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a warning appears on the informational insert in my mirtazapine soltab box:
"antidepressants increased the risk of suicidal thinking and behavior (suicidality) in short-term studies in children and adolescents with major depressive disorder (mdd) and other psychiatric disorders. anyone considering the use of remeron soltabs (mirtazapine) or any other antidepressant in a child or adolescent must balance this risk with the clinical need."
i wonder how a psychiatrist might posit this information to the parents of a child who has recently been diagnosed with mdd?
"mr. and mrs. cranklewicknicky. your daughter maya suffers from a condition classified in dsm-iv as major depressive disorder. we normally treat depression by prescribing antidepressant medication. the antidepressant medication will improve maya's mood; however, it will also increase her risk of engaging in suicidal thoughts and behaviors. i know this is a difficult time for all of you but i want you to consider the following: although she might feel depressed right now, she wont feel a thing after she hangs herself. will that be cash or charge?"
for those of you who enjoy sculpting your neurons i happen to be privy to the physiological explanation that underlies an antidepressant's seemingly paradoxical tendency to increase suicidal behavior:
profoundly depressed individuals lack physical vitality and therefore spend much of their time either sleeping or curled up on a couch. upon beginning an antidepressant regimen they begin to feel better. as their mood improves they concomitantly participate in more and more physical activity.
like finding rope.
"antidepressants increased the risk of suicidal thinking and behavior (suicidality) in short-term studies in children and adolescents with major depressive disorder (mdd) and other psychiatric disorders. anyone considering the use of remeron soltabs (mirtazapine) or any other antidepressant in a child or adolescent must balance this risk with the clinical need."
i wonder how a psychiatrist might posit this information to the parents of a child who has recently been diagnosed with mdd?
"mr. and mrs. cranklewicknicky. your daughter maya suffers from a condition classified in dsm-iv as major depressive disorder. we normally treat depression by prescribing antidepressant medication. the antidepressant medication will improve maya's mood; however, it will also increase her risk of engaging in suicidal thoughts and behaviors. i know this is a difficult time for all of you but i want you to consider the following: although she might feel depressed right now, she wont feel a thing after she hangs herself. will that be cash or charge?"
for those of you who enjoy sculpting your neurons i happen to be privy to the physiological explanation that underlies an antidepressant's seemingly paradoxical tendency to increase suicidal behavior:
profoundly depressed individuals lack physical vitality and therefore spend much of their time either sleeping or curled up on a couch. upon beginning an antidepressant regimen they begin to feel better. as their mood improves they concomitantly participate in more and more physical activity.
like finding rope.
posted by megaton at 9:43 PM
2 Comments:
So many pills in this world and so little time…either you need them or you don’t, but none the less they are given out like candy at Halloween….but no doctor ever tells you where the razor blade is.
"trick or treat!"
the old lady smiled at the children's costumes and spoke:
"arent you all just precious! im going to give you the best candy in the whole wide world! its called thorazine. run along now."
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