
Again, what worked for them at the time.....

As for asking my patients if they understood
why they were taking a certain med, it was to establish a baseline of knowledge/understanding. I needed to know what THEIR expectations were from their meds. This patient education is not usually done in in the initital appt but in f/u appts.

Being informed consumers, aware of the
benefits and risks, help them take an active
role in their own recovery...

As for only you can heal you..is an issue of personal responsibility...
a broken leg can get better without a patients active coorperation but not a broke soul/mind...

The emphasis is to empower the patient to take control of his own life...whatever pace/level
and hopefully restore his self-image and ability to function as indepdently as safety allows.

I mean well by my posts and am sorry if my attempts to help somehow irritate someone...
I work with lots of unhappy people all day
long and if sharing the facts/truth with
those here is somehow not to your liking...
I am sorry.

I try to maintain a personal philosophy of honesty with caring because sometimes when
you crawl inside someone else problem with
them, you cant remain objective enough to
really help them...

Just my thoughts. I will not post again on this topic. Thank you.

syringachalet

 

In defence of Syringachalet and civility » johnj

Posted by bluedog on January 3, 2003, at 19:27:24

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet, posted by johnj on January 3, 2003, at 12:06:39

John

I know you have your views and syringachalet has her own views on this topic. I happen to aree with things that both of you have said and I also disagree with some of the views that both of you hold.

I myself an not anti-benzo as they help my own anxiety problems immensely so I will continue to take them while they are helping me. I also agree that meds can sometimes be the only answer to whatever mental problems someone is dealing with. But I also agree with Syrinchalet that meds are part of the whole tool box available to assist someone with their problems.

However I feel compelled to refer you to a post recently made by Simcha in this same thread.
==================================================================================================

http://www.dr-bob.org/babble/20021223/msgs/133772.html

Simcha wrote

"John

> What in the world are you talking about? I never claimed to be addicted or abusing cocaine or heroin in any way, shape, or form. I merely said I experimented with cocaine on a few occasions, yet I did not become addicted. End of story. I am however now addicted to Clonazepam. Why don't you think before you post such nonsense!

I know that Dr. Bob has not warned you about being more civil here on Psychobabble. As a poster I would like you to try to be more civil. Please try not to put down other people when posting. I find it offensive and it reduces my sense of safety on this board.
You are welcome to your opinion about Clonazepam. Please respect other posters when expressing your opinions about Clonozepam.
Very Truly Yours,
Simcha"
==================================================================================================

In a more recent post you wrote the following
http://www.dr-bob.org/babble/20021230/msgs/134309.html

>"Meds are a simply tools to help you help
yourself. No different than therapy, reading
self-help books, or hyponosis..."

>Sorry to disagree, but I don't know what profession you are in exactly, but I can guess you have never had a panic attack or a major depressive episode by your statements.

John you are making assumptions about other posters. Syringachalet is genuinely trying to be helpful with her opinions. I wish to repeat Simcha’s words. I believe you could have made your point without becoming so personal or making assumptions about Syrinchachalet’s own medical past. Can you please try to be a bit more civil in your posts. Just like Simcha I find such assumptions offensive even though they are not directed at me personally and also reduces the sense of safety that I feel on this board.

It saddens me that in her last post Syringachalet felt compelled to advise that she would no longer be contributing to this topic because I truly value her views just like I value the views of other posters on this board.

Kind regards
bluedog

 

Re: please be civil » johnj

Posted by Dr. Bob on January 3, 2003, at 22:15:58

In reply to In defence of Syringachalet and civility » johnj, posted by bluedog on January 3, 2003, at 19:27:24

> I can guess you have never had a panic attack or a major depressive episode by your statements.

> I just plain disagree with what you said. It would help if you would not be so vauge about what you do. Since you are a nurse, and have experiences, I am shocked at how you feel.
>
> johnj

> I feel compelled to refer you to a post recently made by Simcha in this same thread.
>
> http://www.dr-bob.org/babble/20021223/msgs/133772.html

That was to john7219, not johnj...

