BEEN THERE, DONE THAT
Yesterday you had a day of psychopharmacology lectures, 9 to 6, and done.
Uh huh. Have fun. That didn’t quite convey the disbelieving laugh.
How on earth can you fit in everything that’s under DSM- I forget which edition it would be about now- in a 9 to 6 day…
-the rage of mania, distanced, you watch that pyrotechnic outburst of stupendous energy
-flickering wisps of alternate reality, an avalanche of babbling strange tongues,. quick images seen on a screen in a lantern play
-the unending spiral of the big D, sinking lower with each repeat phase
-the unpredictable swings of bipolar, ricocheting from high voltage mania to dull ennui
- the tsunami of panic
So much more, the millions of ways in which these cross cross and overlap
The medication to handle it all
The awesome switch-like action of rauwolfia serpentina when it was first discovered.
Haloperidol decanoate, the gold standard for oh so many years, bringing in a measure of sanity into gone cases. The beauty of the right modicum of dopamine precisely where its needed
The newer ones- aripiprazole, quetiapine.. so beautifully engineered these atypicals, inch by inch setting right drawbacks with previous therapy
And the whole gamut of antidepressants, restoring equilibrium at the micro synapses
Instant action tricyclics, with instant SE.
SSRTIs, inching back to hullo sunshine, inch by inch over a fortnight. The amazing grace at seeing a loved one move away from a catatonic state and check latest skirt length trends…Then the dual action ones, so smart-so very smart.
How can you fill all this in a single day?