
Psych Resident: 60 or 80 mg/day.
Expert: 100 mg/day or higher.
Med Student: Never! You kill people that way.
Psych Resident: Never, I hear that one
can do that, but I have never done it.
Expert: Occasionally. Every once in a while
such a combination is very useful.
Psych Resident: Never. I hear some people are
using those to treat
people with hard to treat mood disorders, but I have not used them as yet.
Expert: I have prescribed one or both of
those for a few people with hard to treat mood disorders.
Med Student: No . . . why would I want to do
that?
Psych Resident: No . . . but I hear they can be
useful to counteract
some of the side effects.
Expert: Yes . . . they can be quite helpful
to control some of the side effects, or potentiate the antidepressant activity.
How Expert is Your Psychiatrist/Psychopharmacologist?
I am often asked how one may tell if one's doctor is truly an expert
when it comes to the practice of psychopharmacology. By asking a few
questions it is possible to see to what extent one's doctor most closely
resembles a medical student, a
psychiatric resident, or an
expert psychopharmacologist. Here are four test
questions and typical answers:
R E T U R N to DEPRESSION CENTRAL

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Revised 9/14/01