> John you are making assumptions about other posters... Can you please try to be a bit more civil in your posts.
>
> It saddens me that in her last post Syringachalet felt compelled to advise that she would no longer be contributing to this topic because I truly value her views just like I value the views of other posters on this board.
>
> bluedog

But I agree. Please be civil even if you think someone's wrong.

----

> your lack of self disclosure in that post (and others) makes me feel "talked down to".
> Had you personalized your message he, I and possibly others would have been able to better relate to your message.

> I'm not judging you. I'm telling you the feeling tone *I* and possibly others may get from reading your posts. You don't have to bore others or repeat your history to personalize your messages.
>
> ZeeZee

Personalizing a message means disclosing more? Thanks for trying to use "I-statements", but please also be careful not to pressure others.

----

> Perhaps you havent had the time or the interest to read any of my past postings.
>
> syringachalet

Thanks for responding civilly!

Bob

 

Re: BENZODIAZEPINES

Posted by harry b. on January 3, 2003, at 23:55:54

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » micky301, posted by Mr.Scott on January 3, 2003, at 0:58:36

Somewhere back in the '80's I began taking amitriptyline for panic attacks. I had been having the PA for years but they were getting worse. I did not even know what they were. I could 'feel' them coming on & I got so that I would drive quickly to the hospital & just sit in my truck, sometimes for hours, sometimes all night, wrestling with the PA & the fear. I never went into the hospital, just sat there, outside. It gave me a bit of comfort.

I finally went to a doc about them & began taking amitriptyline. The PA became more mild & less frequent. OK. Now I knew what I was dealing with.

Unfortunately the amitrip began causing severe 'restless leg' problems. At the same time I began having facial tics. My doc gave me Klonopin.

The K stopped the PA dead in their tracks, I have not had a bad one since. It also helped with the facial tics & there were no more 'restless leg' problems.

My current dosage is 3mg/day. I've been on dosages as high as 6mg/day. My actual daily dose varies. Sometimes only 1mg, sometimes 5mg if I'm feeling too intense.

The K, even at 5mg, no longer puts me to sleep. It would probably take double that amount.

Am I 'addicted'? Er, ah, yes. My Pdoc would like me to quit but I'm afraid of the PA.

I guess the worst thing is the 'dumbing down' effect. I can live with an addiction, if it helps me, but I really do not like having a brain that works at half capacity & in slow motion.

harry b.

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » micky301

Posted by HIBA on January 4, 2003, at 0:03:20

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by micky301 on January 2, 2003, at 23:57:23

BENZODIAZEPINES ARE NOT THE ANSWER
So, what is the answer then ?

Those who make such statements have a responsibility to reveal their answers. If you have an answer to all those debilitating psychiatric disorders, If you have an answer to anxiety disorders other than benzodiazepines, please come forward with those unique answers. Antidepressants, CBT ....there could be many answers but none of them exactly match to anxiety disorders. Benzos are not made in heaven, but since we have no effective alternatives, benzos and benzo lovers will survive and exist.

About insulin: Insulin can cause hypoglycemia which is fatal by all means. But if used properly it is a life-saving medication. Pencillin saved millions, but killed some patients too. Even now, penicillin allergy is fatal if immediate medical intervention is failed.

But benzos are absolutely safe, much safer than insulin and penicillin. They haven't killed even a single soul in my knowledge, even after intentional overdosing. I have seen a patient who survived after overdosing himself with nitrazepam 1500 mg.(1000 times higher than the normal dose) I can never be that sure in the case of any other medications other than other benzos.

HIBA

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet

Posted by viridis on January 4, 2003, at 3:22:43

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by syringachalet on January 3, 2003, at 11:24:39

I didn't take offense at Syringachalet's post (although I will quibble with a couple of details), and I always seem to be on here advocating benzos for those who need them. My interpretation of her (his?) message was that there's often more to achieving mental stability and satisfaction than just pills, and I think that this is a very reasonable view. For some people, benzos (and other psychiatric drugs) provide a much-needed break from an intolerable state of mind, and the most fortunate ones are then able to make behavioral/lifestyle changes that alleviate the need for drugs. This takes dedication and willpower, and if you can do it, great.

