![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 5 to 29 of 36. Go back in thread:
Posted by Phillipa on December 4, 2010, at 12:39:23
In reply to Re: Do antidepressants induce chronicity?, posted by AlexanderfromDenmark on December 4, 2010, at 12:13:16
In my own experience low doses of benzos but with miltown much stronger with first and continuous panic attacks let me recover so I just dropped in a day the miltown continued with valium and yes drank beer. And led a very productive life using the valium in doses up and down. Only when my thyroid went did a doc give me an ad and from then it's been down hill. So personally I believe what you wrote. I'm going to start a controversial topic thread now also. Phillipa
Posted by ed_uk2010 on December 4, 2010, at 12:50:55
In reply to Re: Do antidepressants induce chronicity?, posted by AlexanderfromDenmark on December 4, 2010, at 12:13:16
> > It doesn't have to be ADs.
> >
> >
>
> Could it be hamsters?Huh?
Posted by sigismund on December 4, 2010, at 13:22:19
In reply to Re: Do antidepressants induce chronicity?, posted by ed_uk2010 on December 4, 2010, at 12:50:55
It's unlikely to be hamsters but it could be benzos.
Posted by ed_uk2010 on December 4, 2010, at 13:54:43
In reply to Re: Do antidepressants induce chronicity?, posted by sigismund on December 4, 2010, at 13:22:19
> It's unlikely to be hamsters but it could be benzos.
I suspect that benzos are more likely to induce chronic anxiety than ADs are to induce chronic depression. Some anxiety disorders appear to emerge during benzo treatment eg. agoraphobia.
Not sure about hamsters. Never had a hamster.
Posted by sigismund on December 4, 2010, at 14:06:37
In reply to Re: Do antidepressants induce chronicity? » sigismund, posted by ed_uk2010 on December 4, 2010, at 13:54:43
>Some anxiety disorders appear to emerge during benzo treatment eg. agoraphobia.
Yes
Posted by ed_uk2010 on December 4, 2010, at 14:08:29
In reply to Re: Do antidepressants induce chronicity? » ed_uk2010, posted by sigismund on December 4, 2010, at 14:06:37
>Yes
Short, but sweet. You normally have more to say for yourself Sigi.
Posted by sigismund on December 4, 2010, at 14:49:32
In reply to Re: Do antidepressants induce chronicity? » sigismund, posted by ed_uk2010 on December 4, 2010, at 14:08:29
There was a study in one of the journals here about agorphobes on benzos. They were withdrawn from benzos and their agoraphobia vanished after the withdrawal. Some of the patients were at risk of jumping from the windows during the process.
Posted by linkadge on December 4, 2010, at 16:26:53
In reply to Re: Do antidepressants induce chronicity? » ed_uk2010, posted by sigismund on December 4, 2010, at 14:49:32
For me, benzos seem to be much easier to go off and on than antidepressants.
Posted by ed_uk2010 on December 4, 2010, at 16:29:04
In reply to Re: Do antidepressants induce chronicity?, posted by linkadge on December 4, 2010, at 16:26:53
> For me, benzos seem to be much easier to go off and on than antidepressants.
Do you take them everyday for months on end though? I thought you used them short term and when needed.
Posted by Hombre on December 4, 2010, at 18:49:39
In reply to Do antidepressants induce chronicity?, posted by AlexanderfromDenmark on December 4, 2010, at 4:58:28
At least on that page, there's no discussion of why this may be happening, other than the implicit assumption that all ADs cause chronicity.
It's possible that people that medicate feel well enough to get back to work, to act like nothing is wrong anymore, when it is very likely that there are still many factors that are causing stress and therefore leading to chronic depression. Of primary importance are the emotional issues that seem to be ignored by most people dealing with depression.
The mind has a very powerful effect on health. PTSD is one example, where severe trauma alters the brain and causes a chronic hyper-alert state and a vulnerability to certain situations. It also causes a flattening of mood, depression, and insomnia. In this case, the original trauma itself caused changes to the brain and chronicity. While some people can eventually recover from this, many can not.
So stress itself can cause chronicity of mental illness.
Those who don't take ADs have to do other things to get well, reaching out to others, exercising, getting good rest, etc.
ADs and basically all drugs have side-effects, which means that they affect the body as whole. Some of the effects are positive, but some may actually hurt the body.
Instead of exploring how ADs might weaken the body, making it more vulnerable to stress, we just stop at the conclusion that ADs are bad. That's way too simplistic for any of us intelligent people to accept.
