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Disclosures The authors report no financial relationships with any companies whose products are mentioned in this article, unauthorized freud with manufacturers of competing products. For a patient with a major mental illness, the road to wellness is long unauthorized freud uncertain. The medications commonly used to treat mood and thought disorders read article take weeks to months to start providing benefits, and they carry significant risks for adverse effects, such as weight gain, sexual dysfunction, and movement disorders. Patients often have to take psychotropic medications for the rest of their lives.
In addition to these downsides, there is no guarantee that these medications will provide complete or even partial relief. Intravenous ketamine is an older generic drug used in anesthesia; recently, it has been used off-label for TRD and other mental illnesses. These miracle cures are becoming increasingly available to patients and continue to gain credibility among clinicians and researchers. How should we evaluate the usefulness of these new treatments? And how should we talk to our patients about them? To answer these questions, this article:.
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The physician—patient relationship is a fiduciary unauthorized freud. According to both common law and medical umauthorized, a physician who enters into a treatment relationship with a patient creates a bond of special trust and confidence. We should also protect our patients from the adverse consequences of relatively untested drugs.
For example, ketamine and hallucinogens both produce dissociative effects, and may carry high risks for patients who have a predisposition to psychosis.
We should remain open-minded about new treatments, and acknowledge that they might work. Finally, we have a duty to be mindful of any financial benefits unauthorizwd we may derive unauthorized freud the development, marketing, and administration of these medications. This is not the first time that novel treatments in mental health have seemed to hold incredible promise.
References
Skip to main content. Current Psychiatry. Farrell, MD. Author and Disclosure Information Dr.]
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