Unfortunately, some of us (like me) really do need the meds on a long-term basis, and I don't think Syringachalet was denying this.

I guess the main statement that I disagree with is the following:

"Meds are a simply tools to help you help
yourself. No different than therapy, reading
self-help books, or hyponosis..."

Meds ARE different if you've already made a real effort with therapy, self-help books, hypnosis etc. and your brain still just won't cooperate. For people in this category (like me) meds are a necessity, maybe for life. But this doesn't mean you shouldn't do everything else you can to improve your life too, and the meds can make this possible. They've certainly helped greatly for me, although things aren't perfect (but I'm working on it...).

Overall, I think Syringachalet's message was sincere and made some very valid points -- you have to do all you can to take control of your mind and your life. For many of us, we have to stay with the meds in order to be able to do this long-term, but the meds alone aren't likely to fix everything.

 

Re: BENZODIAZEPINES » harry b.

Posted by Ritch on January 4, 2003, at 9:37:18

In reply to Re: BENZODIAZEPINES , posted by harry b. on January 3, 2003, at 23:55:54

> Somewhere back in the '80's I began taking amitriptyline for panic attacks. I had been having the PA for years but they were getting worse. I did not even know what they were. I could 'feel' them coming on & I got so that I would drive quickly to the hospital & just sit in my truck, sometimes for hours, sometimes all night, wrestling with the PA & the fear. I never went into the hospital, just sat there, outside. It gave me a bit of comfort.
>
> I finally went to a doc about them & began taking amitriptyline. The PA became more mild & less frequent. OK. Now I knew what I was dealing with.
>
> Unfortunately the amitrip began causing severe 'restless leg' problems. At the same time I began having facial tics. My doc gave me Klonopin.
>
> The K stopped the PA dead in their tracks, I have not had a bad one since. It also helped with the facial tics & there were no more 'restless leg' problems.
>
> My current dosage is 3mg/day. I've been on dosages as high as 6mg/day. My actual daily dose varies. Sometimes only 1mg, sometimes 5mg if I'm feeling too intense.
>
> The K, even at 5mg, no longer puts me to sleep. It would probably take double that amount.
>
> Am I 'addicted'? Er, ah, yes. My Pdoc would like me to quit but I'm afraid of the PA.
>
> I guess the worst thing is the 'dumbing down' effect. I can live with an addiction, if it helps me, but I really do not like having a brain that works at half capacity & in slow motion.
>
> harry b.

Hi, are you still taking amitriptyline with your clonazepam? Have you tried any of the SSRI's with clonazepam like Paxil or Zoloft, i.e? If so, have they allowed you to reduce your dosage of K? What does your pdoc want to do as an alternative to clonazepam if you quit it? Sorry for the questions, but am just wondering what your doctor's reasoning is on this issue.. Mitch

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER

Posted by ZeeZee on January 4, 2003, at 10:15:40

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet, posted by viridis on January 4, 2003, at 3:22:43

>Myinterpretation of her (his?) message was that there's often more to achieving mental stability and satisfaction than just pills, and I think that this is a very reasonable view.
>Overall, I think Syringachalet's message was sincere and made some very valid points -- you have to do all you can to take control of your mind and your life.

Herein lies the problem. I doubt there are too many of us on this board who haven't already spent thousands of dollars trying to take control of our mind and life with thousands of hours and dollars of therapy, books, tapes, supplements, exercise, nutritional changes and the parade of medications that either didn't work, made us worse or inflicted intolerable side effects.

I have, and it sounds as if you too have gone this route, learning from it all that without the right medication all of our efforts are in fact fruitless.

When years ago I first found relief from the right AD after years (actually a life time) of struggling, I was immediately hit by how pitiful it was that I had suffered for so very long while silently questioning "my efforts" and blaming myself for my lack of progress.

