Posted by bleauberry on April 8, 2010, at 17:18:26
In reply to Re: Start AD's at lower than FDA starting Dose, posted by Katgirl on April 7, 2010, at 17:32:42
> bleauberry, I'm astounded you have found a pdoc that will treat people at those low levels. I get treated like a crazy hypochondriac by both regular and pdocs when I try to explain my sensitivity to drugs and the low doses I want to try. I am always asking if things come in liquid form so I can lower the dose. You must have a really good doc!!!!!!
Well, he isn't an antidepressant specialist or a pdoc. He deals with a specific patient group where drug sensitivity, bizarre reactions, and depression happen to be the norm. In his office, everyone is like you and me.
Most doctors would view me or you as weirdos, lightweights, or hypochondriacs as their only way to defend against their own ignorance. Ya know, point the finger at someone else rather than admit you don't know or admit you aren't on the cutting edge.
They should be better versed on depression-related diseases than they are, and what some of the tell-tale clues are. It isn't rocket science. There are pamphlets and magazines readily available with all this kind of information for them.
Who are these patients? They all have Lyme disease. Exquisite sensitivities are the norm in this group, to drugs, herbs, vitamins, and yes even certain foods. This doc is not a depression specialist, but a Lyme specialist. It just so happens that he sees and recognizes things that would otherwise confound a pdoc who should be well versed on Lyme, but isn't.
There is a pamphlet titled "What Every Psychiatrist Should Know About Lyme Disease." I wonder how many are familiar with that disease or any other that causes depression? Probably very few. Sad. To be paid so much money and to be so out-of-the-loop with their field.
I should mention that Lyme is certainly not the only cause for "bizarreness" you, me, and others' experience in our drug trials. There is previous ssri usage, candida issues, intestinal wall issues, and a few others.
Off the topic, but another interesting note about him is that in his experience he has had a great deal of trouble with generics. So in most cases he will not even prescribe them. He is a brand-only doc and will go to bat with the insurance provider to make it happen if they refuse.
poster:bleauberry
thread:942635
URL: http://www.dr-bob.org/babble/20100406/msgs/942787.html