Should Ecstasy (MDMA) be a Psychiatric Medication?

Posted by Natasha Tracy | Sep 26, 2011

You may not know this, but ecstasy (MDMA) has been studied as a psychiatric medication. Yes, that’s right, that stuff kids take at raves. The stuff that makes you thirsty and fall in love to the person next to you. That stuff. And MDMA was shown effective in several psychiatric uses.

But research on MDMA (ecstasy) was curtailed in 1985 when the US government named it a class 1 drug (like heroin) over the objections of doctors. Psychiatric research on MDMA is gearing up again though and it has shown promise in treating post-traumatic stress disorder (PTSD) and possibly depression and anxiety.

No Evidence of the Effectiveness of Psychotherapy? – 3 New Things

Posted by Natasha Tracy | Sep 15, 2011

This week I learned three new things about psychotherapy and depression.

I’m a fan of psychotherapy for everyone. In fact, if we could get the mid-East folks to sit down for some good counselling, I think it would be more effective in bringing peace than anything you can do with a gun.

With that said, there are limitations to therapy and sometimes therapy is not all it’s cracked up to be. So this week, a look at three perspectives on psychotherapy:

Psychotherapy is no better than placebo in treating depression?
Which type of psychotherapy is better for depression?
How does psychotherapy change the brain?

How to Get Off Antidepressants Effexor/Pristiq (Venlafaxine/Desvenlafaxine)

Posted by Natasha Tracy | Sep 12, 2011

Or other bothersome antidepressants.

Generally, following the rules I wrote about last week on how to stop antidepressants while minimizing withdrawal work, and most people can successfully withdraw from antidepressants with few side effects.

Some Antidepressants Are Hard to Get Off Of

Unfortunately, some antidepressants are not so easy to get off of no matter what you do. Some antidepressants:

Resist a taper strategy
Have intolerable withdrawal effects anyway *

People Have Trouble Withdrawing from these Antidepressants

Any antidepressant can feel impossible to withdraw from, but the antidepressants people have most trouble withdrawing from are:

Paroxetine (Paxil)
Duloxetine (Cymbalta)
Venlafaxine (Effexor, any version)
Desvenlafaxine (Pristiq)

But by far, venlafaxine and desvenlafaxine (Effexor and Pristiq) are the ones I hear about. In my opinion, these two drugs are a nightmare to come off of for most people. ^ (I’m not saying everyone has trouble with these antidepressants, just that many do.)

Here are tips on how to get off of horrible~ drugs like venlafaxine (Effexor) and desvenlafaxine (Pristiq).

Antipsychotic Warning, Saffron for Depression, Polypharmacy – 3 New Things

Posted by Natasha Tracy | Sep 8, 2011

It’s a bit of a short week what with the holiday and all, but still, there is time for three new things about mental health. Today’s three new things are:

A safety warning on the atypical antipsychotic drug asenapine maleate (Saphris)
Saffron and depression
Multi-drug (polypharmacy) treatment of mental illness

New Antipsychiatry Discussion, L-Theanine, Rapid Cycling Markets – 3 New Things

Posted by Natasha Tracy | Sep 1, 2011

This week’s three new things include:

A new supplement that may help brain health and mental illness: l-theanine
A poor comparison between rapid cycling bipolar disorder and the financial markets
A new discussion of antipsychiatry

Safety Warnings for St. John’s Wort

Posted by Natasha Tracy | Aug 21, 2011

Including the Dangers of Using St. John’s Wort to Treat Bipolar Depression

I mentioned last week that St. John’s wort has been shown ineffective at treating mild depression as well as moderately severe depression (major depression).

Nevertheless, St. John’s wort is the most well-known alternative treatment for depression and many people take it. However, there are absolutely some dangers in taking St. John’s wort that you should know about, especially if you’re bipolar.

Five New Bipolar Depression Treatments You Don’t Know About – Part 2/2

Posted by Natasha Tracy | Jun 22, 2011

As I mentioned, people with bipolar type II spend 35X more time depressed than hypomanic, and yet there are very few treatments available.

As we discussed last time, the neurotransmitter glutamate and the inflammatory complex are two new, badly-needed areas of bipolar depression treatment research. Here are three additional bipolar depression treatment areas you probably don’t know about: diet, antioxidants and modafinil.

5 New Bipolar Depression Treatments You Don’t Know About – Part 1

Posted by Natasha Tracy | Jun 17, 2011

People with bipolar disorder 2 spend 35 times more time depressed than hypomanic. As a person with bipolar type 2, I can tell you how true this is. Bipolar type 2 is more like a depressive disorder than a bipolar one. However, this doesn’t mean bipolar disorder 2 can just be treated like unipolar depression. If only life were that simple.

Bipolar disorder type 2 depression treatments must not induce hypomania or mania, and antidepressants used alone often do that. For this reason bipolar 2 depression treatment is generally like happy hour (full of cocktails). And many of us are very frustrated with the fact no new medications are being developed for our mental illness.

So here’s some hope. Here are five bipolar depression treatment areas you probably don’t know about.

Depressed People Who Take Antidepressants Do Better Long-Term – Part 2

Posted by Natasha Tracy | May 16, 2011

As I mentioned last week, it’s very difficult to measure long-term outcomes of depression treatment due to the confounding depression variables like severity of depression, duration of depression, number of depressions and so on.

In short, the sicker you are, the more depressed you are, the more likely it is you’ll get treatment.

Antidepressant Treatment Outcomes Long-Term, A Study

I discussed the basic outcomes of this study: The association between antidepressant use and depression eight years later: A national cohort study by Colman et al. which tries to take these variables into account.

Colman et al. showed those who took antidepressants had better depression treatment outcomes than those who didn’t, eight years later, once confounding variables were taken into consideration.

I’ll now point out the strengths and weaknesses of this study as well as some other interesting tidbits shown or cited in the study. Oh, and I’ll give my opinion on what it all means.