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Prozac 'no better than placebo' for treating children with depression, experts

theguardian.com

391–400 of 561 posts

Re: Prozac 'no better than placebo' for treating children with depression, experts

#391

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7 year olds are second graders in school. They are exposed to plenty.

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Issues like what? Civilization? Ending slavery? Those aren't teachings, they are genocidal lies.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#392

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That story doesn’t work for people with depression who otherwise have very good lives. I grew up in a stable household with a loving family and both parents present and supportive. I’ve never had financial hardship, either as a kid depending on my parents to provide or as an adult providing for myself and family. I did very well in school, had plenty of friends, never had enemies, never got bullied or even talked bad…

> I don’t think there’s a metaphorical “cow” that could have helped me. The medication is the cow for you. In this story your support system figured out what would work best for you, which was medication, and facilitated that. It’s a story about a doctor that serves patients in rural Cambodia. Help from the local community would look different in Borey Peng Huoth, for example.

I think that's a huge stretch.

"Your community" isn't your doctor. This annecdote, to me, is cleariy an attempt to blame modernity for depression.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#393

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> Pills are for people who feel depressed but don't have something to be depressed about -- they have food, shelter, friends, opportunities to contribute and be productive, nothing traumatic has happened, but they feel hopeless anyway This warrants a whole different discussion, and I'll be down voted for it, but one that's never addressed: quality over quantity. Pills are the individuals response to a society that fe…

> I cured it by finding meaning and beauty in the world. That's incredibly fortunate and I'm very jealous of you. How would you recommend one goes about finding meaning and beauty? I'm fortunate to have had lots of unique experiences and traveled to lots of unique places and still haven't found the fulfillment that you seem to. That's basically what depression is: a debilitating feeling of lack of fulfillment, withou…

That's exactly the problem, "meaning in life" has no static definition and there is no possible way to explain it in general terms, even for people who proclaim to have "found" it.

Pills, on the other hand, are easy to understand. This is not to say that they are a viable substitute in any way, but it does explain why so many prefer substance treatments.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#394
post #379

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> my 7-year-old son just started half that dose This is horrifying.

> This is horrifying. I agree with this. I've learned a lot through life, one thing I've learned is about detrimental long term physical and even social effects of antidepressants, and other medications like adderal. Both I used to take. At this point in my life, if I realized my parents gave me an antidepressant prescription when I was SEVEN years old because I said something stupid WHEN I WAS SEVEN I'd be very dist…

My kids go to a ordinary public school. They are very bright, cautious, and thoughtful, and generally pretty happy and upbeat. There is a strong correlation between academic intelligence and mental illness. Being depressed to the point of being suicidal and having a sunny disposition are not mutually exclusive at all. I absolutely agree that it would be disturbing and disappointing for a child to be medicated because of something stupid they said when they were seven. I think medication may be appropriate if they show a consistent pattern over several months of physiological symptoms and reactions that are consistent with depression or anxiety, and cannot be explained by external factors like trauma or major life changes.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#395

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It wasn’t intended to. It was just the best “every man” link I could provide for understanding how efficacy of toxin-clearing (toxicity) could be related to depression, other struggles with homeostasis. Did you grasp the connection?

I am still waiting for something that would support your claim rather than mention something sort - of - related.

Do you not count depression as a mood disorder…?

Re: Prozac 'no better than placebo' for treating children with depression, experts

#396

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"why do you feel sad about your girlfriend broke up with you, it happens all the time and you'll probably find someone else" Attitude

I can't tell if you're being sarcastic or not but that is kind of the truth. A breakup is horrible, in its worst case it is similar to an untimely death and can come with grief and maybe even worse because the person is still alive and in your life so you're reminded by their absence even deeper and could experience jealousy, and the drip feed of interaction can elongate the time it takes you to move on with your life and find the person who is more right for you.

But while the sadness is real and shouldn't be ignored or suppressed, wallowing is unhelpful and you ought to move on with your life - just like if someone close to you dies, the deceased most likely would want you to be happy and continue living a good life and move on.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#397

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Yes, us too. Beats us. Sure wasn't around our house, and we can't imagine any family/friends/TV/whatever he may have learned it from.

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> My kids know that they aren't permitted to be lazy or say they are bored.

Seems like a really great way to have your kids feel guilty about the way they feel and then not talk to you about it.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#398

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During my first manic episode I was handed sertraline. This pushed the mania full send and I lost a lot of time that I can't account for, things I did I can't remember but friends have recalled. Climbing the house to get in through the upstairs window whilst having the house key on me. Locking myself in my room for a week or two convinced I was the real world John Connor and Arnie was looking for me. Blowing all my s…

SSRIs are definitely not commonly recommended or normally used for treating bipolar disorder - especially not for people who are showing signs of a manic episode.

Unfortunately, this is one of the major limitations of our diagnosing abilities with mental illness: when someone presents with severe depressive symptoms and no other known history of mental illness, we have no real way of telling whether it should be classed as Major Depression, or whether it may be Bipolar disorder.

So, sadly, yours is a common story where people with bipolar disorder that initially manifests with a depressive episode get treated with SSRIs that then push them into their first manic episode. I've had a good friend go through something very similar (though, thankfully, less severe in terms of intensity of the manic episode).

If you were given SSRIs to handle the start of your manic episode, that to me seems like a gross mistake by your physician.

Re: Prozac 'no better than placebo' for treating children with depression, experts

#399
post #397

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> My kids know that they aren't permitted to be lazy or say they are bored. Seems like a really great way to have your kids feel guilty about the way they feel and then not talk to you about it.

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Re: Prozac 'no better than placebo' for treating children with depression, experts

#400

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> I cured it by finding meaning and beauty in the world. That's incredibly fortunate and I'm very jealous of you. How would you recommend one goes about finding meaning and beauty? I'm fortunate to have had lots of unique experiences and traveled to lots of unique places and still haven't found the fulfillment that you seem to. That's basically what depression is: a debilitating feeling of lack of fulfillment, withou…

For what it's worth, I have dealt with pretty severe depression for most of my adult life. I am only starting to have periods of coming out when I realized that most of depressed feelings come from a place of ego. I have an identity of who I am and what I like, and I seek things in the external world which might provide meaning for me. For me, it's because I always sought value from the things around me, rather than…

I hope you can understand that this and other comments about needing to find meaning and needing to sit with inner feelings... It feels patronizing. I have spent tremendous amounts of time and energy analyzing my feelings and looking for meaningful experiences. I've sought relief in meditation, religion, therapy, yoga, travel, art, etc. Most people probably have in one way or another. It's not rocket science to know those activities may be beneficial. They undoubtedly do help some people overcome feeling depressed. But feeling depressed is different from having depression.
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