Psycho-Babble Medication | about biological treatments | Framed
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Re: treatment resistant depression and anxiety

Posted by bleauberry on April 8, 2009, at 17:03:31

In reply to Re: treatment resistant depression and anxiety, posted by desolationrower on April 8, 2009, at 9:01:53

> yeah there might be other things you could figure out might be helpful but MAOI is pretty much always the right answer for pseudo- treatment resistance

>"(not responding to an MAOI=real TRD, sign up for ECT)"
> -d/r

I must politely humbly respectfully disagree, but keep in mind I am pounding my fists on the table as I say that. :-)

If MAOIs do not work, there are several avenues I would suggest, but ECT is not on that list. As an ECT survivor, and ECT failure, an ECT studier, and an ECT critic, I am obviously biased. Set that aside for a minute. Cost was $22,000. Memory loss was, and is, massive. The response rate and remission rate is not better than meds. The relapse rate is extremely worse than meds, with 85% of responders relapsing within 4 weeks.

Try Parnate, Nardil, or Zoloft+Nortriptyline. When those are exhausted, then reconsider. But to be treatment resistant after all three of those has a very low percentage of happening.

In the meantime, go to and read the writings of Dr Gillman. You can come up with good stragegies and ideas there.

ECT = no.




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