Thanks to those who provided useful comments.

I am a little surprised at the cynicism and skepticism expressed by many of the respondents. I had a sense of an underlying belief that the disorders are perhaps non-existent as well, which I found a bit offensive and insensitive. At least I felt offended by some of the responses for their lack of sensitivity to the disorders.

I have studied the effects of SSRIs in anxiety and understand the putative mechanism fairly well; in terms of depression I believe that the comorbidity link is closest to what I talked about in class. In depression in fact, there are anxiety-like symptoms in the sense of ruminative (almost obsessive type) thinking. For those people for whom the drugs do work, I believe the enhanced serotonin in the synapse provides an important inhibitory effect. In fact, in panic attacks it is my understanding that when these drugs work they don't necessarily prevent the full autonomic response, they simply reduced the conscious cognitive component of panicky mind.

Annette



Annette Kujawski Taylor, Ph. D.
Professor of Psychology
University of San Diego
5998 Alcala Park
San Diego, CA 92110
619-260-4006
[EMAIL PROTECTED]

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