How much do antidepressants help?

And you should tell them about suicidal thoughts because they are part of your symptoms. If you are in real danger check yourself into the hospital. They are not gonna force you into hospital over thoughts.

You said you were on an AD before. How did that come about? It's ok to want to take one and it is ok to be scared. You are doing the right thing by learning about it.

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Article by director of NIMH on effectiveness of AD's. STAR D study said 65% after six months. It wasn't compared to placebo though. I have always read the real world data says 50%. A combination of meds and therapy is best approach.

http://www.nimh.nih.gov/about/direct...-picture.shtml


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I figured it out. Sometimes your last post will not refresh automatically. What is weird is posts AFTER yours will show up but not yours until you manually refresh it. Thought I was going crazy too.

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I was on AD for ADHD. I was in Zoloft.

There are several readings I have gotten from this but this is a point I wish he would have expanded on:

"Sometimes the differences are small. Sometimes only positive results have been selected for submission to FDA. And sometimes the placebo effects are profound. For reasons that are not entirely clear, placebo effects have increased markedly over the past two decades in trials of psychiatric medications"

*Sometimes only positive results have been selected for submission to FDA.*

How many results don't get submitted? We don't know. This is a problem, IMO.

"placebo effects have increased markedly over the past two decades"

There is more written about this elsewhere. The theories are indeed complicated and interesting. Things like how participants are approached, for example. That points to human behavior and perception. I have read it is very difficult to replicate even close to the results of the first trial. I can't go into too much detail here. These are the ones that often don't get published. I feel you can debate all day but we still won't have all the info necessary to truly evaluate. NIMH doesn't either apparently.


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Just the STARD study. And real world results. Real world I don't actually know how much data and study there had been.

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Zoloft was a perfect choise , sertraline generic . was the top ssri for years , now shares top place with Lexapro , 100mg very effective on depression, 50 mg starter is just to low to achieve relief , 100mg -150mh spot on . I preferred 100mg and carried on a sex life. 150mg orgasm prob,s 200mg big sex prob,s .

As of right now, I don't care if it affects my sex life. I just want to be happy

Yeah the sexual side effects I have had to put up with. The price of depression. It seems odd to me they would put you on zoloft for ADHD. Are you still on a med for that? Like adderall or ritalin?

I was on the meds you mentioned. But I'm not on any right now. I use to see a Psychiatrist, but it's been about 5 years since I've been to one .

I love effexor. I'm one of those people who gets all sped up and manic from ssri's. Paxil made me hallucinate. I can't even take st. john's wort.

I have problems with very debilitating depressions and terrible anxiety, and lamictal alone just wasn't cutting it. effexor has been a life saver for me.

The one thing about it is that its really best to try other medications first, the discontinuation of effexor is nasty. Sometimes if I am even a few hours late taking it I start feeling the brain shivers. It's pretty bad that way.

How do they determine if AD are right for me,& how do they determine tear AD I should get?

Mixture of crapshoot and experience.

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They talk to you and then take their best guess. Like Michanne said it is a crapshoot, they have no idea how or why it works when it does work.

They would determine if an AD is right for you based on all your history and all your symptoms. If they diagnose you with MDD, major depressive disorder, then they would probably want to put you on an AD.

As far as which one they would pick. Your guess is a good as theirs. There are some genetic tests that are new that might point them in the right direction as far as side effects. I don't think those are to available yet.