Posted by laima on January 12, 2007, at 8:27:42
In reply to FYI--A CME on Tx Resistant Depression, posted by fca on January 10, 2007, at 10:01:11
I think of treatment resistant to mean the people who do not respond to drugs or treatments as readily as some other people.
Some people, (even me in the past), respond to one out of the first handful of treatments offered. Others try and try and try lots of treatments with little relief. I don't necessarily think that's the fault of the doctor's lack of skill. A good doctor may be able to zoom in to good hunches, ie noting that atypical style depression may repond to an MAOI, patient doesn't do well with SSRIs, looking at thyroid, ruling out a sleep disorder or physical disease- but to talk to someone for an hour or so once in awhile and from that to know exactly which med to use sounds like it's asking for psychic skills. Depression and other mood disorders can be complicated, and so far there is no litmus test to indicate precisely the cause or best treatment for a particular individual. I think researchers are working on it.
poster:laima
thread:721025
URL: http://www.dr-bob.org/babble/20070107/msgs/721587.html