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Mental Health
The Case Against Antidepressants
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<blockquote data-quote="FunkOdyssey" data-source="post: 232804" data-attributes="member: 44064"><p>First, let me say that you seem like a reasonable person and I appreciate your comments. The idea that antidepressants are safe and effective is our societal default -- that position gets plenty of airtime already and my assumption is that readers will already be familiar with it. I don't see value in cluttering the thread with positive studies whose results are already undermined by information presented here. When you see a short-term industry-funded drug trial, you are now equipped to notice the small effect sizes and the reporting bias that leads to selective publication of positive results. When you see a longer-term study, you understand the antidepressant is most likely staving off its own withdrawal symptoms.</p><p></p><p></p><p></p><p>Anyone that recovers from depression is living differently than they were before. They get out of their heads and become externally-oriented, pursuing goals, socializing, exercising, eating better, maintaining healthier circadian rhythms, grooming and improving their appearance, nurturing their relationships, and generally participating in life in ways that the world responds positively to and rewards them for.</p><p></p><p>Skipping directly to the antidepressant behaviors above is an effective treatment for depression -- it's called Behavioral Activation Therapy. For many, the energy boost of cranked up monoamines and strong active placebo effect provides the permission and the nudge people need to behaviorally activate their way out of depression. This is what I believe is happening when the drugs appear to work. On the flip side, you can take whatever psychiatric drug cocktail you want and you will not recover if you remain a homebound, ruminating, nocturnal, isolated, couch potato hermit.</p></blockquote><p></p>
[QUOTE="FunkOdyssey, post: 232804, member: 44064"] First, let me say that you seem like a reasonable person and I appreciate your comments. The idea that antidepressants are safe and effective is our societal default -- that position gets plenty of airtime already and my assumption is that readers will already be familiar with it. I don't see value in cluttering the thread with positive studies whose results are already undermined by information presented here. When you see a short-term industry-funded drug trial, you are now equipped to notice the small effect sizes and the reporting bias that leads to selective publication of positive results. When you see a longer-term study, you understand the antidepressant is most likely staving off its own withdrawal symptoms. Anyone that recovers from depression is living differently than they were before. They get out of their heads and become externally-oriented, pursuing goals, socializing, exercising, eating better, maintaining healthier circadian rhythms, grooming and improving their appearance, nurturing their relationships, and generally participating in life in ways that the world responds positively to and rewards them for. Skipping directly to the antidepressant behaviors above is an effective treatment for depression -- it's called Behavioral Activation Therapy. For many, the energy boost of cranked up monoamines and strong active placebo effect provides the permission and the nudge people need to behaviorally activate their way out of depression. This is what I believe is happening when the drugs appear to work. On the flip side, you can take whatever psychiatric drug cocktail you want and you will not recover if you remain a homebound, ruminating, nocturnal, isolated, couch potato hermit. [/QUOTE]
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Mental Health
The Case Against Antidepressants
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