tag:blogger.com,1999:blog-26666124.post5320433120493601985..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: Antidepressant "Withdrawal": Why Aren't Psychiatrists Seeing this "Common" Problem?Unknownnoreply@blogger.comBlogger12125tag:blogger.com,1999:blog-26666124.post-91764893945478150892018-04-18T14:26:04.314-04:002018-04-18T14:26:04.314-04:00ok, take careok, take careAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-58044134322862840362018-04-18T13:08:15.199-04:002018-04-18T13:08:15.199-04:00Thanks for a reply, nope, don't read Mein Kamp...Thanks for a reply, nope, don't read Mein Kampf prior or now, and hope your week goes well.<br /><br />My point to the Nazi example is asking to show compassion is perspective and intent, I became a doctor because I believed, and still do to a point, of being concerned and caring, but, I see less people as patients who show insight to be concerned and caring of their choices and goals. Can't help people who won't instinctively help themselves, so hope that clarifies my comments of late.<br /><br />Again, the gray zone, not about all or none per meds. But, we live, no, we are entrenched in a quick fix, immediate gratification zone of demanding to be better yesterday. Meds won't do it, and certainly doing the same thing over and over won't give different results.<br /><br />Done commenting here, be safe and well to you and all readers.Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-43620049062562172762018-04-18T09:04:18.451-04:002018-04-18T09:04:18.451-04:00I'm not ignoring this chapter of history. Your...I'm not ignoring this chapter of history. Your argument is ridculous. So a Nazi once said that they showed compassion towards the Jews. For any reasonable person, this is obviously not true. In the context of this discussion, it is irrelevant. Lets agree that you show people more compassion than the Nazis did to the jews. I don't often visit "Mad in America". Do you often read "Mein Kampf" ?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-4206689074197026262018-04-18T08:42:01.633-04:002018-04-18T08:42:01.633-04:00Yeah, let's ignore that chapter of history, it...Yeah, let's ignore that chapter of history, it fits well to gloss over with certain narratives, eh? Oh, until it's convenient later...<br /><br />And I guess an excuse to dismiss the rest of my prior comment inquiry?...Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-90331160159537211812018-04-17T23:44:25.028-04:002018-04-17T23:44:25.028-04:00Your bringing the Nazis into this ? really ?Your bringing the Nazis into this ? really ?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-15889183962594138172018-04-17T18:31:22.907-04:002018-04-17T18:31:22.907-04:00Compassion is at least half perspective. Interest...Compassion is at least half perspective. Interesting I once heard a Nazi supporter claim there was compassion for the Jews to exterminate them the way the Nazis did. I honestly do not think I would have lasted 25 years without having compassion, especially working most of this time in community mental health care clinics. So, maybe you can educate me and other readers what is your definition of what meets compassion as a provider? Just give people what they want, and note not what they truly need? Maybe not give any meds at all?? Maybe call people on what they bring to the office that is not going to be fixed by meds and then risk being harassed and conjured to instead be foolishly complicit with quick fix agendas???<br /><br />Compassion is sometimes saying no, and that point gets a lot of dissent.<br /><br />I genuinely am interested to hear what defines compassion from your perspective. Just be prepared I will call you on a false narrative if that is my interpretation. <br /><br />I know that Dr Miller does not agree, but, I find that those who go by anonymous as their title as commenter are often with agendas, but, I have been wrong at times. Curious, do you read often at MadinAmerica.com?Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-48818497463521117612018-04-17T15:55:28.770-04:002018-04-17T15:55:28.770-04:00Prescription Drugs go in and out of fashion. They...Prescription Drugs go in and out of fashion. They usually get discarded after a prolonged period of denial about side effects or negative long term health implications. Drugs cost money to develop and must pay back with interest before being cast to the wayside. Anybody remember the Benzodiazapine revolution and its fall from grace ? The 'Z' drugs ? Antidepressants are heading the same way. Oh well, theres always Ketamine or MDMA. What could possibly go wrong ? After 25 years of working with patients, I would think you would show more compassion.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-65447250435151798662018-04-17T10:54:57.892-04:002018-04-17T10:54:57.892-04:00Frankly, I think a sizeable portion of the people ...Frankly, I think a sizeable portion of the people who complain the loudest about discontinuation syndrome issues with antidepressants are not just mood disordered patients, but have at least some subtle characterological issues in place as well.