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There Is No Magic Bullet, Folks

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I really appreciate Therese Borchard's response to Newsweek's interview with the author of the new self-help book Unstuck: Your Guide to the Seven-Stage Journey Out of Depression. Like Therese (pictured here), I take meds to manage my illness and that works for me. And like Therese, I also believe that people should do what they need to in order to feel better. But I am deeply skeptical of any book or article or therapist who suggests there are a set of steps you can take to solve the problem once and for all.

So many people tell me to try holistic methods. That doesn't work for everyone, and it didn't work for me or for Therese, who blogs for Beliefnet.com. She writes:

I also have my own empirical evidence or data from the days I weaned off almost all of my drugs in an effort to try to combat my depression with yoga, meditation, Chinese herbs, acupuncture, homeopathic remedies, deep breathing techniques, and fish oil.

How did I do?

I needed a caretaker. In fact, Eric took the equivalent of three months off of work. Because I couldn't drive, work, or take care of the kids. I was completely disabled by my depression and anxiety.

I hear you, T.

Don't Get Stuck on "Unstuck": Depression Is Real, and Drugs Help Me

Comments

Liz,

It sounds like this person's problem was that she tapered her meds too quickly and not a return of the depression.

So many people taper their psych meds way too quickly and as a result, withdrawal symptoms are confused as a return of the illness. As a result, many people who could get off their meds don't.

As a general rule, antidepressants should be taperered 10% of the current dose around every 3 to 6 weeks. More powerful meds like antipsychotics should be tapered in the 2-5% range. You should wait a minimum of two weeks and wait until you feel just as well or better than when you made the last doseage cut.

Of course, cutting in these percentages can be challenging depending on what med you are using. But that is a whole other post.

But my main point in responding was that so many people including this particular person confuse withdrawal symptoms with a return of the illness due to way too fast tapering schedules.

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About

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Liz Spikol is senior contributing editor of Philadelphia Weekly. She writes the award-winning column The Trouble With Spikol, which began as a chronicle of her struggle with mental illness, and has since expanded into humorous musings on everything from graphic novels to how to use a mop. She also writes the paper's book review column, Lit Gloss. This blog -- named one of the Top 10 Bipolar Blogs of 2007 by PsychCentral -- is about mental illness policy, news, personal journeys and more.