Word: prozac
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Currently, most patients with trichotillomania are treated with psychotherapy or antidepressants, including selective serotonin-reuptake inhibitors (SSRIs), like Prozac. But in recent years, four studies that looked at SSRIs in the treatment of trichotillomania showed they are not effective in relieving the condition. (Indeed, there is an emerging debate about the limitations of SSRIs, which received enormous media exposure in the '90s and have become the go-to drug to treat not only depression but, with varying success, anxiety, nicotine addiction, body-image problems, bipolar disorder, psychosis and a host of other mental disorders.) While there's been less research...
...researchers encourage patients and families to regard food as medicine, and caregivers are instructed to use rewards and positive pressure to restore patients' weight. Use of the car and access to other activities desired by teens are offered as incentives for regularly completing meals, for example. Antidepressant medications, like Prozac, which affect serotonin levels and reduce obsessive thinking among anorexics, may later be prescribed, but not until patients have reached a healthy weight - without enough nutrients in the brain, medications can't work. (See the most common hospital mishaps...
...Americans grew fond of the idea that you can fix depression simply by taking a pill - most famously fluoxetine (better known as Prozac), though fluoxetine is just one of at least seven selective serotonin reuptake inhibitors (SSRIs) that have been prescribed to treat hundreds of millions of people around the world...
...past few years, researchers have challenged the effectiveness of Prozac and other SSRIs in several studies. For instance, a review published in the Journal of Affective Disorders in February attributed 68% of the benefit from antidepressants to the placebo effect. Likewise, a paper published in PLoS Medicine a year earlier suggested that widely used SSRIs, including Prozac, Effexor and Paxil, offer no clinically significant benefit over placebos for patients with moderate or severe depression. Meanwhile, pharmaceutical companies maintain that their research shows that SSRIs are powerful weapons against depression. (Here's a helpful blog post that summarizes the debate...
...home, is, for some mysterious reason, depressed and tearful. Eventually she disappears into the night, in what is "surely the most remarkable tittle-tattle to hit the area in recent years." Englischers (i.e., the non-Amish) might have steered Lettie into a psychiatrist's office for a course of Prozac. But Lettie's large family has other modes of counsel: talking and cooking and harvesting and raising barns and praying together. Her 21-year-old daughter Grace holds the family together with her steely determination; Judah, Lettie's uncommunicative husband, suffers her absence deeply...