The obese who have been stuggling with their weight for years already know to eat less and exercise more.

Right now benzo's are all I have.

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER

Posted by syringachalet on January 4, 2003, at 11:36:26

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by ZeeZee on January 4, 2003, at 10:15:40

ZeeZee,

I know that for most of us our meds are that
'one life perserver' that when it seems that so many other things are not working in our lives we know what to expect from our meds.(or at least most of the time)

I also have seen people be able to do things in their lives that noone else thought they could do. Was it because of the meds.. or just a combo of lots of things?

I will probably never run a 10K marathon nor will I ever travel to see the Panama Canal because of my mobility chair. For those who have already or may do these activities someday, I am in awe.

Each of us has our own strengths and limitations. If taking any medication for the rest of our lives helps us to have what WE consider a better life than we should do so. The key is having a doctor who will work with you to maintain your independence and good health for as long as possible.
As we all age, we will also be subject to all the 'normal' maladies that everyone else has
as the body ages; all will need to be figured into the whole person.

I try to live for and enjoy today and keep hope for my future. I cant share the details of my personal past with my patients because it is not etchical and would interfer with the nurse-patient theraputic relationship.

Sometimes its hard to leave that N-P realtionship behind and just chat with others as friends.
There too are also vulnerabliity issues that that 'professional distance' provides.

Maybe I will make ONE New Years resolution:

To find a few honest but supportive person that I can let that vulernablity down and just be me..

Still thinking about it.... :)

syringachalet

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet

Posted by ZeeZee on January 4, 2003, at 11:50:21

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by syringachalet on January 4, 2003, at 11:36:26

>To find a few honest but supportive person that
I can let that vulernablity down and just be me..

Yes, I hope you will find this as well, and maybe in the future with us.

Take Care

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » ZeeZee

Posted by viridis on January 4, 2003, at 12:21:21

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by ZeeZee on January 4, 2003, at 10:15:40

Hi ZeeZee,

I don't disagree with most of what you say, and couldn't count all the times people have said things to me like "stop stressing so much", "think positive", "just do something to take your mind off it and you'll cheer up" etc. etc etc. Or recommended some book that would magically change my outlook on life. Or some vitamin, or exercise ... you know the routine.

And then you take a series of meds that don't help and/or make you feel worse, and the doctors act like it's your fault, don't believe you're really having side effects, or say you need therapy. But the therapy doesn't really help either.

So finally you find some drug or combo that actually does work, and then well-meaning people say "you don't need pills to be happy".

It's incredibly frustrating, and yes, I've definitely been there. I doubt I'd be able to function consistently without the right meds, and it's taken years for me to realize and accept this.

My point was that if you do get stabilized with appropriate medication, things don't have to just sort of stop there. You can allow yourself to do things that weren't possible before, you can try things that you were afraid to try before, and so on. And maybe some of the exercise, lifestyle changes, etc. will work in conjunction with your meds to help keep you stable and happy.

I guess that's what I took from Syringalet's message, and it seemed pretty positive to me. But I completely understand your frustration, and I agree that blaming yourself for not being able to live without medication, or letting other people blame you, is futile and damaging.

I'm glad to hear that you've finally found meds that work and (I assume) a doctor who understands your situation.

All the best,

Viridis

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » viridis

Posted by ZeeZee on January 4, 2003, at 12:28:44

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » ZeeZee, posted by viridis on January 4, 2003, at 12:21:21

Thanks for the response.

Actually I haven't yet found the right med's. I'm still searching and benzo's are there in the meantime.

