Posted by musky on October 11, 2006, at 0:11:42
In reply to Re: OFF Remeron, posted by SLS on October 9, 2006, at 17:25:59
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> sorry dont agree... withdrawl can go up and down and the body cycles so you can get good periods after the initial withdrawl and then a down time even after having a few weeks of good time..
Im told this by an acupuncturist who specializes in withdrawl management from rx drugs, smoking, and cocaine addicts.. also I had talked to a pharmacologist on this very topic ,, again a knowledgeable person in the metabolism of drugs and they confirmed this to me.. they said the body just doesnt start to make the chemical all at once after getting off a med that interfered with the process.
and again the body is a system that cycles continuously and involves many factors which will contribute to emotions as well.
My cognitive therapist had also discussed the fact that alot of times peoples depression/anxiety returns is that they havent changed the way they think so they just restart the cycle again. This again has alot of supportive evidence to this fact.
Dr. David Burns( author of "Feeling Good Handbook") goes into detail more on this topic of relapse and again says alot of it is Cognitive and most patients benefit by just doing a tune up of cognitive behavoral therapy and they get back on track ...
Musky
> As far as restarting medication is concerned.
>
> Another thing to consider is that what some people experience as depression after discontinuing medication is a relapse of the illness rather than a part of a discontinuation syndrome. I guess you have to watch for the trend. The following just popped into my head, so they are not scientific:
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> 1. If the depression occurs immediately as the drug is discontinued, it could be either withdrawal or relapse. If it gets better over 2 weeks, then it is withdrawal. If it remains the same, it could be either. If it gets worse, it could be either. However, if after 4-6 weeks it gets worse, it is probably relapse. If it remains the same, it could be either. If the other withdrawal symptoms have disappeared, it might be relapse. If beyond 8 weeks with no other withdrawal symptoms, it is probably relapse. If beyond 12 weeks, it is relapse.
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> 2. If the depression occurs more than 4-6 weeks after the drug is discontinued it is probably relapse. If it gets worse over the next 2-4 weeks is relapse.
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> Unfortunately, depression and bipolar disorder can be recurring illnesses. For those cases with a recurrent course, relapses are most likely to occur within 4 months of discontinuing medication. This usually indicates long-term management.
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>
> - Scott
poster:musky
thread:692598
URL: http://www.dr-bob.org/babble/wdrawl/20061010/msgs/693746.html