Hacker News new | ask | show | jobs
by Eleison23 1324 days ago
Yes, that is anecdotal.

The SOP for every psychiatrist I've ever seen (and that's probably nearing 100 or so by now, over 30 years, 3 states and a dozen clinics) is to medicate until the patient is responding well, and to never ever even suggest that the patient should slow down, reduce or stop any medication. Because if the patient did so it would represent a clear and present danger and obstacle to recovery. The patient is seriously mentally ill and must take medications w, x, y and z for the rest of his life. Unless one of them creates a lot of side effects and then we'll tinker endlessly with new and different medications until he stops complaining so much of side effects, and/or he's too doped up and sleepy to care anyway.

It is absolutely preposterous for any psychiatrist to suggest that a patient titrate off drugs "to see what happens" or "just in case they've recovered". That's antithetical to their treatment methods which specify that chronic psychiatric illnesses must be treated with daily doses of medications with vague primary effects that can never be stopped.