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As I’ve said before, I think AMD is a woman or one of them is if they are a group. I also enjoy her stack but differ quite significantly from certain opinions eg. Antidepressants can be life saving not only causing side effects( which they certainly can) . AMD and others are haters of SSRIs. I am 95% over to the No Virus position and can provide good sources if anyone is interested. I categorically state that all jabs are bad and that all Convid jabs are bioweapons

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It's funny you say that. I was pretty sure she was a woman, but then Steve Kirsch mentioned having met AMD and described him as a him.

On the antidepressant front, I have met people who credit them with saving their lives but I have also read Irving Kirsch's work, and he makes a very persuasive case that they don't perform any better than placebos.

I am actually thinking of hosting a debate on the virus existence/nonexistence issue by proponents of either side. I think J.J. Couey would be an excellent guest.

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I have been a medical doctor for 31 years and in psychiatry for 28 of those. SSRIs categorically save lives. I have seen it do so many times. Studies and stats can and do lie. And BTW, another trope is that the serotonin hypothesis has fallen apart so SSRIs can’t work. That is trite nonsense. Most of the time we don’t understand fully how meds work and no psychiatrist adheres to a simplified serotonin hypothesis as the main explanation for depression.

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Your point about the mechanism of action of many medications is well taken. However I've had many clients relate to me that their prescribing doctor (either GP or psychiatrist) has told them that they have a serotonin deficiency/biochemical imbalance, and that's why they need an SSRI. Do you think these doctors are just telling patients this story in order to gain compliance, and if so, is this ethical?

I'm interested in the claim that SSRIs save lives. How is this established? And how do we balance the lives saved against the lives lost due to increased suicidality (especially in the initial weeks of treatment)?

These are genuine questions, not attempts at gotchas, and I look forward to engaging in further dialogue with you.

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Robyn, I’m happy to engage. Doctors in all fields will offer simplified explanations to patients for their illness and treatments. Do you think that explanations about blood pressure, heart failure, Parkinson’s or dementia are not similarly simplified? No doctor or specialist can review the entire body of work about the aetiology of a condition in a consultation or the many unknowns. We don’t even know what we don’t know. That should be conveyed to patients together with discussion about side effects and for SSRIs, potential triggering of mania, disinhibition and suicidality. Then the patient decides if they wish to try or not. As to lives saved and lives improved, I and Colleagues I work with have treated thousands of suicidal and profoundly depressed and catatonic patients who completely recovered and went on with living after treatment with SSRIs.

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Thanks for being willing to have this discussion. It's so important that those of us who are aligned with medical freedom engage with each other on topics where there's disagreement, or different perspectives.

I always ask my clients about their understanding of their condition/s, and the vast majority have only the most rudimentary understanding of it. I know that medical consultation times are limited by various payers, but I still find it shocking that doctors can't set aside 15-30 minutes, maybe across multiple consultations, to explain to patients what they have, what is known about the condition and its causes, and what they can do to help themselves. My appointments with clients are 60-90 minutes, and I always devote a good chunk of the initial appointment to assessing their current level of knowledge about their condition, and filling in the gaps. This helps enormously with my clients' motivation to comply with their treatment plan, because they understand the rationale behind each component of it.

On the SSRI question, what specific effects of these drugs have you seen on patients' feelings, thoughts, behaviour (or anything else) that you believe to be responsible for them having the beneficial effects that you describe? Many dissident psychiatrists and psychotherapists state that SSRIs have a numbing effect on patients' emotions, and that this numbing effect actually interferes with effective psychotherapy. I have had many clients report to me that when they were on SSRIs, they no longer felt very sad, but they didn't feel very happy either. They felt very little of anything at all, and consequently they weren't motivated to change any of the circumstances in their lives that had triggered the depressive episode. What do you make of this - do your patients report this to you, and do you think it might be an impediment to recovery?

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SSRI’s can numb patients range of emotions and this may be a reason to wean the dose or cease them. Some will tolerate a mild numbing if it’s mostly the lows that are numbed and not the happiness. It’s up to the patient if they can or will tolerate this side effect. The benefits are often as clear, mood lifts, suicidal thoughts stop, anxiety lessens and panic attacks lessen or stop. These and other benefits will often outweigh mild numbing and is for the patient to decide the risk benefit ratio. Obviously severe numbing or blunting of mood should not be tolerated by patients or their doctors. I’ve had many patients who can only tolerate the work of psychotherapy when their mood has lifted enough and anxiety lessened by medication to then solidify their improvement with therapy.

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Thanks for sharing your insight and experience. It's clear your approach is patient-centred and that's the bedrock of good medical practice. Are you still in practice as a psychiatrist and if so, have there been any threats to your licence?

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I would love to love to see this

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I've not looked too closely but AMD's assertion that SSRI's are a factor in the increase in mass shootings is interesting.

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Peter Breggin has been talking and writing about the role that SSRIs play in violent homicides and suicides for decades. He was the leading expert witness in a whole slew of legal cases involving SSRIs.

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Another stacker refuted this claim of SSRIs being a major factor. Will check who

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