Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. " Ok, so the public are guinea pigs essentially....let the buyer beware! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. " Ok, so the public are guinea pigs essentially....let the buyer beware! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. " Ok, so the public are guinea pigs essentially....let the buyer beware! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. " Ok, so the public are guinea pigs essentially....let the buyer beware! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 Terry, I think this is a really important conversation ... and maybe this doctor will think. Maybe you could in the course of your dialogue present him with Dr. Glenmullen's books, Prozac Backlash and Antidepressants Solutions ... it's sad how the capacity for healthy debate in the medical- and mental health professions have disappeared if it ever truly existed in the first place ... with the bottom line being profit and masking emotional and physical issues with the quickest and most profitable fixes, none of which benefit the patient !What's worse is that many patients trust these " experts " implicitly and never think to question them. My conversation with an " expert " I recently presented a couple of workshops at a conference of social service agencies that work with moving people from homelessness to stability and self-sufficiency. I attended a workshop presented by a psychiatrist during open time I had between my sessions. He works for a non-profit that tries to provide " wrap-around " or all-encompassing interventions and services. It went something like this: " Dr. ****, what is your assessment of the level of understanding that currently exists among clinicians concerning adverse reactions and short- and long-term effects of SSRIs and SNRIs? " How about " seratonin syndrome, " " activation syndrome " and " discontinuation symptoms " ? I could tell he was surprised that anyone asked those questions. We went back and forth for a few minutes about what I meant by each of those questions...He hemmed and hawed but finally explained to the group that medicines are initially marketed as a result of research-based data, then we begin compiling " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. He also stated that among psychiatrists, he doesn't believe very many of them are aware of data as it is being collected, they only read reports after the numbers have been crunched. I asked his opinion about the number of GPs that are prescribing these meds - are more or fewer of them aware of the growing evidence about these drugs. He said few if any are aware until a major change takes place in the prescribing of these meds. To which I said " So you are basically saying that we have to wait for the body count to climb high enough before we will see steps taken to remove these lethal drugs from our medical system? " He said " yes " - but quickly noted that he believes most of the problems with these drugs are because they are being prescribed to people without true clinical depression/anxiety disorder or because they are being used to treat bi-polar disorders that would be better treated with mood stabilizers. I asked him how often he considers the medications his patients are on as a possible CAUSE of their continued deterioration? And does he ever try to remove drugs from his patients' treatment protocols or is polypharmocology the only way he addresses these problems. He stated that he usually adds to their meds because he believes they need the original meds and that the side effects can be alleviated by the other drugs. I did not want to be too confrontational because I'd like to establish a relationship with this guy that would allow me to get info from inside the " psych " world - and I think he can be manipulated for that purpose. Terry " ...There are certain things in our nation and in the world about which I am proud to be maladjusted and about which I hope all men of good-will will be maladjusted...Through such maladjustment, I believe that we will be able to emerge from the bleak and desolate midnight of man's inhumanity to man into the bright and glittering daybreak of freedom and justice. " - Dr. Luther King, Jr. - December 18, 1963 --------------------------------- Get your own web address for just $1.99/1st yr. We'll help. Small Business. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 Terry, I think this is a really important conversation ... and maybe this doctor will think. Maybe you could in the course of your dialogue present him with Dr. Glenmullen's books, Prozac Backlash and Antidepressants Solutions ... it's sad how the capacity for healthy debate in the medical- and mental health professions have disappeared if it ever truly existed in the first place ... with the bottom line being profit and masking emotional and physical issues with the quickest and most profitable fixes, none of which benefit the patient !What's worse is that many patients trust these " experts " implicitly and never think to question them. My conversation with an " expert " I recently presented a couple of workshops at a conference of social service agencies that work with moving people from homelessness to stability and self-sufficiency. I attended a workshop presented by a psychiatrist during open time I had between my sessions. He works for a non-profit that tries to provide " wrap-around " or