Drugs Found Ineffective for Veterans’ Stress

NY Times ^ | August 2, 2011 | BENEDICT CAREY

[neverdem]

Drugs widely prescribed to treat severe post-traumatic stress symptoms for veterans are no more effective than placebos and come with serious side effects, including weight gain and fatigue, researchers reported on Tuesday.

The surprising finding, from the largest study of its kind in veterans, challenges current treatment standards so directly that it could alter practice soon, some experts said.

Ten percent to 20 percent of those who see heavy combat develop lasting symptoms of post-traumatic stress disorder, and about a fifth of those who get treatment receive a prescription for a so-called antipsychotic medication, according to government numbers.

The new study, published in The Journal of the American Medical Association, focused on one medication, Risperdal. But experts said that its results most likely extend to the entire class, including drugs like Seroquel, Geodon and Abilify.

“I think it’s a very important study” given how frequently the drugs have been prescribed, said Dr. Charles Hoge, a senior scientist at the Walter Reed Army Institute of Research, who was not involved in the study but wrote an editorial accompanying it. He added, “It definitely calls into question the use of antipsychotics in general for PTSD.”

The use of such drugs has grown sharply over the past decade, as thousands of returning soldiers and Marines have found that their post-traumatic stress symptoms do not respond to antidepressants, the only drugs backed by scientific evidence for the disorder. Doctors have turned to antipsychotics, which strongly affect mood, to augment treatment, based almost entirely on their experience with them and how they expect them to work.

To test those assumptions, a team of researchers affiliated with the Veterans Affairs medical system had 123 veterans with the disorder begin a regimen that added Risperdal to their treatment. Some of the patients served in Vietnam, others in...

[defconw]

What bugs me most, is that they give you a pill and consider it dwalt with.

[cva66snipe]

There's a lot of misconceptions about what psychiatrist do. Sessions on a couch with them listening is among the biggest one. They don't do that. They see you for 15 minutes every three months and write your refills in most cases. A good LCSW {therapist} specializing in PTSD is the one who helps you work through things. Ironically the psychiatrist I saw who did finally write me the correct medication was also one of the most messed up persons I knew LOL. My family doc writes the meds now.

For PTSD and anxiety a good therapist is a must and it usually takes years to be rid of the beast entirely.

[defconw]

I would have to agree with what you have said. He see the doc every three months and they review meds. I guess the meds work BUT.... it's not the cure. The just knock the edge off.

Then there is the sleeping pill.