Gnip
Bill the Cat
- Oct 10, 2020
- 621
No antidepressant works without therapy and without a personal search for your own process of self-knowledge.
Antidepressant is just a palliative for you to have the strength to do those things. Unfortunately no medicine alone can cure mental illness. It's just a mere repository of neurotransmitters.
We have to be aware of that. And psychiatrists must be honest in addressing this issue.
But you may have an antidepressant that works best for you, or a combination of them.
Based on my painfully extensive experience, I disagree COMPLETELY that antidepressants do not work without therapy, and clinical articles on the efficacy of medications without therapy are far too voluminous to support and defend the existence of therapy as a profession.
Therapy without antidepressants created my now decades long incurable Major Depressive Disorder.
For several months, specifically from November 1996 to August 1997, Prozac WITHOUT therapy worked perfectly in completely relieving my MDD for the first time since therapy from fuckhead school psychologists created that depression. (In fact, I read "Listening to Prozac" by Peter Kramer just as my response to fluoxetine was peaking, and my experience on Prozac was EXACTLY like Kramer described.)
A girl who had Obsessive Compulsive Disorder was also recorded in a clinical journal article as attempting suicide on a 50,000 mg megadose of fluoxetine. Not only did she not die, ALL the symptoms of her OCD disappeared COMPLETELY for SIX MONTHS.
Can ONE therapy session eradicate OCD completely for a period of six months?
I do endorse Moshe Talmon's Single Session Therapy, and have been communicating to Medicare in the United States that SST should replace cognitive behavioral therapy as an approved treatment modality eligible for Medicare coverage. Three to five therapy sessions is two to four sessions too many for most psychological issues.
Mirtazapine helps put pounds on my waist
Unfortunately, even amphetamines ultimately have a vicious weight gain rebound effect.
For appetite control, Contrave rarely works, and is seldom covered by insurance, HOWEVER, the two medications which Contrave combines, the antidepressant Wellbutrin (buproprion) and naltrexone, ARE separately covered by prescription plans.
I suggest you consider ditching the mirtazapine (unless it helps you sleep), and inquire about trying a combination of 150 mg to 300 mg buproprion XL with 50 mg naltrexone as an affordable Contrave substitute. (For some people, Wellbutrin can interfere with sleep, but I have the most treatment resistant case of obstructive sleep apnea ever recorded at the medical school where I got tested three times.)
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