Thanks

 

Re: BENZODIAZEPINES » Ritch

Posted by harry b. on January 4, 2003, at 15:59:15

In reply to Re: BENZODIAZEPINES » harry b., posted by Ritch on January 4, 2003, at 9:37:18

>
> Hi, are you still taking amitriptyline with your clonazepam? Have you tried any of the SSRI's with clonazepam like Paxil or Zoloft, i.e? If so, have they allowed you to reduce your dosage of K? What does your pdoc want to do as an alternative to clonazepam if you quit it? Sorry for the questions, but am just wondering what your doctor's reasoning is on this issue.. Mitch>

Hi Mitch,
No, am not taking the amitrip. I do take Parnate, 80mg/day, for depression. My Pdoc's reasoning is that the P should deal with the PA, but I'm unsure of that & damned afraid to find out. Also, I don't think the P would control the facial tics.

I have gone through most of the AD meds available, including the SSRIs. They were no help. I had to virtually plead with my doc to begin treatment with a MAOI, as a lot of docs are reluctant to prescribe them now.

Take care,
hb

 

Re: Follow-ups regarding posting policies

Posted by Dr. Bob on January 4, 2003, at 16:11:06

In reply to Re: please be civil » utopizen, posted by Dr. Bob on December 30, 2002, at 16:59:12

> PS: Follow-ups regarding posting policies, and complaints about posts, should be redirected to Psycho-Babble Administration

Here's a link:

http://www.dr-bob.org/babble/admin/20021128/msgs/8731.html

Bob

 

Re: Follow-ups regarding posting policies

Posted by tancu on January 4, 2003, at 19:29:06

In reply to Re: Follow-ups regarding posting policies, posted by Dr. Bob on January 4, 2003, at 16:11:06

Hi John. There is certainly a lot of very reasonable, if not profound, insight offerred up here. I expect that you were just exagerating your point when you made the statement about a yr-long coke/heroin binge. I'm sure you realize that such a binge would be impossible, and I hope you will at least consider the possibility that your use of a .25mg of klonipin each evening is hardly comparable to coke and heroin addiction. Perhaps you are being too hard on yourself. Consider this--a 1/4mg of "dust" can settle atop a gold coin in a day. Is the coin now worth less? Can it's luster not be easily restored?

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » HIBA

Posted by micky301 on January 4, 2003, at 20:52:25

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » micky301, posted by HIBA on January 4, 2003, at 0:03:20

You are right, there I do not have the answer and If I did I would be happy to give it to you all. I am here to give my viewpoint, and it appeared as though by coincidence mostly everyone here had very little difficulty handling benzo's. I just had to point out that It so happens that my body could not figure itself out after the chemicals in benzodiazepines took hold.

I myself am currently on .5mg of K , 1000mg Fish Oil, Flaxseed oil, and Estradiol.

I will be adding the MAOI Nardil this coming Monday because that is the only drug that has the consistency of good results I am looking for.

Can you explain to me why so many doctors hesitate to prescribe benzos anymore, ive been to a total of 5 pdocs and only one had a favorable attitude towards benzos. Im no doctor, i dont have the answer, but i would hope people with MD's attached to their names do.

 

Re: BENZODIAZEPINES » harry b.

Posted by Ritch on January 4, 2003, at 21:43:51

In reply to Re: BENZODIAZEPINES » Ritch, posted by harry b. on January 4, 2003, at 15:59:15

> >
> > Hi, are you still taking amitriptyline with your clonazepam? Have you tried any of the SSRI's with clonazepam like Paxil or Zoloft, i.e? If so, have they allowed you to reduce your dosage of K? What does your pdoc want to do as an alternative to clonazepam if you quit it? Sorry for the questions, but am just wondering what your doctor's reasoning is on this issue.. Mitch>
>
> Hi Mitch,
> No, am not taking the amitrip. I do take Parnate, 80mg/day, for depression. My Pdoc's reasoning is that the P should deal with the PA, but I'm unsure of that & damned afraid to find out. Also, I don't think the P would control the facial tics.
>
> I have gone through most of the AD meds available, including the SSRIs. They were no help. I had to virtually plead with my doc to begin treatment with a MAOI, as a lot of docs are reluctant to prescribe them now.
>
> Take care,
> hb
>
>