all-encompassing interventions and services. It went something like this: " Dr. ****, what is your assessment of the level of understanding that currently exists among clinicians concerning adverse reactions and short- and long-term effects of SSRIs and SNRIs? " How about " seratonin syndrome, " " activation syndrome " and " discontinuation symptoms " ? I could tell he was surprised that anyone asked those questions. We went back and forth for a few minutes about what I meant by each of those questions...He hemmed and hawed but finally explained to the group that medicines are initially marketed as a result of research-based data, then we begin compiling " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. He also stated that among psychiatrists, he doesn't believe very many of them are aware of data as it is being collected, they only read reports after the numbers have been crunched. I asked his opinion about the number of GPs that are prescribing these meds - are more or fewer of them aware of the growing evidence about these drugs. He said few if any are aware until a major change takes place in the prescribing of these meds. To which I said " So you are basically saying that we have to wait for the body count to climb high enough before we will see steps taken to remove these lethal drugs from our medical system? " He said " yes " - but quickly noted that he believes most of the problems with these drugs are because they are being prescribed to people without true clinical depression/anxiety disorder or because they are being used to treat bi-polar disorders that would be better treated with mood stabilizers. I asked him how often he considers the medications his patients are on as a possible CAUSE of their continued deterioration? And does he ever try to remove drugs from his patients' treatment protocols or is polypharmocology the only way he addresses these problems. He stated that he usually adds to their meds because he believes they need the original meds and that the side effects can be alleviated by the other drugs. I did not want to be too confrontational because I'd like to establish a relationship with this guy that would allow me to get info from inside the " psych " world - and I think he can be manipulated for that purpose. Terry " ...There are certain things in our nation and in the world about which I am proud to be maladjusted and about which I hope all men of good-will will be maladjusted...Through such maladjustment, I believe that we will be able to emerge from the bleak and desolate midnight of man's inhumanity to man into the bright and glittering daybreak of freedom and justice. " - Dr. Luther King, Jr. - December 18, 1963 --------------------------------- Get your own web address for just $1.99/1st yr. We'll help. Small Business. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 Terry, I think this is a really important conversation ... and maybe this doctor will think. Maybe you could in the course of your dialogue present him with Dr. Glenmullen's books, Prozac Backlash and Antidepressants Solutions ... it's sad how the capacity for healthy debate in the medical- and mental health professions have disappeared if it ever truly existed in the first place ... with the bottom line being profit and masking emotional and physical issues with the quickest and most profitable fixes, none of which benefit the patient !What's worse is that many patients trust these " experts " implicitly and never think to question them. My conversation with an " expert " I recently presented a couple of workshops at a conference of social service agencies that work with moving people from homelessness to stability and self-sufficiency. I attended a workshop presented by a psychiatrist during open time I had between my sessions. He works for a non-profit that tries to provide " wrap-around " or all-encompassing interventions and services. It went something like this: " Dr. ****, what is your assessment of the level of understanding that currently exists among clinicians concerning adverse reactions and short- and long-term effects of SSRIs and SNRIs? " How about " seratonin syndrome, " " activation syndrome " and " discontinuation symptoms " ? I could tell he was surprised that anyone asked those questions. We went back and forth for a few minutes about what I meant by each of those questions...He hemmed and hawed but finally explained to the group that medicines are initially marketed as a result of research-based data, then we begin compiling " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. He also stated that among psychiatrists, he doesn't believe very many of them are aware of data as it is being collected, they only read reports after the numbers have been crunched. I asked his opinion about the number of GPs that are prescribing these meds - are more or fewer of them aware of the growing evidence about these drugs. He said few if any are aware until a major change takes place in the prescribing of these meds. To which I said " So you are basically saying that we have to wait for the body count to climb high enough before we will see steps taken to remove these lethal drugs from our medical system? " He said " yes " - but quickly noted that he believes most of the problems with these drugs are because they are being prescribed to people without true clinical depression/anxiety disorder or because they are being used to