Posted by southernsky on November 14, 2009, at 13:05:33
In reply to Re: Stimulants for TRD, posted by linkadge on November 14, 2009, at 12:50:18
sorry i meant to post this here instead of below.
yes Linkadge-many different theories out there.Here's a view from a professor at Columbia University about poor drug treatment response:
But in fact there is a body of literature that shows that when patients have a comorbid
personality disorder, its more difficult to treat their Axis I conditions. For example, if you have a patient who is depressed and who has narcissistic or borderline PD, that person is likely going to be difficult to treat. They may be failing various trials of meds, and knowing about their PD would be very helpful in understanding why. Or, a patient with panic disorder may not be responding to medication because they have a comorbid avoidant personality disorder. This is one reason drug companies exclude such patients from clinical trials, because they want the best response rate they can get.http://www.thecarlatreport.com/expertqa/diagnosing-personality-disorders
Hope it is helpful for some. I thought this interview was very interesting and informative.
poster:southernsky
thread:925568
URL: http://www.dr-bob.org/babble/20091107/msgs/925708.html