Miller wrote:littlek wrote:Miller, that reasoning doesn't really work for me. It's a prescription. Doctors should be responsible for the prescriptions that they write.
Americans are basically, in my opinion, lazy - always opting for the least difficult route to fixing a problem, even if it's not the best one. We are a society dependent on things that make life easier - prozac, et al, makes life easier.
So, your average American would just assume take the easy way out of a depression to maintain their happy shiny, sparkle sparkle lifestyle. Doctors should make patients work for it (counseling) if they are also going to prescribe meds.
In a managed care setting today, there's little time for that type of doctor-patient interaction.
Eeyep, and I feel that's a problem. But, I dunno what kind of time it would take from the Drs' schedules. Maybe a system where you have to be enrolled and going to a therapist in order to continue your drug regimen. At least in some cases. I'd guess that's too restrictive(?) for most merkins, though.
I don't think SSRIs should be the first line of treatment, ever. The short-term side-effects are no fun and no one knows what the long-term side effects might be.
But therapy is expensive, and 'managed care' doesn't like that. Also, there is still a stigma attached to seeing a therapist. My niece refuses to see one; she doesn't want to be seen as 'crazy' like her auntie. Then there's the, 'what's wrong with you, why don't you just snap out of it' mentality.
By the way, I've tried CBT, but it has its drawbacks. In person, I am a much, much better debater than online (really, I am!). When I debate myself the negative side always wins. My therapist thinks that 'distracting' myself away from my negative thoughts might work better. We'll give it a try.
LOL!!!! Yes - good ol' CBT is a strange, clumsy beast! I hate it meself - I kind of use lots of weird stuff to make it funny and such.
But - I think just knowing the mechanics of anxiety - and that it cannot hurt you - is a damn fine first step - as is learning to deal with a panic attack without thinking it the end of the world.
kickycan wrote:Miller wrote:dlowan wrote:Miller wrote:dlowan wrote:Well, no arguments re the drug companies - and boy, do they sem to have sold the USA a pup....
Do you have specific pharmaceuticals in mind?
Yes - the folk who push anti-depressants, speed for ADD and tranquilizers willy nilly.
I don't think these medications are Rxed willy/nilly. That's a solid basis for the prescriber as well as the pharmacist to lose his/her license.
Bullshit.
Bullshit.
Couldn't have said it better myself.