Harry, thanks for responding. My pdoc is reticent to prescribe MAOI's. I am hestitant to take them because of Blood pressure concerns. I suppose I should consider myself fortunate to be panic free (spontaneous panic anyhow) with low dose Klonopin. I have "wigged out" in the recent past and needed 1.5mg of K./day for a few weeks, but I seem to get by OK now on .25-.5mg/day with Depakote and a little Effexor. stay well, Mitch

 

Re: BENZODIAZEPINES » Ritch

Posted by harry b. on January 5, 2003, at 0:36:19

In reply to Re: BENZODIAZEPINES » harry b., posted by Ritch on January 4, 2003, at 21:43:51

<<My pdoc is reticent to prescribe MAOI's. I am hestitant to take them because of Blood pressure concerns.>>

Rich,
I had the same concerns about MAOIs & BP (see my post). Docs, especially the younger ones, are very reluctant to prescribe the older MAOIs. To date (2yrs+) I have had no BP problems & no hypertensive crisis. The diet is not that restrictive & I've found that I can eat most of the prohibited items in small quantities without consequence. ******I'm NOT advising anyone to do this***** I do stay away from a few foods totally because of what I've read.

Your K dosage is low. You should have no problem if you need to stop using it.

Good Luck & Have a Great New Year
hb

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER » micky301

Posted by HIBA on January 5, 2003, at 0:51:32

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » HIBA, posted by micky301 on January 4, 2003, at 20:52:25

Hello Micky,

Thanks for your response. The reason why docs still hestitate to deal freely with benzos:

It is upto docs to chose the right medication for the right patient. Some doc see benzos much problematic than antidepressants because of their potential for abuse and dependence, while some are more rational to assess the benefit versus risks ratio and try the benzo route at first. Older antidepressants and newer ones have found to be effective in anxiety disorders,(though not as benzos) but the cost is too high. Whatever pdocs say to you, antidepressants are a life sentence if your disorder is of a chronic nature. That is my experience. Benzos can also be the same, but with a huge difference in the side effect and safety profile. In the case of an overanxious patient, docs usuallly try antidepressant route first hoping that the drug can be withdrawan easily, only to see the same patient a couple of months later in a more disturbed and disorganized state. Then the blame goes to underlying disorders and the possibility of antidepressant induced psychological dependence is conveniently being ignored or unnoticed. Anxiety is often chronic and antidepressants can be a life sentence to such patients, with all those horrible side effects such as memory loss, sexual dysfunction etc. But still some docs vehemently relying on these kind of medications with a frivolous belief that on a bright sunny day before the flood, they can free all their overanxious patients from these chemicals. But if you are unfortunate enough to be categorized in the chronic section, believe me,freedom from medications is not only an illusion, but can be quite unwise also.

So when a long-term therapy is needed, it is wise to chose the safest route. Though not innocuous, benzos are much superior to antidepressants in their safety profiles. They are safer than medicines like aspirin and penicillin. Even decades after their introduction, the controversy over benzos is roughly concentrated on their potential for abuse and dependence. Nothing more to blame. Benzophobics are frequently echoing the same thing. Dependence and withdrawal. That's all. But can't we accept a slight medical dependence in order to function normally? Can't we accept benzo dependence much favourable than a much problematic antidepressant dependence?

HIBA

 

Re: BENZODIAZEPINES ARE NOT THE ANSWER

Posted by FredPotter on January 5, 2003, at 14:28:45

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER » syringachalet, posted by johnj on January 3, 2003, at 15:24:03

"only you can cure you" reminds me of when I was very ill and unable to help myself. My health worker turned up because I'd failed to turn up to an appointment. She said, "I can help you but I can't rescue you". I sighed and thought, "quoting from a behaviourist book isn't going to help".

 

I understand exactly how you feel(nfm)** » FredPotter

Posted by johnj on January 5, 2003, at 15:58:07

In reply to Re: BENZODIAZEPINES ARE NOT THE ANSWER, posted by FredPotter on January 5, 2003, at 14:28:45

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