Posted by linkadge on December 4, 2010, at 19:35:35
In reply to Re: Do antidepressants induce chronicity?, posted by Hombre on December 4, 2010, at 18:49:39
>It's possible that people that medicate feel >well enough to get back to work, to act like >nothing is wrong anymore, when it is very likely >that there are still many factors that are >causing stress and therefore leading to chronic >depression. Of primary importance are the >emotional issues that seem to be ignored by most >people dealing with depression
Bingo.
Its like tearing a ligament, popping some opiates and walking around like nothing is the matter. Depression can often be a signal, that something in ones life must be changed.
Linkadge
Posted by sigismund on December 4, 2010, at 22:11:48
In reply to Re: Do antidepressants induce chronicity?, posted by linkadge on December 4, 2010, at 19:35:35
>Depression can often be a signal, that something in ones life must be changed.
Yes, and you may be quite unaware of what it is or why.
Posted by linkadge on December 5, 2010, at 7:38:39
In reply to Re: Do antidepressants induce chronicity?, posted by sigismund on December 4, 2010, at 22:11:48
>Yes, and you may be quite unaware of what it is >or why.
I liken the surge in antidepressant use to the surge in obesity. There is a tendancy to blame ones genes for obesity rather than looking at lifestyle factors that may be involved.
Its easier to believe you've got a "chemical imballance" than to accept the fact that life just blows sometimes and theres not a heck of a lot you can do about it.
Believing you are chemically imballanced, psychologically puts you back in the drivers seat (for the time being). But when the little buzz from the med wears off, and you return to the realization that life still sucks, then you're back to square one. Its maladaptive for an organism to feel great when there is something wrong. History not learned from is bound to be repeated.
To me, this would be the simplest explaination for treatment resistance. If you hate your life circumstances, theres only so much a medication can do to make them more tollerable.
Linkadge
Posted by Alexanderfromdenmark on December 5, 2010, at 7:42:39
In reply to Re: Do antidepressants induce chronicity?, posted by linkadge on December 5, 2010, at 7:38:39
> >Yes, and you may be quite unaware of what it is >or why.
>
> I liken the surge in antidepressant use to the surge in obesity. There is a tendancy to blame ones genes for obesity rather than looking at lifestyle factors that may be involved.
>
> Its easier to believe you've got a "chemical imballance" than to accept the fact that life just blows sometimes and theres not a heck of a lot you can do about it.
>
> Believing you are chemically imballanced, psychologically puts you back in the drivers seat (for the time being). But when the little buzz from the med wears off, and you return to the realization that life still sucks, then you're back to square one. Its maladaptive for an organism to feel great when there is something wrong. History not learned from is bound to be repeated.
>
> To me, this would be the simplest explaination for treatment resistance. If you hate your life circumstances, theres only so much a medication can do to make them more tollerable.
>
> Linkadge
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>What do you do when your life circumstances, such as chronic illness, cannot be changed?
Posted by Hombre on December 5, 2010, at 9:18:09
In reply to Re: Do antidepressants induce chronicity?, posted by linkadge on December 5, 2010, at 7:38:39
But take it a step further, right? Stopping at life just sucks just leads to a sense of frustration, helpless, classic stagnation of thought/energy that is often at the heart of depression. It sucks the energy out of you, and eventually weakens the whole body.
That's why hope is a proven determinant of successful recovery and long-term remission - deciding that there is something that you can do, even if it is to admit that you may not be able to see certain options at the current time, but leave the door open for solutions in time...again, this is proven too be a strong factor in one's favor when battling depression.
Instead of getting caught up in the "facts", which are really our opinions, colored by experience and biochemistry, we decide to broach the subject when we are feeling better. We know how depression can create artificially negative thinking, so we have to accept that maybe sometimes we need to wait a bit, postpone huge generalizations until we can do so in a way that lets our creative energies flow again.
Sometimes letting go opens up room for the room for energy to move again, and then we can "ingest" new ideas. It's like when a nightclub is crowded, trouble will start. Instead of just letting in more people, the bouncer waits until some of the drunks leave. The new people have less competition at the bar and can order more drinks. Everyone wins.
> >Yes, and you may be quite unaware of what it is >or why.
>
> I liken the surge in antidepressant use to the surge in obesity. There is a tendancy to blame ones genes for obesity rather than looking at lifestyle factors that may be involved.
>
> Its easier to believe you've got a "chemical imballance" than to accept the fact that life just blows sometimes and theres not a heck of a lot you can do about it.
>
> Believing you are chemically imballanced, psychologically puts you back in the drivers seat (for the time being). But when the little buzz from the med wears off, and you return to the realization that life still sucks, then you're back to square one. Its maladaptive for an organism to feel great when there is something wrong. History not learned from is bound to be repeated.
>
> To me, this would be the simplest explaination for treatment resistance. If you hate your life circumstances, theres only so much a medication can do to make them more tollerable.
