In Practice

It should be added, this position you maintain has always been so, from your early book ''LISTENING TO PROZAC''. Your beliefs of many things being wrong with brain functioning and a probable amending to the theory. You have never been out of sync or out of style, like the exercise (snake oil salesman) will soon be. Sincerely-David

"The efficacy of dopamine-enhancing medication remains greater in the middle stages of PD than that of serotonin- or norepinephrine-enhancing medications in mood disorder."

Would you expand on this point? When I think of depression, there is no middle stage. It's chronic.

I infer that you feel that psychiatry is being treated unfairly.

I think psychiatry is treated as a "dead horse" because people's expectations about the efficacy of med treatment for depression is set by the constant drumbeat of drug company marketing.

Take this; stories of incestuous financial relationships between psychiatrists and drug companies; stories of treating kids who are, bipolar maybe, with drugs that are not perceived as effective for adults; and the constant revelations in the media about contrived research and life threatening side effects; and you have one dead equine.

The nuances of scientific research are important but not to a community of patients that feel they have been let down and sold a bill of goods.

Gary,

Gary- all your questions can be answered in Peters books''LISTENING TO PROZAC and AGAINST DEPRESSION. Responses to medicine vary. Peters position has always been protect the brain immediately from future episodes which worsen depression over time. Your beef is with someone else- this guy knows it all. sincerely-David

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