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What is CNS medication "hesitancy"? "It will change my personality", "it's addictive", "It's only for crazy people", etc. While many of these persons drink, smoke, do some drugs, etc., the "brain drug" fear is a tough nut to crack.
Can you give elderly medications? Often yes, but be careful of the dose and monitor closely. Many doctors will just avoid it for "responsibility" reasons not clinical reasons.
Can we use pk and pd in the office with patients? Yes, sometimes, but in psychiatry, at the end of the day it's the subjective way the patient responds that drives dosing and/or drug-type regimen.
Risks of drugs during pregnancy? Look at the stages: fertility effects, malformations, newborn toxicity & withdrawal, lactation. There is no way to study these well & Drs not easily willing to take risk & say ok to take them. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
Loss of memory due to meds or underlying illness? Try changing doses, get a history. You may find an even different problem, a "hidden one", like Sleep Apnea!
If one is used to taking certain meds they may not want to make any changes. People get attached to a certain make, certain doses, immediate vs. delayed release, etc. Sometimes there is an actual reason to keep the regimen, sometimes changing is just a "nocebo" effect.
Is polypharmacy ok or not? Fewer drugs are better of course, but while polypharm regimen A may cause troubles, polypharm regimen B may work well.
Patient, "Is this drug effective?", Dr, "Clinical trials show efficacy in persons with problems similar to yours, but THERE IS NO DATA ABOUT YOU, so we need to carefully look at this as treatment progresses". #clinicaltrials #Psychiatry
What is “Baby Rage”? It's when mom-in-law gets livid about daughter-in-law’s way of caring for a new baby. What to do? Try to make grandma think she is giving great advice and do it your way later. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Why would anyone want to date their best friend’s girlfriend?: she’s beautiful & men are lonely and horny causing a “natural addiction” to women. The problem is that dating your friend’s GF is likely to blow-up in your face. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Even suicidal people vacillate on getting medications for help, even when depression is chronic and there are no stressors. Anchored beliefs often run against logic. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
When deciding what caused a drug response we would need to control one's lifestyle, dosing regimen, stress, and other factors. Until this is studied in a blinded fashion we are left with a subjective rating.
Many persons with a long up & down history of mild symptoms just can't see that they are really ill, yes "mildly ill, but still ill" is harder to accept than really ill. Why? No one wants to be ill. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
“Do you feel ill or not ill?”, “Do you want the full treatment or not?” We try to see clearly what people need and go from there. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
What’s the answer to finding the right therapist? The one who tells you, “We have to find out what will work by some trial and error”. Not the one who says “This is what to do”. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Many persons with a history of depression, even suicidality, continue to have lingering symptoms many years later. The problem is that they don’t want to believe it’s them, they want to blame their environment. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg #depression