>
> Linkadge
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
Posted by linkadge on December 5, 2010, at 11:34:26
In reply to Re: Do antidepressants induce chronicity?, posted by Alexanderfromdenmark on December 5, 2010, at 7:42:39
>What do you do when your life circumstances, >such as chronic illness, cannot be changed?
Depends on the chronic illness, I guess. There are studies in which antidepressants are essentially useless in terminally ill cancer patinents.
Sometimes certain antidepressants can be useful for chronic pain, which indirectly improves quality of life in certain illnesses.
Posted by linkadge on December 5, 2010, at 11:51:56
In reply to Re: Do antidepressants induce chronicity?, posted by Hombre on December 5, 2010, at 9:18:09
>But take it a step further, right? Stopping at >life just sucks just leads to a sense of >frustration, helpless, classic stagnation of >thought/energy that is often at the heart of >depression. It sucks the energy out of you, and >eventually weakens the whole body.
No, I don't think that people should give up at "life sucks". I totally believe in hope. Thats what most of the people on this board are looking for. However, in certain cercumstances, by looking for the latest antidepressant cocktail are we just avoiding opportinuties for true recovery? I guess what I am saying, is that I believe we need to find hope in something that is *really* going to make a life changing difference.
>deciding that there is something that you can do,
Yeah, but at some point, don't people just get tired of the "new pill of the week" strategy for renewed hope? Is that really "doing something about it?
>We know how depression can create artificially >negative thinking, so we have to accept that >maybe sometimes we need to wait a bit, postpone >huge generalizations until we can do so in a way >that lets our creative energies flow again.
But, for many of us, we need more than just "a positive happy outlook". I don't beleive in the school of thought that says "have a happy outlook, and everything will start going you way". We need reason to know that life is worth living. Popping a pill might win a battle but, does it win the war?
Linkadge
Posted by sigismund on December 5, 2010, at 13:09:37
In reply to Re: Do antidepressants induce chronicity?, posted by Alexanderfromdenmark on December 5, 2010, at 7:42:39
>What do you do when your life circumstances, such as chronic illness, cannot be changed?
You try to find a place inside you that is beyond the suffering.
So you are still sick. But part of you is untouched by it.
That's what I think, anyway.
Posted by sigismund on December 5, 2010, at 13:11:03
In reply to Re: Do antidepressants induce chronicity?, posted by Hombre on December 5, 2010, at 9:18:09
That was nice.
Posted by sigismund on December 5, 2010, at 13:21:22
In reply to Re: Do antidepressants induce chronicity? » Alexanderfromdenmark, posted by sigismund on December 5, 2010, at 13:09:37
I was reading this article by a phenomenologist (which I'm only dimly acquainted with) and she was talking about her experience with chronic illness in terms like these.
She didn't imply she could escape the suffering.
She did talk about having found a place in herself where she felt OK, in spite of the fact that she was quite ill.
Mental illness is such that usually this is impossible, or nearly so.
Posted by europerep on December 5, 2010, at 16:12:33
In reply to Do antidepressants induce chronicity?, posted by AlexanderfromDenmark on December 4, 2010, at 4:58:28
First of all, I don't think one can have it both ways. Either antidepressants are effective in treating depression, thereby possibly prolonging the illness - or they aren't effective, but how would they then prolong the illness? I mean, it would be a possible, but complicated argument to make that antidepressants are actually ineffective in treating depression, *but* their action induces chronicity. It doesn't really make sense to me...
Then, this statement (from the article, without any backup) seems possibly questionable to me:
"Prior to the widespread use of antidepressants, depressed patients regularly got well, and many never suffered a second bout of major depression."
Also, if more people are depressed for longer periods of time now, one would think that suicide rates should go up, no? Maybe that's compensated by better preventive measures and such, but... I don't know.. I'm not really convinced.
Posted by linkadge on December 5, 2010, at 16:55:28
In reply to Re: Do antidepressants induce chronicity?, posted by europerep on December 5, 2010, at 16:12:33
>I mean, it would be a possible, but complicated >argument to make that antidepressants are >actually ineffective in treating depression, >*but* their action induces chronicity. It >doesn't really make sense to me...
I think there are a few mechanisms by which antidepressants could induce chronicicty.
>Also, if more people are depressed for longer >periods of time now, one would think that >suicide rates should go up, no?
Well, I think that antidepressants can improve depressive symptoms to the extent that suicide is prevented. But, I do think that they can prevent a full recovery by acting as an impediment to normal neuroendocrine function and/or induce a dependance in conjunction with preventing full recovery (a bunch of unsubstantiated words I know, but just my personal thoughts).
