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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by porkpiehat on April 11, 2016, at 12:20:22
Scott I tagged you here because we have very similar diagnoses, but anyone's input is helpful...
What do you see as the similarity/distinction between med reactions in these two diagnoses? I've got a pdoc who sees my reactions to meds as hypomanic--and therefore wants me to stay away from most AD's in favor of AAPs...I find these VERY heavy.
On the other hand, my therapist sees patterns of complex trauma in which a psych med strips away a symptom, but your mind has developed that symptom as a defense to keep you safe. So the mind reacts by bringing another symptom/defense to bear for your own safety.
On the surface this rage/mania/hyperviligence appears as a manic reaction to the medication but what if it's more psychodynamic stuff? I would say the meds and the treatment approach are going to vary. I can't trust as gospel the words of either my pdoc (who is gone) or my therapist who sometimes seems way off target.
Posted by linkadge on April 11, 2016, at 16:19:46
In reply to Complex trauma vs. biolarity))SLS/Scott, posted by porkpiehat on April 11, 2016, at 12:20:22
Suppose the only tools you have are a hammer and a saw. Just because the hammer just bangs up the screw, doesn't mean the saw is the right tool to use. Psychiatry is very limited.If you start with the belief that psychiatry knows all the diagnosis' and has appropriate treatments for each, then you have made a logical error.
If an SSRI makes you impotent, does that mean the original diagnosis wasn't depression, but rather erectile dysfunction?
Linkadge
Posted by Christ_empowered on April 11, 2016, at 18:41:40
In reply to Re: Complex trauma vs. biolarity))SLS/Scott, posted by linkadge on April 11, 2016, at 16:19:46
Diagnosis isn't all that big a deal. AP/AAP drugs are kind of hardcore. If you can avoid them, you should.What do you want out of treatment? Treatment goals are different for different situations. If you're depressed, agitated, and hearing voices, that sort of thing usually responds fairly well to drugs. When you start dealing with more nuanced, complicated problems/symptoms/issues, sometimes the problems w/ the Rx meds outweigh the benefits (and cost).
Anyway...I guess I'm saying that, from what I understand, the data is good for using meds for a while to treat fairly severe problems. Neuroleptics --do-- usually suppress psychosis and mania. ADs --do-- often help more severe forms of depression. BZDs --do-- often make severe anxiety less of an issue.
However...long term use even for severe problems can be tricksy. Use of the meds for less severe problems isn't (from what I've read) as well backed by available data. The AD studies, for instance, have found that more moderate depressive episodes aren't all that responsive to today's drugs, but more severe episodes are.
I hope you can find a solution.
This is the end of the thread.
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