Posted by yxibow on July 10, 2008, at 2:51:35
In reply to Re: boston globe article on SSRI method of action, posted by ihatedrugs on July 10, 2008, at 0:23:46
> So I guess we'll need to start seeing a Neurologist now.
>
> Now my question is how does ECT fall into this theory.. Does it stimulate the brain to create new neurons?
There's an incredible subdepartment of neurology clinics at an institution near me -- probably over 60 types.
Diagnosis and treatment of some disorders are progressing but still largely neurology is a research tool -- a large majority of neurologists spend time in research.
I have an oral tic, probably caused by a medication I still need to take for my functionality -- it was, after an exhaustive 3 hours and input from residents decided to be a non tardive phenomenon.
In fact, its very linked to psychological issues, as I just had another episode while thinking about it.
But my experience while thorough and definitely with a person who studies a lot in his field -- my main visual disorder baffled all of them (which created a lot of emotional pain as I am probably the only person in North America with this constellation of psychiatric, who knows, neuropsychiatric disorder(s)), and in the end the primary issue at hand had few clinically valid options for treatment.
It was a necessary step to take to have a diagnosis, but as noted, not a lot of neurological diagnoses have pleasant outcomes. While giving me insight, it also gave me a lot of emotional pain.
I know there are other medications that can be given for such a situation like alternating Botox (primarily A) and other dopamine agonists (which can cause serious psychosis), but the situation really has to be "bad" (god help me what bad is).
Neurology, like psychology is in its infant, medieval stages. Some (potentially and realistically fatal) neurological disorders have fast tracked orphan medications to improve and prolong the lives of those affected by disorders which we cannot cure at the moment (realistically, actually a lot of treatments are palleatives and not "cures" -- especially including mental illness. Maybe someday).
There have been studies at Baylor that the orphan drug tetrabenazine can improve TD (at the expense of causing possible permanent pseudoparkinsonism and other unpleasant things as it is a dopamine depleter like the much harsher reserpine.)
-- tidingsJay
poster:yxibow
thread:838784
URL: http://www.dr-bob.org/babble/20080706/msgs/839086.html