Linkadge
Posted by Bob on December 5, 2010, at 22:00:44
In reply to Do antidepressants induce chronicity?, posted by AlexanderfromDenmark on December 4, 2010, at 4:58:28
> This has probably been posted before, but I wondering about people's opinion.
>
> http://www.madinamerica.com/madinamerica.com/Depression.html
This thread is depressing.
Posted by Hombre on December 6, 2010, at 3:05:39
In reply to Re: Do antidepressants induce chronicity?, posted by linkadge on December 5, 2010, at 11:51:56
OK, yes I agree that sometimes we expect too much from antidepressants, or choose to ignore that our life might suck.
That's why I see recovery as a multilayered strategy, since I ascribe to a holistic view of the human organism.
From the base physical aspects, which almost always need attention, to our relationships with people around us, to our general outlook on our role in the world. Disease can enter from any of these levels, which are just descriptive, not necessarily set in stone, but once disease enters, it wreaks havoc at the other levels.
If you're tired all the time, stressed out, you will feel it physically and then it will start to wear on you emotionally. If that goes on long enough and you do not or are not able to stop it, it progresses to the next level where we really don't understand our purpose in life, what it all means, "spiritual" stuff.
Or maybe our problem is a bad relationship, and we get hurt/frustrated/angry, that will seriously damage our normal functioning and it will manifest again as physical symptoms and probably "spiritual", or our greater purpose that is beyond our immediate selves.
And of course, losing our bearings in life, being spiritually lost, will over time trickle down to damage our emotional and even physical well being.
Plugging one hole in the dyke is not enough; we have to address all the levels of our being if we really want to root out disease and be healthy.
Antidepressants may actually numb us, so even though we're not miserable, we aren't in touch with our feelings. We'll ignore those bad relationships and life frustrations, and we may ignore our bodies and its needs.
Again I agree with you, I just have this particular way of categorizing health and wholeness, maybe different from your own, but I think we can still agree on general principles.
The greatest healing I've experienced to date is at the level of the heart, to speak up to people that are abusing me, whether intentionally or not, and to honor my feelings. And also to ask forgiveness from those I've hurt, and to try to honor their feelings.
Sometimes that just hurts a lot, because I've been suppressing hurt for a long time. I may try to pray, to eat well, to take medications, but if I don't address my emotional issues, I am still vulnerable to illness. Or maybe I have guilt because I wronged someone else, and it's eating away at me because I am still aware at some level that the other person is hurting.
Chronicity is just a sign that we are still ill at some level, and though we may be able to temporarily adjust at other levels to feel comfortable, we have not attacked the root of the problem.
You can't really blame one method or another for causing chronicity. Drugs are powerful, and they change the body, the brain, hormones, and alter basic physiological functioning. The problem is that people act like antidepressants only alter a few neurotransmitters, and leave everything else untouched. That's just naive, but we can't help thinking that way because that's how the drugs are marketed, and that's what doctors tell us.
It's a very narrow-minded way of looking at things, and if we adopt that narrow outlook we will see no options and feel helpless, continuing to suffer, and will apply black and white thinking to things like medication.
> >But take it a step further, right? Stopping at >life just sucks just leads to a sense of >frustration, helpless, classic stagnation of >thought/energy that is often at the heart of >depression. It sucks the energy out of you, and >eventually weakens the whole body.
>
> No, I don't think that people should give up at "life sucks". I totally believe in hope. Thats what most of the people on this board are looking for. However, in certain cercumstances, by looking for the latest antidepressant cocktail are we just avoiding opportinuties for true recovery? I guess what I am saying, is that I believe we need to find hope in something that is *really* going to make a life changing difference.
>
> >deciding that there is something that you can do,
>
> Yeah, but at some point, don't people just get tired of the "new pill of the week" strategy for renewed hope? Is that really "doing something about it?
>
> >We know how depression can create artificially >negative thinking, so we have to accept that >maybe sometimes we need to wait a bit, postpone >huge generalizations until we can do so in a way >that lets our creative energies flow again.
>
> But, for many of us, we need more than just "a positive happy outlook". I don't beleive in the school of thought that says "have a happy outlook, and everything will start going you way". We need reason to know that life is worth living. Popping a pill might win a battle but, does it win the war?
>
>
>
>
> Linkadge
>
>
>
>
>
>
>
>
>
>
>
Posted by europerep on December 6, 2010, at 6:32:33
In reply to Re: Do antidepressants induce chronicity?, posted by linkadge on December 5, 2010, at 16:55:28
> I think there are a few mechanisms by which antidepressants could induce chronicicty.
>Feel free to explain. I mean, how could ADs prevent homeostasis that leads to natural remission, if they don't "do the job", thereby making homeostasis obsolete? And if they "do the job", well then by definition they are effective.
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.