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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by fires on October 27, 2004, at 8:06:19
In reply to Re: On Being Triggered Here » fires, posted by Larry Hoover on October 26, 2004, at 15:48:50
> Mania, panic attacks, and so on are sequelae of "perception(s) of the saliency" of beliefs?
>
> ???????
>
> Nothing could be further from the truth, IMHO.
>
> LarConsider: The best treatments for this are meds. Consider the source: Jay Goldstein, MD, retired.
Can you state what your educational experiences are? internships? residencies? teaching experiences? clincal attending experiences? lecturing experiences?
Posted by gardenergirl on October 27, 2004, at 8:06:20
In reply to Re: On Being Triggered Here, posted by fires on October 26, 2004, at 16:34:45
Hi fires,
Can you please provide links or references about the "best treatments" for panic disorder and anxiety. I actually find that meds, particularly short-acting anxiolytics, just serve to "chase" the panic versus help the person learn to cope with it and perhaps conquer it. IMO, coping skills training is much more effective than short acting anxiolytics. So I would be interested in seeing what the current literature has to say about meds.Thanks in advance,
gg
Posted by fires on October 27, 2004, at 8:06:20
In reply to Re: On Being Triggered Here » fires, posted by gardenergirl on October 26, 2004, at 20:10:21
> Hi fires,
> Can you please provide links or references about the "best treatments" for panic disorder and anxiety. I actually find that meds, particularly short-acting anxiolytics, just serve to "chase" the panic versus help the person learn to cope with it and perhaps conquer it. IMO, coping skills training is much more effective than short acting anxiolytics. So I would be interested in seeing what the current literature has to say about meds.
>
> Thanks in advance,
> ggHere's one link to a good article on panic attacks:
The most effective treatments for anxiety and panic attacks are now believed by some to be antiDs:
http://www.psychiatrist.com/brainstorms/br6006.pdf
Using coping skills to combat panic attacks/anxiety is like using psychoanalysis to treat schizophrenia, in my book.
Posted by Larry Hoover on October 27, 2004, at 8:06:21
In reply to Re: On Being Triggered Here, posted by fires on October 26, 2004, at 16:34:45
> > Mania, panic attacks, and so on are sequelae of "perception(s) of the saliency" of beliefs?
> >
> > ???????
> >
> > Nothing could be further from the truth, IMHO.
> >
> > Lar
>
> Consider: The best treatments for this are meds.I would like to see an explanation for how it is that medication has any effect on the saliency of beliefs. There is far more to a mood disorder than unrepresentative belief, for example. Mood is a limbic process, not cortical.
> Consider the source: Jay Goldstein, MD, retired.
Argumentum ad Vericundiam, appeal to authority. It's nice to have a decent source for an opinion, but that is itself not support for the argument. The argument itself must still be made.
> Can you state what your educational experiences are? internships? residencies? teaching experiences? clincal attending experiences? lecturing experiences?
I'm an educated scientist, with research and teaching experience. That's all I'll say on the matter.
Suffice it to say, I have confidence in my own counsel.
Lar
Posted by fires on October 27, 2004, at 8:06:21
In reply to Re: On Being Triggered Here » fires, posted by Larry Hoover on October 26, 2004, at 22:33:22
> > > Mania, panic attacks, and so on are sequelae of "perception(s) of the saliency" of beliefs?
> > >
> > > ???????
> > >
> > > Nothing could be further from the truth, IMHO.
> > >
> > > Lar
> >
> > Consider: The best treatments for this are meds.
>
> I would like to see an explanation for how it is that medication has any effect on the saliency of beliefs. There is far more to a mood disorder than unrepresentative belief, for example. Mood is a limbic process, not cortical.
>Yes, Dr. Goldstein's first book in his trilogy: "Chronic Fatigue Syndromes: The Limbic Hypothesis"
I can't begin to understand Goldstein's explanations re: saliency, etc..., but few MDs can either. I'm not kidding.
Posted by sooshi on October 27, 2004, at 11:48:14
In reply to Re: On Being Triggered Here » gardenergirl, posted by fires on October 26, 2004, at 22:11:32
Hi fires,
I know that I am only one of many who had panic attacks (along with agoraphobia), but I can assure you, with 100% accuracy, that my panic attacks were CURED almost entirely with "coping skills", i.e. Cognitive Behavioral Therapy, Meditation and Biofeedback. I'm totally aware that this does NOT work for all, but it certinaly DOES work for some! Just thought I'd let you know.
Have a good day,
Sooshi
Posted by gardenergirl on October 27, 2004, at 22:36:54
In reply to Re: On Being Triggered Here » gardenergirl, posted by fires on October 26, 2004, at 22:11:32
> The most effective treatments for anxiety and panic attacks are now believed by some to be antiDs:
>I think it's important to point out that this study was in determining the most effective *medication* for anxiety and panic. It did not consider therapy at all. So whether meds or therapy or both is more effective for treating anxiety is not answered by this study. Nevertheless, it is interesting how AD's have been shown to be helpful. I'm sure that will come in handy for pdocs.
> Using coping skills to combat panic attacks/anxiety is like using psychoanalysis to treat schizophrenia, in my book.
I don't think I like your book... ;-)
gg
>
Posted by partlycloudy on October 28, 2004, at 6:24:32
In reply to CBTand/or meds for anxiety » fires, posted by gardenergirl on October 27, 2004, at 22:36:54
GG, I think it's intersting that this discussion got steered away from the Psych board by Dr Bob.
My personal experience with treatment for PSTD has been that medications allowed me to reign in my anxiety and panic, so that I could deal with them better in therapy. The combination of the two - drugs and talk therapy - is what has made such a difference in my recovery. (You already know my favourite modality of treatment, too.)
This is the end of the thread.
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