Posted by dr dave on September 4, 2002, at 13:41:42
In reply to Re: Reports from people taking Lexapro » dr. dave, posted by johnj on September 4, 2002, at 11:37:50
I haven't really found that people on SSRIs are more likely to relapse than people on other antidepressants. I do find that people can feel better on an antidepressant for a while and then relapse - which doesn't necessarily mean the drug has stopped working.
Antidepressants can successfully elevate an individuals mood, but it can be the case that the factors that have led to that depressive state in the first place can continue and overwhelm what effect the drug has had. I don't think people's mood state can be permanently elevated by a drug such that other influences cannot have an effect. If someone's life is chronically difficult, be that because of external problems or because of unhelpful ways of thinking or reacting to circumstances, this can lead to depression. Antidepressants can alter the balance of positive and negative influences on that persons mood, but if the difficulties continue they can reverse that shift. If your life has felt devoid of pleasure for six months, that exerts a certain downward pressure on your mood. If your life has felt devoid of pleasure for six years, that is going to depress your mood more strongly. In this situation the pressures that are chronically exerting a negative influence on your mood need to be identified and sorted out, as any medication may be fighting an unwinnable battle.
> I didn't think about any dirty play from other drug companies. The only thing that bothers me is when I look at a lot of ssri's I see poop out happening(or so it appears) to everyone over time. Why start something if it will just poop out? I would like to change to a new AD since my nortryptline makes my sleep and mood worse when I work out. And I need to excercise to help myself. It might take a few days, but over the last few years all mood and sleep disturbance has occurred when I have tried to work out. My doc doesn't quite buy it, but I have found other people with similiar experience on nortryptline and amitryptline. It is almost like the AD causes depression??? I know it sounds funny, but that is the way it feels sometimes. I have not heard of anybody feeling this way on Celexa or any other ssri's so that is why I am considering Lexapro. I tried remeron, but too powerful, and caused a sponge head feeling. Thanks for your input on ssri poop out if you have had experiences with that.
> Johnj
poster:dr dave
thread:109458
URL: http://www.dr-bob.org/babble/20020829/msgs/118785.html