treat bi-polar disorders that would be better treated with mood stabilizers. I asked him how often he considers the medications his patients are on as a possible CAUSE of their continued deterioration? And does he ever try to remove drugs from his patients' treatment protocols or is polypharmocology the only way he addresses these problems. He stated that he usually adds to their meds because he believes they need the original meds and that the side effects can be alleviated by the other drugs. I did not want to be too confrontational because I'd like to establish a relationship with this guy that would allow me to get info from inside the " psych " world - and I think he can be manipulated for that purpose. Terry " ...There are certain things in our nation and in the world about which I am proud to be maladjusted and about which I hope all men of good-will will be maladjusted...Through such maladjustment, I believe that we will be able to emerge from the bleak and desolate midnight of man's inhumanity to man into the bright and glittering daybreak of freedom and justice. " - Dr. Luther King, Jr. - December 18, 1963 --------------------------------- Get your own web address for just $1.99/1st yr. We'll help. Small Business. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2006 Report Share Posted September 19, 2006 Terry, I think this is a really important conversation ... and maybe this doctor will think. Maybe you could in the course of your dialogue present him with Dr. Glenmullen's books, Prozac Backlash and Antidepressants Solutions ... it's sad how the capacity for healthy debate in the medical- and mental health professions have disappeared if it ever truly existed in the first place ... with the bottom line being profit and masking emotional and physical issues with the quickest and most profitable fixes, none of which benefit the patient !What's worse is that many patients trust these " experts " implicitly and never think to question them. My conversation with an " expert " I recently presented a couple of workshops at a conference of social service agencies that work with moving people from homelessness to stability and self-sufficiency. I attended a workshop presented by a psychiatrist during open time I had between my sessions. He works for a non-profit that tries to provide " wrap-around " or all-encompassing interventions and services. It went something like this: " Dr. ****, what is your assessment of the level of understanding that currently exists among clinicians concerning adverse reactions and short- and long-term effects of SSRIs and SNRIs? " How about " seratonin syndrome, " " activation syndrome " and " discontinuation symptoms " ? I could tell he was surprised that anyone asked those questions. We went back and forth for a few minutes about what I meant by each of those questions...He hemmed and hawed but finally explained to the group that medicines are initially marketed as a result of research-based data, then we begin compiling " evidence-based " and " anecdotal-based " data and may have to make adjustments in the target population for certain drugs, change the chemical make-up of the drugs, and/or restrict their use, if negative data accumulates. He also stated that among psychiatrists, he doesn't believe very many of them are aware of data as it is being collected, they only read reports after the numbers have been crunched. I asked his opinion about the number of GPs that are prescribing these meds - are more or fewer of them aware of the growing evidence about these drugs. He said few if any are aware until a major change takes place in the prescribing of these meds. To which I said " So you are basically saying that we have to wait for the body count to climb high enough before we will see steps taken to remove these lethal drugs from our medical system? " He said " yes " - but quickly noted that he believes most of the problems with these drugs are because they are being prescribed to people without true clinical depression/anxiety disorder or because they are being used to treat bi-polar disorders that would be better treated with mood stabilizers. I asked him how often he considers the medications his patients are on as a possible CAUSE of their continued deterioration? And does he ever try to remove drugs from his patients' treatment protocols or is polypharmocology the only way he addresses these problems. He stated that he usually adds to their meds because he believes they need the original meds and that the side effects can be alleviated by the other drugs. I did not want to be too confrontational because I'd like to establish a relationship with this guy that would allow me to get info from inside the " psych " world - and I think he can be manipulated for that purpose. Terry " ...There are certain things in our nation and in the world about which I am proud to be maladjusted and about which I hope all men of good-will will be maladjusted...Through such maladjustment, I believe that we will be able to emerge from the bleak and desolate midnight of man's inhumanity to man into the bright and glittering daybreak of freedom and justice. " - Dr. Luther King, Jr. - December 18, 1963 --------------------------------- Get your own web address for just $1.99/1st yr. We'll help. Small Business. Quote Link to comment Share on other sites More sharing options...
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