"However, when increasing neurohormonal levels by utilizing medications
which block the reuptake of these hormones, a gradual return to the
non-depressive state occurs."
I have to dis-agree. If this was true, patient should feel much better
within a day taking Prozal, Zoloft, Paxil. It is well known, that the
patient should wait for 6~8 weeks before seeing benefits from SSRI. If
this was just Serotonin, we should see effect in a day. Serotonin
increase in body within 24hours. Most the side effect from SSRI, kicks
in 24 hours, Sexual Dysfunction, tremor .... showing the drug is doing
something in the body, however for managing the depression one has to
wait 6~8 weeks.
One idea being discuss is gene expression. Gen expression need longer
time to accur while being under medication. Serotonin has nothing to
do with it.
Dr. Wayne Simon wrote:
> The post is getting a little difficult to follow. Let me see if I can
> summarize and simplify the major debate. The fact that neurohormone levels
> correlatively decrease in the face of clinical depression either is somewhat
> responsible for the depressive mood itself, or is simply just as much a
> consqequence of the real cause of depression as is the depressive mood.
> However, when increasing neurohormonal levels by utilizing medications which
> block the reuptake of these hormones, a gradual return to the non-depressive
> state occurs. Analagous to treating type II diabetes with an oral drug
> that stimulates the secretion of insulin. Should one not utilize these
> medicinals to help the patients, even if the causal link is not perfectly
> established, or may not even exist? These seem to be the basic issues,
> without getting into the genetics of the various subtypes of serotonin and
> norepinephrine receptors.