Ive read of stories where people took risperdal with antidepressants and after the Pdoc took the risperdal off, the anti-depressants no longer work well. The theory is the risperdal (and similar anti-psychotics) deplete dopamine so much that it causes subtle brain damage...mood disordered people are more susceptible to this than those whose primary problem is psychosis, such as schizophrenia. The patent gets left hanging, the Pdoc will deny it and blame it on the "headcase" patient and it all become a huge mess.
Risperdal is also used in some agitated depressed patients for pure behavioral control. Not to make the depression problem better, but just to "shut your sh*t down" and sedate the crap out of you. Pdocs have curbed that practice in the last ten years somewhat, with the type II diabetes risk from atypical anti-psychotics. But they used to do it all the time. Ive even heard of purely depressed/anxious patients (no psychosis whatsoever) being put on low dose risperdal for insomnia!!!!
49er wrote:""Risperdal is a medication given for a depression that is different than SAD.""
Sorry for this OT response but Risperdal is an antipsychotic. Many times, antipsychotics are used to augment depression meds that aren't working.
As far as the effectiveness, a retired psychiatrist has written several blog entries greatly questioning whether they work as an augmentation strategy.
http://1boringoldman.com/index.php?subm ... psychotics
For the horrific side effects that these drugs cause, frankly, I question whether the risk/benefit equation favors the patient. Obviously, each person who is suffering from depression has to make that decision but sadly, they are not given enough information many times to make a truly informed choice.
49er