Anonymous asked:

I just read an article about how antidepressants have near zero clinically significant positive effects (no better than placebo for mild depression and only help 10% of those with major depression), are addictive, and just marketing gimmicks from the pharma giants. The article also said that the whole chemical imbalance theory of depression has been disproved. I've been on antidepressants for a long time, and my psychiatrists have always used the chemical imbalance theory. I'm very confused.

Yeah, different studies get different results, and that doesn’t necessarily mean that they are “the whole truth.” That’s science, for you. I recently read something that seemed like a good explanation of what you are talking about - so I am going to share the link here - http://vida-escarlate.tumblr.com/post/84775581050/ive-spent-a-good-part-of-my-life-measuring-the
I actually don’t know the scientific validity of anything in this article/excerpt that I’m linking to, but I know that I agree with what it is saying.
Many, many people (and many, many, many studies!) find antidepressants to be helpful, but there are also people who feel differently.

Anonymous asked:

I'm a bit curious if there's some sort of medication that makes you just, fall asleep or something? Like makes you super tired and just conk out.

There are several medications, prescription and non-prescription, that can do that, but every medication works differently for every person.

unescapablefete asked:

So I was wondering about things social workers and psychologists do to build rapport, I've heard Of mirroring, anything else that they do subtly to gain our trust?

Hmmm…to me, it varies from client to client. Light conversation, reassuring, talking about client’s interests, remembering details and names from previous conversations…it’s more intuitive to me, so I am not so good at listing it!

Anonymous asked:

What can you share about lamotrigine for bipolar 2?

One of the biggest advantages of lamotrigine is that there don’t tend to be side effects of weight gain or cognitive issues, so it’s preferable for a lot of people. It mainly helps with the depression piece - evidence isn’t significant about whether it helps mood swings themselves or hypo/mania. There are certain drug interactions if you’re taking Depakote or Zoloft with it, so a doctor may decide it’s not worth it to try (although it can be done) in those cases, but it overall is a preferred choice for bipolar 2 depression and the National Institute of Health approves :)

Anonymous asked:

Hi, same anon that asked about ECT. My girlfriend started treatment and is having some pretty bad memory loss from it. Most of the things she has forgotten have been trivial things like what episode of a tv show that we had been watching we were on but a few things that she has forgotten have scared me. She's an artist and forgot how to use many features on Photoshop, a program she has years of experience with, the other day. Are these memory problems permanent?

Very normal, and MOST are not permanent. Some people do experience long lasting memory issues, especially if they have done several courses of ECT, but more likely than not, she will be much more like herself again after the course of ECT has passed and she is doing maintenance or none at all.

ECT

I received an anon question about ECT when I was running out the door the other day and now I would like to answer it more in depth. My previous answer was “yes, it is safe.”

However, if you’ve seen Girl Interrupted and One Flew Over the Cuckoo’s Nest, you probably won’t believe me from a four-word sentence so I am going to collect some facts for you about its safety.

The ECT procedure is often carried out in medical hospitals although psychiatric hospitals do it as well, but there is lots of advanced medical monitoring. A patient is given medication to sleep and relax the muscles. He or she is hooked up to a monitor so that the doctors can see how much “seizure” the ECT is producing, making sure it’s at the appropriate level - enough to be effective but not so high that it would be damaging. There is also an EKG going on at the same time, and it monitors the heart rate, which allows the doctors to know if the patient has woken up (some people worry that they will wake up and won’t be able to tell the doctors since their muscles will be relaxed - thankfully, the machine tells the doctors! I was speaking with someone yesterday who had this experience. It was scary for her to wake up, but it was reassuring to her that they did notice immediately and take care of it). The EKG, and the ECG (brain monitor) also makes sure that all brain and heart activity are within expected levels for treatment. People tend to be confused or forgetful for a few minutes after coming out of ECT but it subsides. Sometimes patients also have a headache.

Most people who have been through ECT in the 2000s (and even before that) and beyond, when asked, said that they would choose to have ECT again if the need arose. The study I read said 81%.

Another study I read mentioned that you are more likely to die from childbirth-related complications than you are from ECT-related complications.

Certain things also make ECT the SAFEST choice in some situations. It works more quickly than an antidepressant at alleviating suicidal depression. When compared with many of the side effects of heavy medication, ECT typically comes with less complications.

Although there are risks of both long and short term cognitive impairment (confusion, memory loss, etc), it’s significantly safer than it ever was, and continues to get safer as it advances. In many cases, the positive results of ECT outweigh the risks.

Still, ECT is not appropriate for everyone or in every case. Some people think that only schizophrenics/psychotic people would benefit from ECT but the truth is that ECT is really geared to treat DEPRESSION. Not psychosis, not personality traits, not criminals. Depression. So if you know someone who is getting ECT, it doesn’t mean that they are crazy. And it definitely does not mean that they will be unsafe.

Hope this helps. There is SO much research out there. If you want to explore further and a Google search is too overwhelming, I can look up some good resources for you.

Anonymous asked:

My girlfriend is about to start ECT and I'm really nervous about it. She's trying to reassure me that everything will be okay and that this will be good for her but I don't know very much about it. Is it safe?

YES it is safe! And I will tell you more about it later tonight or tomorrow when I have more time to elaborate but yes it is safe!

Anonymous asked:

i just want to say thank you for your answer to my ask a while ago (initial side effects of starting medication). The nausea eventually settled as well as the anxiety mostly. The mint tea was a great idea :) So, thank you again. I am still waiting for it to kick in and work, but i have passed the 3 week mark.

You’re welcome!!! You’ve gotten over the first “hump,” now onto actually getting the medication to work. Best of luck!!!

Anonymous asked:

I don't have a ? but I wanted to share w. your followers that meds really helped me. I struggled with MDD & GAD for years and I insisted I didn't want to go on meds. But it got to the point where I just needed a boost 'cuz I was stuck - meds did that for me. It took time to dial in the amt & now I'm just on enough to take the edge off, not block things. The BEST thing meds have done is give me context again because I'd forgotten what calm & happiness was like. Now I remember & can work to that.

Thanks for sharing!

I have a few questions in my inbox that I haven’t gotten to answer yet so if I didn’t answer yours, I am not ignoring you :)