<br /><br />After 25 years of working with patients, the ones who make such a big deal needing to be tapered for months off meds like paroxetine or venlafaxine, even if on them for less than a year's time prior, bring a lot of interpersonal strife and other drama into the office.<br /><br />Yes, patients deserve to have an independent approach to getting off medication, irregardless of what the meds are, but, no one has died or had profound long term sequelae being responsibly tapered to discontinuation of the medication. Really, I knew a colleague who was opening up Effexor 37.5 mg capsules and counting out the pulvules every day, she estimated about 100 in the capsule and was cutting back by 10 every 3 days??<br /><br />Just my opinion, but, it's like watching Methadone patients act like the world is ending when they are down to under 20mg after being on more than 100mg for years prior. This NY Times article is only intended to forward more antipsychiatry narrative at the end of the day, I'll bet looking for relations from the author to other sources could be illuminating.Joel Hassman, MDhttp://therapyfirst.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-68094546094078824632018-04-16T19:29:40.945-04:002018-04-16T19:29:40.945-04:00"Whats wrong" is the way you pay lip ser..."Whats wrong" is the way you pay lip service to the discontinuation syndrome associated with Antidepressant medication. From personal experience I can tell you that it is very real and horribly distressing, even if you do taper. Psychiatry seems intent on digging itself into a deeper and deeper hole. Your comments are a prime example of why people are becoming so dismissive and negative towards your profession. The internet allows people to share experiences the world over and the sheer number of these shared experiences clearly point to the prevalence of antidepressant discontinuation syndrome. So, you ask the question : <br /><br />"Antidepressant "Withdrawal": Why Aren't Psychiatrists Seeing this "Common" Problem?"<br /><br />Its very simple, it is very common and very obvious if you would only look. Perhaps the average Psychiatrist cannot see what is blindingly obvious to every body else.<br /><br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-68982018488501261242018-04-13T07:58:34.842-04:002018-04-13T07:58:34.842-04:00sangat membantu sekalisangat membantu sekaliJasa Fotocopy Murah Jakartahttp://www.bintangabadigroup.co.id/noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-5302875419482478932018-04-11T15:24:28.884-04:002018-04-11T15:24:28.884-04:00If you don't believe it can be that bad and yo...If you don't believe it can be that bad and you have never seen it, it is because your patient knows how you feel and has put feelers out that you have missed. Some people can stop with no problem, some can't. I didn't tell my doctor because he would have wanted to change my medication or insist that is was the depression. He did that once and it make me worse. So I am doing it myself. From 300mg effexor to 4 yrs later finally down to 75mg. Yes it makes me very sick when I taper and I have a life so I am taking it slow. Just because you don't see it doesn't mean it isn't happening to your patients. Patients leave and miss appoints? Do you actually ask them if they think the medicine is making them better or worse? It took me two years in my drugged out haze to figure out that what I was feeling was not right, in those 2 years I lost my job, was always confused, and basically became a vegetable on my couch, nothing got done. Do some research just because you think it doesn't happen to you. it happens a lot.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-50039909446273162018-04-11T13:24:25.175-04:002018-04-11T13:24:25.175-04:00I would ask you to look at the list of patients th...I would ask you to look at the list of patients that "stopped" coming. I was one of those patients. My psychiatrist nor therapist believed me when I said I don't think this is relapse THIS is being caused by these drugs. <br /><br />The normal 2-4 week taper did not work for me. Hospiliaztion threats, increased and additional meds. All because they did not believe the possibility that these drugs were the ones affecting ME. I believed them when they said I was sick. And by all "text books" I was. I wasted 5 years of my life. Almost lost my marriage. But then I found others who's doctors didn't' believe them. <br /><br />I had to rely on online communities and Rouge Doctors. It took me OVER TWO YEARS to taper. And guess what, I am MED FREE. No sever symptomology. And let me tell you I have suffered SEVERE Life Stressors since being off meds, Two Deaths and Two Miscarriages and I did not have to go back on meds. I've been med free for years now. <br /><br />Like I tell people I didn't' know what true Depression was until I was put on antidepressants. <br /><br />I never went back to those doctors. Would you blame me? I'm glad this article is getting attention. Something needs to be done. I just praise God that I figured it sooner rather than later and I have my life back.Anonymousnoreply@blogger.com