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Any psych doctors in here?
Posted on 6/14/18 at 12:07 pm
Posted on 6/14/18 at 12:07 pm
What are your thoughts/opinions on a saliva test that is supposed to be able determine the right medicine for you to be on for anxiety/depression?
Most things I have heard/read over the last couple of years I've been dealing with this always says it's just kind of a trial and error thing but I started seeing a therapist last week and he alluded to this test like it was common knowledge...
Any info?
Most things I have heard/read over the last couple of years I've been dealing with this always says it's just kind of a trial and error thing but I started seeing a therapist last week and he alluded to this test like it was common knowledge...
Any info?
12
Posted on 6/14/18 at 12:10 pm to RandySavage
Let's see how this goes.
Posted on 6/14/18 at 12:13 pm to RandySavage
Not a psych doctor but I stayed at a Holiday Inn Express last night.
Haven’t heard of this before.
Sounds experimental rather than settled because I wouldn’t think saliva would contain traces of the various brain chemicals needed to determine something like this.
A blood test I could believe. Saliva? Not so much. And I could be completely and totally wrong on this.
Haven’t heard of this before.
Sounds experimental rather than settled because I wouldn’t think saliva would contain traces of the various brain chemicals needed to determine something like this.
A blood test I could believe. Saliva? Not so much. And I could be completely and totally wrong on this.
Posted on 6/14/18 at 12:14 pm to RandySavage
Genesight testing has been very hit or miss in our outpatient clinic.
Posted on 6/14/18 at 12:16 pm to RandySavage
Pharmacogenomic testing.
It is can be helpful to your psychiatrist as a guide to medication choice and dosing.
It will not tell the physician what medication "works". There is nothing that does that. What it will tell them, is how your body processes medication and what levels to use for target doses.
I have ordered it about 100 times for patients and it has been helpful about half of the time. The only downside is cost. (about $350). If it was cheaper, I would order it every time.
It is can be helpful to your psychiatrist as a guide to medication choice and dosing.
It will not tell the physician what medication "works". There is nothing that does that. What it will tell them, is how your body processes medication and what levels to use for target doses.
I have ordered it about 100 times for patients and it has been helpful about half of the time. The only downside is cost. (about $350). If it was cheaper, I would order it every time.
Posted on 6/14/18 at 12:27 pm to SECdragonmaster
quote:
SECdragonmaster
I assume you are a psychotherapist or work in that field. I'm close to someone who has struggled with severe depression for several years, partly due to life circumstances and partly due to a predisposition she's had since childhood. Every medication she has tried has either had no benefit or has had intolerable side effects. She's finally getting a little better lately, for no reason anyone can determine, it's just happening kind of out of the blue.
The weirdest thing was when she tried a new medicine that improved her mood practically overnight. For about three weeks she was completely back to her old self, then she cratered and was worse than before. Depression is hell.
Posted on 6/14/18 at 12:29 pm to RandySavage
I did one of those saliva tests and it came back with 0% sub Saharan African and 100% European
Feels good to get an A+ on a test!
Feels good to get an A+ on a test!
Posted on 6/14/18 at 12:31 pm to RandySavage
FWIW, there have been a ton of studies that have been linked to gastric-intestinal health having a huge influence on mental health
Posted on 6/14/18 at 12:33 pm to RandySavage
Scruffy has never heard of this test.
Ask him what the test is specifically testing for and let us know.
Sounds like bullshite.
Ask him what the test is specifically testing for and let us know.
Sounds like bullshite.
Posted on 6/14/18 at 12:42 pm to Scruffy
quote:
Scruffy has never heard of this test.
quote:
Sounds like bullshite.
Scruffy is not a psychiatrist.
I am.
Scruffy needs to tone down the intensity today. Scruffy is normally a pretty agreeable dude.
Posted on 6/14/18 at 12:49 pm to Jim Rockford
quote:
Depression is hell.
It is very complicated and hard to separate out from personality, environmental stressors, spirituality, etc.
Once you sit with someone and tease it out, tremendous improvement happens. You just have to have a psychiatrist who genuinely cares and a patient who wants to get better (not all patients want to get better).
Posted on 6/14/18 at 12:52 pm to SECdragonmaster
quote:
Scruffy is not a psychiatrist.
I am.
Scruffy needs to tone down the intensity today. Scruffy is normally a pretty agreeable dude.
:spank: Posted on 6/14/18 at 12:56 pm to SECdragonmaster
I think the therapy has helped a lot. It's just that the depression has been very persistent. It's finally lifting a bit. I hope it continues. I think the ads for antidepressants do a disservice in giving people an expectation of immediate relief, because it doesn't work that way for everyone. It has been a really tough road and it's not over yet.
Posted on 6/14/18 at 1:29 pm to SECdragonmaster
This post was edited on 6/14/18 at 3:58 pm
Posted on 6/14/18 at 1:32 pm to Jim Rockford
quote:
I'm close to someone who has struggled with severe depression for several years
That sucks. Get better soon, Jim.
Posted on 6/14/18 at 1:34 pm to SECdragonmaster
quote:
Scruffy is not a psychiatrist.
I am.
Scruffy needs to tone down the intensity today. Scruffy is normally a pretty agreeable dude.
Scruffy had not heard of the test that was described in the OP.
Guess it isn’t bullshite.
The way it was described sounded like bullshite.
Don’t push Scruffy. He is tired, grumpy, and mildly gassy.
It might be his time of the month.
How does this not sound like bullshite?
quote:
What are your thoughts/opinions on a saliva test that is supposed to be able determine the right medicine for you to be on for anxiety/depression?
This post was edited on 6/14/18 at 1:36 pm
Posted on 6/14/18 at 1:47 pm to SECdragonmaster
quote:
Scruffy needs to tone down the intensity today. Scruffy is normally a pretty agreeable dude.
I prefer a tactless Scruffy.
Posted on 6/14/18 at 1:54 pm to RandySavage
Pharmacogenomic testing is the future for us all in one way or another. It can’t necessarily tell you what will work, but it can sure tell you what will not in many cases. All tests are not equal. Ask your doc if the science for this particular test matches up with its competitors, pcr vs some other sequencing. I’m guessing they’re looking at a panel and not a single gene?
ETA: as for price, almost all diagnostic companies have a financial assistance plan, they want your data and will find a way to give it to you nearly free. Be persistent.
ETA: as for price, almost all diagnostic companies have a financial assistance plan, they want your data and will find a way to give it to you nearly free. Be persistent.
This post was edited on 6/14/18 at 1:59 pm
Posted on 6/14/18 at 4:04 pm to 3lsu3
quote:
they want your data
This is supposed to be reassuring?
Posted on 6/14/18 at 4:46 pm to SECdragonmaster
quote:
SECdragonmaster
Where you at? I'm in the market for a new psych, gotta figure out if I need to switch meds or what's going on.
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